Trial Outcomes & Findings for MANTA Registry for Vascular Large-bore Closure (NCT NCT03330002)

NCT ID: NCT03330002

Last Updated: 2021-05-05

Results Overview

The elapsed time between MANTA deployment (withdrawal of sheath from artery) and first observed and confirmed arterial hemostasis (no or minimal subcutaneous oozing and the absence of expanding or developing hematoma).

Recruitment status

COMPLETED

Target enrollment

500 participants

Primary outcome timeframe

Immediately after deployment of MANTA VCD

Results posted on

2021-05-05

Participant Flow

Participant milestones

Participant milestones
Measure
MANTA Vascular Closure Device (VCD)
MANTA VCD following percutaneous cardiac or peripheral procedures (TAVI, MCS, EVAR, TEVAR) for large bore (10-18F ID) interventional devices.
Overall Study
STARTED
500
Overall Study
COMPLETED
478
Overall Study
NOT COMPLETED
22

Reasons for withdrawal

Reasons for withdrawal
Measure
MANTA Vascular Closure Device (VCD)
MANTA VCD following percutaneous cardiac or peripheral procedures (TAVI, MCS, EVAR, TEVAR) for large bore (10-18F ID) interventional devices.
Overall Study
Lost to Follow-up
15
Overall Study
Death
7

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MANTA Vascular Closure Device (VCD)
n=500 Participants
MANTA VCD following percutaneous cardiac or peripheral procedures (TAVI, MCS, EVAR, TEVAR) for large bore (10-18F ID) interventional devices.
Age, Categorical
<=18 years
0 Participants
n=500 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=500 Participants
Age, Categorical
>=65 years
491 Participants
n=500 Participants
Age, Continuous
80.8 years
STANDARD_DEVIATION 6.6 • n=500 Participants
Sex: Female, Male
Female
226 Participants
n=500 Participants
Sex: Female, Male
Male
274 Participants
n=500 Participants
Region of Enrollment
Canada
71 participants
n=500 Participants
Region of Enrollment
Netherlands
277 participants
n=500 Participants
Region of Enrollment
Finland
96 participants
n=500 Participants
Region of Enrollment
Denmark
29 participants
n=500 Participants
Region of Enrollment
Switzerland
27 participants
n=500 Participants

PRIMARY outcome

Timeframe: Immediately after deployment of MANTA VCD

Population: Time to Hemostasis (TTH) was captured in 491/500 subject; 9 subjects did not have TTH recorded.

The elapsed time between MANTA deployment (withdrawal of sheath from artery) and first observed and confirmed arterial hemostasis (no or minimal subcutaneous oozing and the absence of expanding or developing hematoma).

Outcome measures

Outcome measures
Measure
MANTA Vascular Closure Device (VCD)
n=491 Participants
MANTA VCD following percutaneous cardiac or peripheral procedures (TAVI, MCS, EVAR, TEVAR) for large bore (10-18F ID) interventional devices.
Time to Hemostasis
50 seconds
Interval 20.0 to 120.0

PRIMARY outcome

Timeframe: within 30 days of procedure

Major access site related complications adapted from the VARC-2 definitions

Outcome measures

Outcome measures
Measure
MANTA Vascular Closure Device (VCD)
n=500 Participants
MANTA VCD following percutaneous cardiac or peripheral procedures (TAVI, MCS, EVAR, TEVAR) for large bore (10-18F ID) interventional devices.
Number of Participants With One or More Major Access Site Related Complications
20 Participants

SECONDARY outcome

Timeframe: within 30 days of procedure

Minor access site related complications adapted from the VARC-2 definitions

Outcome measures

Outcome measures
Measure
MANTA Vascular Closure Device (VCD)
n=500 Participants
MANTA VCD following percutaneous cardiac or peripheral procedures (TAVI, MCS, EVAR, TEVAR) for large bore (10-18F ID) interventional devices.
Number of Participants With One or More Minor Access Site Related Complications
29 Participants

Adverse Events

MANTA Vascular Closure Device (VCD)

Serious events: 110 serious events
Other events: 98 other events
Deaths: 7 deaths

Serious adverse events

Serious adverse events
Measure
MANTA Vascular Closure Device (VCD)
n=500 participants at risk
MANTA VCD following percutaneous cardiac or peripheral procedures (TAVI, MCS, EVAR, TEVAR) for large bore (10-18F ID) interventional devices.
Blood and lymphatic system disorders
Anemia
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Cardiac disorders
Atrioventricular block
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Cardiac disorders
Atrioventricular block first degree
0.40%
2/500 • Number of events 2 • Approximately 30 days after deployment of the MANTA device
Cardiac disorders
Bundle branch block left
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Cardiac disorders
Cardiac arrest
1.0%
5/500 • Number of events 5 • Approximately 30 days after deployment of the MANTA device
Cardiac disorders
Cardiac failure
0.40%
2/500 • Number of events 2 • Approximately 30 days after deployment of the MANTA device
Cardiac disorders
Cardiac tamponade
0.80%
4/500 • Number of events 4 • Approximately 30 days after deployment of the MANTA device
Cardiac disorders
Paravalvular aortic regurgitation
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Cardiac disorders
Pericardial effusion
0.40%
2/500 • Number of events 2 • Approximately 30 days after deployment of the MANTA device
Cardiac disorders
Ventricular tachycardia
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Gastrointestinal disorders
Abdominal pain
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Gastrointestinal disorders
Diarrhoea
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Gastrointestinal disorders
Diarrhoea haemorrhagic
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.60%
3/500 • Number of events 3 • Approximately 30 days after deployment of the MANTA device
Gastrointestinal disorders
Melaena
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Gastrointestinal disorders
Retroperitoneal haemorrhage
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
General disorders
Device embolisation
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
General disorders
Pyrexia
0.40%
2/500 • Number of events 2 • Approximately 30 days after deployment of the MANTA device
Immune system disorders
Drug hypersensitivity
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Infections and infestations
Gastroenteritis viral
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Infections and infestations
Pneumonia
1.2%
6/500 • Number of events 6 • Approximately 30 days after deployment of the MANTA device
Infections and infestations
Sepsis
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Infections and infestations
Urinary tract infection
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Infections and infestations
Vascular access site infection
0.40%
2/500 • Number of events 2 • Approximately 30 days after deployment of the MANTA device
Infections and infestations
Viral infection
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Injury, poisoning and procedural complications
Fall
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Injury, poisoning and procedural complications
Spinal fracture
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Injury, poisoning and procedural complications
Subdural haematoma
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Injury, poisoning and procedural complications
Vascular access site haematoma
1.2%
6/500 • Number of events 6 • Approximately 30 days after deployment of the MANTA device
Injury, poisoning and procedural complications
Vascular access site bleeding-oozing
3.4%
17/500 • Number of events 17 • Approximately 30 days after deployment of the MANTA device
Injury, poisoning and procedural complications
Vascular access site occlusion
1.0%
5/500 • Number of events 5 • Approximately 30 days after deployment of the MANTA device
Injury, poisoning and procedural complications
Vascular procedure complication
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Injury, poisoning and procedural complications
Vascular pseudoaneurysm
1.0%
5/500 • Number of events 5 • Approximately 30 days after deployment of the MANTA device
Investigations
Haemoglobin decreased
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Investigations
Oxygen saturation decreased
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Metabolism and nutrition disorders
Hyperglycaemia
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Nervous system disorders
Cerebrovascular accident
3.0%
15/500 • Number of events 15 • Approximately 30 days after deployment of the MANTA device
Nervous system disorders
Syncope
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Nervous system disorders
Transient ischaemic attack
0.60%
3/500 • Number of events 3 • Approximately 30 days after deployment of the MANTA device
Product Issues
Lead dislodgement
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Renal and urinary disorders
Acute kidney injury
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Surgical and medical procedures
Cardiac pacemaker insertion
7.2%
36/500 • Number of events 36 • Approximately 30 days after deployment of the MANTA device
Vascular disorders
Iliac artery perforation
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Vascular disorders
Peripheral artery dissection
0.60%
3/500 • Number of events 3 • Approximately 30 days after deployment of the MANTA device
Vascular disorders
Peripheral artery stenosis
0.40%
2/500 • Number of events 2 • Approximately 30 days after deployment of the MANTA device
Vascular disorders
Peripheral artery thrombosis
0.20%
1/500 • Number of events 1 • Approximately 30 days after deployment of the MANTA device
Vascular disorders
Peripheral embolism
0.40%
2/500 • Number of events 2 • Approximately 30 days after deployment of the MANTA device
Vascular disorders
Vessel perforation
0.80%
4/500 • Number of events 4 • Approximately 30 days after deployment of the MANTA device

Other adverse events

Other adverse events
Measure
MANTA Vascular Closure Device (VCD)
n=500 participants at risk
MANTA VCD following percutaneous cardiac or peripheral procedures (TAVI, MCS, EVAR, TEVAR) for large bore (10-18F ID) interventional devices.
Injury, poisoning and procedural complications
Vascular access site haematoma
7.6%
38/500 • Number of events 38 • Approximately 30 days after deployment of the MANTA device
Injury, poisoning and procedural complications
Vascular access site haemorrhage
14.0%
70/500 • Number of events 70 • Approximately 30 days after deployment of the MANTA device

Additional Information

Darra Bigelow, Clinical Trials Manager

Essential Medical, a wholly owned subsidiary of Teleflex, Inc.

Phone: 610-331-7299

Results disclosure agreements

  • Principal investigator is a sponsor employee Research Institution and Principal Investigator agree that they shall not, without the Sponsor's prior written consent, independently Publish any results of or information about the activities conducted until the multicenter publication is released. If a multi-center manuscript is not submitted for publication within one (1) year after completion of the multi-center Study, Research Institution and Principal Investigator shall have the right to Publish results.
  • Publication restrictions are in place

Restriction type: OTHER