Study to Determine if the Valiant Stent Graft is Safe and Effective in Treating Patients Who Have a Blunt Thoracic Aortic Injury

NCT ID: NCT01092767

Last Updated: 2021-10-29

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2017-05-31

Brief Summary

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The purpose of this study is to determine if the Valiant stent graft is safe and effective in treating patients who have a blunt thoracic aortic injury (BTAI). BTAI is when the aorta has been injured due to traumatic force to the chest area. It is commonly caused by motor vehicle accidents. In most cases it is life threatening and the standard treatment is surgery. Many times when a person has a BTAI they also have other injuries that can affect the results of the surgery.

Since stent grafting has been an effective way to treat other aortic conditions such as aneurysms (bulge in aorta wall), it is believed that the Valiant stent graft would be effective in treating BTAI. A stent graft is a woven polyester tube (graft) supported by a metal frame of strong but flexible nitinol (type of metal) springs (stent) that is placed in the aorta to help seal the injury and keep it from bleeding.

Detailed Description

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Conditions

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Blunt Thoracic Aortic Injury

Keywords

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Thoracic Aneurysm Thoracic Transection Endovascular Aortic Repair

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Valiant Thoracic Stent Graft with the Captivia Delivery System

Valiant Thoracic Stent Graft with the Captivia Delivery System

Group Type EXPERIMENTAL

Valiant Thoracic Stent Graft with the Captivia Delivery System

Intervention Type DEVICE

All subjects will be implanted with this device

Interventions

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Valiant Thoracic Stent Graft with the Captivia Delivery System

All subjects will be implanted with this device

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subject had a blunt thoracic aortic injury which:
* was confirmed, at a minimum, by diagnostic contrast-enhanced computerized tomography angiogram (CTA) and/or contrast-enhanced magnetic resonance angiogram (MRA)
* occurred no more than 30 days prior to the stent implant procedure
* Subject was ≥ 18 years of age
* Subject or subject's legally authorized representative signed an IRB approved informed consent
* Subject was hemodynamically stable
* Subject's anatomy met all of the following anatomical criteria:
* Aortic diameter (adventitia to adventitia) of the proximal and distal landing zones between 18 mm and 44 mm
* Subject had patent iliac or femoral arteries or could tolerate an iliac conduit that allowed endovascular access to the injury site with the delivery system of the appropriate sized device
* The centerline distance from the distal margin of left common carotid artery (LCC) to the injury was ≥ 20 mm

Exclusion Criteria

* Planned placement of the COVERED portion of the stent graft over the celiac axis or the LCC, or in cases of bovine anatomy, innominate artery
* Subject had systemic infection
* Subject was pregnant
* Subject had received a previous stent or stent graft or previous surgical repair in the DTA
* Subject had a history of bleeding diathesis, coagulopathy, or refuses blood transfusion
* Subject was participating in an investigational drug or device clinical trial which would interfere with the endpoints and/or follow-ups of this study
* Subject had a known allergy or intolerance to the device components
* Subject had a known hypersensitivity or contraindication to anticoagulants or contrast media, which was not amenable to pre-treatment
* Subject was in extremis, defined as subject that had non-survivable injury/condition
* Subject had a Cerebral Vascular Accident (CVA) within two (2) months prior to implant procedure
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic

INDUSTRY

Sponsor Role collaborator

Medtronic Cardiovascular

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rodney White, MD, FACS

Role: PRINCIPAL_INVESTIGATOR

Harbor UCLA

Locations

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University of Alabama

Birmingham, Alabama, United States

Site Status

Cedars Sinai Medical Center

Los Angeles, California, United States

Site Status

Harbor UCLA

Torrance, California, United States

Site Status

Denver Health

Denver, Colorado, United States

Site Status

Yale New Haven Hospital

New Haven, Connecticut, United States

Site Status

University of Florida Shands Hospital

Gainesville, Florida, United States

Site Status

University of Miami Jackson Memorial

Miami, Florida, United States

Site Status

Bayfront Medical Center

St. Petersburg, Florida, United States

Site Status

Maine Medical Center

Portland, Maine, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

William Beaumont Hospital

Royal Oak, Michigan, United States

Site Status

Cooper Health

Camden, New Jersey, United States

Site Status

Vascular Research Institute

Morristown, New Jersey, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Toledo Hospital / Jobst Vascular Center

Toledo, Ohio, United States

Site Status

UT Southwestern

Dallas, Texas, United States

Site Status

Memorial Hermann Heart and Vascular Institute

Houston, Texas, United States

Site Status

Brooke Army Medical Center

San Antonio, Texas, United States

Site Status

Scott and White Memorial

Temple, Texas, United States

Site Status

University Of Virginia

Charlottesville, Virginia, United States

Site Status

Sentara Norfolk General Vascular & Transplant Specialists

Norfolk, Virginia, United States

Site Status

Medical College of Wisconsin Froedtert Hospital

Milwaukee, Wisconsin, United States

Site Status

London Health Sciences Center

London, Ontario, Canada

Site Status

Laval Hospital

Québec, , Canada

Site Status

Countries

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United States Canada

References

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Khoynezhad A, Donayre CE, Azizzadeh A, White R; RESCUE investigators. One-year results of thoracic endovascular aortic repair for blunt thoracic aortic injury (RESCUE trial). J Thorac Cardiovasc Surg. 2015 Jan;149(1):155-61.e4. doi: 10.1016/j.jtcvs.2014.09.026. Epub 2014 Sep 19.

Reference Type DERIVED
PMID: 25439771 (View on PubMed)

Khoynezhad A, Azizzadeh A, Donayre CE, Matsumoto A, Velazquez O, White R; RESCUE investigators. Results of a multicenter, prospective trial of thoracic endovascular aortic repair for blunt thoracic aortic injury (RESCUE trial). J Vasc Surg. 2013 Apr;57(4):899-905.e1. doi: 10.1016/j.jvs.2012.10.099. Epub 2013 Feb 4.

Reference Type DERIVED
PMID: 23384495 (View on PubMed)

Other Identifiers

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Investigational Plan #117

Identifier Type: -

Identifier Source: org_study_id