Bern Venous Stent Registry

NCT ID: NCT02433054

Last Updated: 2023-10-12

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

548 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-01-31

Study Completion Date

2023-10-11

Brief Summary

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The purpose of this study is to examine patency rates of self-expanding nitinol stents for treatment of iliofemoral and inferior vena cava residual thrombosis, obstruction or stenosis. Moreover, clinical outcome data of patients treated with these venous stents will be collected.

Detailed Description

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Background: Obstruction and stenosis of the ilio-femoro-caval veins are difficult to treat by conservative measures only. Despite anticoagulation and consequent use of compression stockings, lower extremity venous hypertension affects patients quality of life and health status by causing venous claudication, swelling, skin changes, and venous ulcers. In the last decades venous stenting has become an accepted treatment for ilio-femoro-caval obstruction. Recently, novel self-expanding nitinol stents have been specifically designed for the venous system to account for the anatomical structure of ilio-femoro-caval veins.

Gap of Knowledge: There are few data on short and long term outcomes of self-expanding Nitinol stent placement in ilio-femoro-caval veins.

Objective: To study patency rates and clinical outcome data of self-expanding Nitinol stents that were specifically designed for iliofemoral and inferior vena cava residual thrombosis, obstruction or stenosis.

Conditions

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Post-thrombotic Syndrome

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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CE-certified dedicated venous stents

Patients receiving self-expanding venous nitinol stents.

CE-certified dedicated venous stents

Intervention Type DEVICE

Implantation of self-expanding nitinol venous stents in the iliofemoral veins and/or inferior vena cava.

Interventions

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CE-certified dedicated venous stents

Implantation of self-expanding nitinol venous stents in the iliofemoral veins and/or inferior vena cava.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Patients receiving self-expanding venous nitinol stents for one of the following indications:

* Residual thrombosis of iliofemoral veins and/or inferior vena cava after thrombus removal (by catheter-directed thrombolysis or pharmacomechanical thrombolysis)
* Post-thrombotic syndrome and chronic obstruction of iliofemoral veins and/or inferior vena cava
* Chronic venous insufficiency and presence of non-thrombotic venous stenosis of iliofemoral veins and/or inferior vena cava

Exclusion Criteria

* No consent
* Inability to provide informed consent
* Allergy to Nitinol
* Pregnancy, breast-feeding or birth-giving during the last 30 days
* Life expectancy \<3 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Zurich

OTHER

Sponsor Role lead

Responsible Party

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Nils Kucher

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nils Kucher, Prof. Dr. med.

Role: PRINCIPAL_INVESTIGATOR

University Hospital Zurich, Clinic of Angiology

Locations

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Klinik für Angiologie, Universitätsspital Zürich

Zurich, , Switzerland

Site Status

Countries

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Switzerland

References

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Sebastian T, Barco S, Kreuzpointner R, Konstantinides S, Kucher N. Reversal of cardiopulmonary exercise intolerance in patients with post-thrombotic obstruction of the inferior vena cava. Thromb Res. 2021 Dec;208:219-225. doi: 10.1016/j.thromres.2021.03.025. Epub 2021 Apr 9.

Reference Type DERIVED
PMID: 33840477 (View on PubMed)

Sebastian T, Gnanapiragasam S, Spirk D, Engelberger RP, Moeri L, Lodigiani C, Kreuzpointner R, Barco S, Kucher N. Self-Expandable Nitinol Stents for the Treatment of Nonmalignant Deep Venous Obstruction. Circ Cardiovasc Interv. 2020 Dec;13(12):e009673. doi: 10.1161/CIRCINTERVENTIONS.120.009673. Epub 2020 Dec 4.

Reference Type DERIVED
PMID: 33272030 (View on PubMed)

Sebastian T, Spirk D, Engelberger RP, Dopheide JF, Baumann FA, Barco S, Spescha R, Leeger C, Kucher N. Incidence of Stent Thrombosis after Endovascular Treatment of Iliofemoral or Caval Veins in Patients with the Postthrombotic Syndrome. Thromb Haemost. 2019 Dec;119(12):2064-2073. doi: 10.1055/s-0039-1697955. Epub 2019 Oct 28.

Reference Type DERIVED
PMID: 31659739 (View on PubMed)

Sebastian T, Engelberger RP, Spirk D, Hakki LO, Baumann FA, Spescha RS, Kucher N. Cessation of anticoagulation therapy following endovascular thrombus removal and stent placement for acute iliofemoral deep vein thrombosis. Vasa. 2019 Jul;48(4):331-339. doi: 10.1024/0301-1526/a000774. Epub 2019 Jan 22.

Reference Type DERIVED
PMID: 30667348 (View on PubMed)

Sebastian T, Hakki LO, Spirk D, Baumann FA, Periard D, Banyai M, Spescha RS, Kucher N, Engelberger RP. Rivaroxaban or vitamin-K antagonists following early endovascular thrombus removal and stent placement for acute iliofemoral deep vein thrombosis. Thromb Res. 2018 Dec;172:86-93. doi: 10.1016/j.thromres.2018.10.027. Epub 2018 Oct 26.

Reference Type DERIVED
PMID: 30391776 (View on PubMed)

Sebastian T, Dopheide JF, Engelberger RP, Spirk D, Kucher N. Outcomes of endovascular reconstruction of the inferior vena cava with self-expanding nitinol stents. J Vasc Surg Venous Lymphat Disord. 2018 May;6(3):312-320. doi: 10.1016/j.jvsv.2017.11.012. Epub 2018 Mar 15.

Reference Type DERIVED
PMID: 29550177 (View on PubMed)

Other Identifiers

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262/ 2014

Identifier Type: -

Identifier Source: org_study_id

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