Manta™ Versus Suture-based Closure After Transcatheter Aortic Valve Implantation Trial

NCT ID: NCT03811119

Last Updated: 2021-03-29

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

Clinical Phase

NA

Total Enrollment

151 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-30

Study Completion Date

2020-04-30

Brief Summary

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To investigate whether the collagen-based MANTA vascular closure device (VCD) is superior to suture-based VCDs in preventing vascular access site complications in patients undergoing transfemoral transcatheter aortic valve replacement.

Detailed Description

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see summary

Conditions

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Aortic Valve Stenosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Open label randomized trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MANTA vascular closure device

Arteriotomy closure with a collagen-based vascular closure device (MANTA™)

Group Type ACTIVE_COMPARATOR

MANTA vascular closure device

Intervention Type DEVICE

Collagen based vascular closure device

Suture based vascular closure device

Arteriotomy closure with 2 or more suture-based vascular closure devices (ProGlide)

Group Type ACTIVE_COMPARATOR

Suture based vascular closure device

Intervention Type DEVICE

Suture based vascular closure device (ProGlide)

Interventions

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MANTA vascular closure device

Collagen based vascular closure device

Intervention Type DEVICE

Suture based vascular closure device

Suture based vascular closure device (ProGlide)

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing elective transfemoral TAVI for severe aortic valve stenosis with any commercially-available transcatheter heart valve (THV)
* Common femoral artery diameter \> 5.0mm (14 - 22F compatible)

Exclusion Criteria

* Symptomatic leg ischaemia
* Previous thromboendarterectomy or plastic patch of the common femoral artery
* Previous implantation of a suture-based VCD less than 30 days before, or a plug-based VCD within 6 months
* Unilateral or bilateral lower extremity amputation
* Systemic infection or a local infection at or near the access site
* Allergy to the components any of both devices (i.e. bovine materials or any other device material, including collagen and/or collagen products, polyglycolic or polylactic acid, stainless steel or nickel)
* Active bleeding or bleeding diathesis including thrombocytopenia (platelet count \<50,000 cells/UL), thrombasthenia, hemophilia, or von Willebrand disease
* Patients in whom continuous oral anticoagulation therapy cannot be stopped for the peri-procedural period or patients with INR \>1.8 at the time of the procedure
* Patient unable to be adequately anti-coagulated for the procedure
* Morbidly obese or cachectic (BMI \>40 kg/m2 or \<20 kg/m2)
* Anatomical and procedural contraindication for suture-based or Manta closure (lack of proper puncture site in the common femoral artery in terms of calcification, size, and atherosclerotic disease)
* Absence of computed tomographic data of the access site before the procedure
* Patient cannot adhere to or complete the investigational protocol for any reason including but not limited to geographical residence, psychiatric condition or life threatening disease
* Known pregnancy at time of randomization (in women of childbearing potential a negative pregnancy test is mandatory)
* Participating in trials in which the primary endpoint includes bleeding or vascular complications
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Erasmus Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Nicolas van Mieghem

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nicolas M Van Mieghem, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Erasmus Medical Center

Locations

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Erasmus University Medical Center Rotterdam

Rotterdam, , Netherlands

Site Status

Countries

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Netherlands

Other Identifiers

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MASH TAVI 06-09-2018

Identifier Type: -

Identifier Source: org_study_id

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