A Study in SurvIvors of Type B Aortic Dissection Undergoing Stenting

NCT ID: NCT01407159

Last Updated: 2014-04-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

40 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-11-30

Study Completion Date

2014-01-31

Brief Summary

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Cohort study according to national regulatory guidelines: Non-interventional, observational cohort study. Pair-matched comparison with patients chosen from historical series.

To evaluate the clinical and technical success as well as the safety and feasibility of the E-XL aortic stent used in complicated type B aortic dissection in addition to a classic stentgraft in a single procedure.

Detailed Description

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Conditions

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Type B Aortic Dissection

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Thoracic Stentgraft plus E-XL

male and female patients with complicated type B aortic dissection involving the infra-diaphragmatic aorta treated with any thoracic stentgraft extended by the E-XL aortic stent

No interventions assigned to this group

Control group

historical control group fulfilling the following criteria:

* Age +/- 3 years
* Sex matched
* Same follow-up period

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* The endovascular treatment may be associated with a complementary surgical operation
* The total diameter of the dissected aortic segment should not surpass 6cm, and have increased between 0.5 and 1cm within 1 month, prior to implantation
* Visceral arteries involvement, i.e. perfusion of side branches via true or false lumen of type B dissection
* Aortic kinking \< 90°
* The patient must be available for the appropriate follow-up times for the duration of the study
* Informed consent from patient or authorized relative

The data of whose patients clinical records confirm one of the following conditions will not be considered in this study:

* Patients with a contraindication as indicated in the instruction for use
* Patients with chronic thrombocytopenia or ongoing anticoagulation
* Patients with renal failure and/or creatinine \>2.4mg/dl immediately before the intervention
* Patients in whom the false lumen is completely thrombosed
* Patients with ongoing infection
* Patients with ongoing cancer
* Patients who are enrolled in a clinical study
* Aortic landing zone diameter over 40 mm
* Potentially emboligenic iliac and aortic atheroma lesions
* Associated pathology with life expectancy of less than 24 months
* Unstable infectious syndrome
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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JOTEC GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Klinikum Augsburg

Augsburg, , Germany

Site Status

German Heart Center

Berlin, , Germany

Site Status

University Hospital

Essen, , Germany

Site Status

University Hospital

Freiburg im Breisgau, , Germany

Site Status

Hannover Medical School

Hanover, , Germany

Site Status

University Hospital

Jena, , Germany

Site Status

University Hospital Munich Grosshadern

Munich, , Germany

Site Status

St. Franziskus Hospital

Münster, , Germany

Site Status

University Hospital

Rostock, , Germany

Site Status

Department of Radiologia Toracica e Vascolare

Bologna, , Italy

Site Status

IRCCS Policlinico San Donato Milano

Milan, , Italy

Site Status

Krakowski Szpital Specjalistyczny im. Jana Pawła II

Krakow, , Poland

Site Status

Samodzielny Publiczny Szpital Kliniczny Nr 1

Lublin, , Poland

Site Status

Thorax Insitute, Hospital Clinic, University of Barcelona

Barcelona, , Spain

Site Status

Hospital Clinico Universitario de Valladolid

Valladolid, , Spain

Site Status

Countries

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Germany Italy Poland Spain

References

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Nienaber CA, Yuan X, Aboukoura M, Blanke P, Jakob R, Janosi RA, Lovato L, Riambau V, Trebacz J, Trimarchi S, Zipfel B, van den Berg JC; ASSIST study group. Improved Remodeling With TEVAR and Distal Bare-Metal Stent in Acute Complicated Type B Dissection. Ann Thorac Surg. 2020 Nov;110(5):1572-1579. doi: 10.1016/j.athoracsur.2020.02.029. Epub 2020 Mar 20.

Reference Type DERIVED
PMID: 32205112 (View on PubMed)

Other Identifiers

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ASSIST

Identifier Type: -

Identifier Source: org_study_id

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