Trial Outcomes & Findings for Zenith® Dissection Endovascular System (NCT NCT02094300)

NCT ID: NCT02094300

Last Updated: 2017-02-06

Results Overview

Major complication is defined as: Retrograde dissection, cardiac events requiring surgical management, prolonged ventilation requiring tracheotomy, renal failure requiring dialysis (where not previously needed), aortic fistula, mesenteric ischemia requiring surgical management, paralysis or paraparesis unresolved after 30 days of therapy, pulmonary embolism, stroke, and multi-system organ failure, unless related to presenting condition.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

26 participants

Primary outcome timeframe

30 days

Results posted on

2017-02-06

Participant Flow

Participant milestones

Participant milestones
Measure
Zenith® Dissection Endovascular Graft
The Zenith® Dissection Endovascular System is intended for the treatment of patients with aortic dissection of the descending thoracic aorta having anatomy amenable to endovascular repair.
Overall Study
STARTED
26
Overall Study
30 Days
24
Overall Study
COMPLETED
6
Overall Study
NOT COMPLETED
20

Reasons for withdrawal

Reasons for withdrawal
Measure
Zenith® Dissection Endovascular Graft
The Zenith® Dissection Endovascular System is intended for the treatment of patients with aortic dissection of the descending thoracic aorta having anatomy amenable to endovascular repair.
Overall Study
Death
7
Overall Study
Lost to Follow-up
10
Overall Study
Still be eligible for follow-up
3

Baseline Characteristics

Zenith® Dissection Endovascular System

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Zenith® Dissection Endovascular Graft
n=26 Participants
The Zenith® Dissection Endovascular System is intended for the treatment of patients with aortic dissection of the descending thoracic aorta having anatomy amenable to endovascular repair.
Age, Continuous
61.3 years
STANDARD_DEVIATION 15 • n=5 Participants
Gender
Female
7 Participants
n=5 Participants
Gender
Male
19 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 30 days

Population: There were 8 patients experienced 30-day major complications.

Major complication is defined as: Retrograde dissection, cardiac events requiring surgical management, prolonged ventilation requiring tracheotomy, renal failure requiring dialysis (where not previously needed), aortic fistula, mesenteric ischemia requiring surgical management, paralysis or paraparesis unresolved after 30 days of therapy, pulmonary embolism, stroke, and multi-system organ failure, unless related to presenting condition.

Outcome measures

Outcome measures
Measure
Zenith® Dissection Endovascular Graft
n=26 Participants
The Zenith® Dissection Endovascular System is intended for the treatment of patients with aortic dissection of the descending thoracic aorta having anatomy amenable to endovascular repair.
Number of Patients With Major Complications
Paralysis or paraparesis unresolved after 30 days
2 participants
Number of Patients With Major Complications
Stroke
4 participants
Number of Patients With Major Complications
Retrograde Type A dissection
2 participants
Number of Patients With Major Complications
Renal failure requiring dialysis
3 participants
Number of Patients With Major Complications
Prolonged ventilation requiring tracheotomy
3 participants

Adverse Events

Zenith® Dissection Endovascular Graft

Serious events: 2 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Zenith® Dissection Endovascular Graft
n=26 participants at risk
The Zenith® Dissection Endovascular System is intended for the treatment of patients with aortic dissection of the descending thoracic aorta having anatomy amenable to endovascular repair.
Vascular disorders
Rupture of the aorta at the original entry tear
3.8%
1/26 • Number of events 1 • 30 days
Nervous system disorders
Stroke, midbrain and cerebellar
3.8%
1/26 • Number of events 1 • 30 days

Other adverse events

Other adverse events
Measure
Zenith® Dissection Endovascular Graft
n=26 participants at risk
The Zenith® Dissection Endovascular System is intended for the treatment of patients with aortic dissection of the descending thoracic aorta having anatomy amenable to endovascular repair.
Cardiac disorders
Arrhythmia requiring intervention or new treatment
15.4%
4/26 • Number of events 4 • 30 days
Cardiac disorders
Refractory hypertension
11.5%
3/26 • Number of events 3 • 30 days
Gastrointestinal disorders
Paralytic ileus > 4 days
7.7%
2/26 • Number of events 2 • 30 days
Nervous system disorders
Stroke
15.4%
4/26 • Number of events 4 • 30 days
Respiratory, thoracic and mediastinal disorders
Pleural effusion requiring treatment
7.7%
2/26 • Number of events 2 • 30 days
Respiratory, thoracic and mediastinal disorders
Pneumonia requiring antibiotics
7.7%
2/26 • Number of events 2 • 30 days
Respiratory, thoracic and mediastinal disorders
Pulmonary event requiring tracheostomy or chest tube
19.2%
5/26 • Number of events 5 • 30 days
Respiratory, thoracic and mediastinal disorders
Ventilation > 24 hours
19.2%
5/26 • Number of events 5 • 30 days
Renal and urinary disorders
Renal failure requiring dialysis
11.5%
3/26 • Number of events 3 • 30 days
Renal and urinary disorders
Serum creatinine rise > 30% above baseline resulting in a persistent value > 2.0 mg/dl
11.5%
3/26 • Number of events 3 • 30 days
Vascular disorders
Post-procedure transfusion
26.9%
7/26 • Number of events 9 • 30 days
Vascular disorders
Vascular injury
7.7%
2/26 • Number of events 3 • 30 days

Additional Information

Scott Snyder, PhD, Director of Clinical Science and Biostatistics

Cook Research Incorporated

Phone: 765-463-7537

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60