Guo's Subclavian Artery Reconstruction: The Prospective, Multiple Center Study of WeFlow-Tbranch Stent Graft System(GUEST Study)

NCT ID: NCT04765605

Last Updated: 2024-04-30

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-25

Study Completion Date

2026-12-25

Brief Summary

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This study is a prospective, multiple center study to evaluate the safety and effectiveness of WeFlow-Tbranch single embedded branch thoracic aorta stent graft system manufactured by EndoNom Medtech (Hangzhou) Co., Ltd.

Detailed Description

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This study is a prospective, multiple center study to evaluate the safety and effectiveness of WeFlow-Tbranch single embedded branch thoracic aorta stent graft system in the treatment of Stanford type B dissection of the proximal left subclavian artery. It is expected to complete the implantation of 120 patients in 29 centers within 12 months, and interim follow-up was conducted before discharge, 30 days after surgery, 6 months after surgery and 12 months after surgery, long-term follow-up will be performed at 24 months postoperatively, 36 months postoperatively, 48 months postoperatively and 60 months postoperatively.

Conditions

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Type B Aortic Dissection

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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WeFlow-Tbranch Stent Graft System

Participants will be treated with WeFlow-Tbranch Stent Graft System

Group Type EXPERIMENTAL

WeFlow-Tbranch Stent Graft System

Intervention Type DEVICE

The single-embedded branch thoracic aorta stent graft system consists of the thoracic aorta stent graft system and the branch stent system. The main chest embedded stent graft system consists of the main chest embedded stent graft and its system conveyor, and the branch stent system consists of branch stents and its conveyor. The main chest embedded stent graft and the branch stent are pre-installed in the conveyor

Interventions

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WeFlow-Tbranch Stent Graft System

The single-embedded branch thoracic aorta stent graft system consists of the thoracic aorta stent graft system and the branch stent system. The main chest embedded stent graft system consists of the main chest embedded stent graft and its system conveyor, and the branch stent system consists of branch stents and its conveyor. The main chest embedded stent graft and the branch stent are pre-installed in the conveyor

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Patients aged 18 to 80 years old, no gender limitation;
2. Able to understand the purpose of the trial, participate in the trial voluntarily with informed consent form signed by the patient him/herself or his or her legal representative, and willing to complete follow-up visits as required under the protocol;
3. Diagnosed as Stanford type B aortic dissection and needed reconstruction of the left subclavian artery;
4. The diameter of the proximal anchoring area (the aorta at the posterior edge of the left common carotid artery) range: 18~42mm;
5. The length of the proximal anchoring area (the distance from the rear edge of the left common carotid artery opening to the first breach) ≥15mm;
6. The distance between the left common carotid artery and the left subclavian artery ≥5mm;
7. The distance between the left vertebral artery and the opening of the left subclavian artery is ≥15mm, the diameter of the starting part of the left subclavian artery is 6~20mm
8. With proper femoral artery, iliac artery, and brachial artery access, endovascular treatment of the aorta can be performed.

Exclusion Criteria

1. Pregnant, breastfeeding or cannot contraception during the trial period;
2. Participated in clinical trials of other drugs or devices during the same period;
3. The same operation requires intervention in other vascular diseases (such as coronary artery, renal artery, superior mesenteric artery, etc.), and the postoperative drug treatment plan is therefore affected;
4. Allergic to contrast agents, anesthetics, patches, and delivery materials;
5. Cannot tolerate anesthesia;
6. Severe liver, kidney, lung, and heart function abnormalities before surgery \[Serum creatinine exceeds 2 times the upper limit of normal; Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) exceeds 5 times the upper limit of normal; Serum total bilirubin (STB) more than 2 times the upper limit of normal; Left ventricular ejection fraction is lower than normal by cardiac color Doppler ultrasound examination\];
7. True/false thoracic aortic aneurysm
8. History of myocardial infarction, TIA or cerebral infarction within the past 3 months;
9. Contraindications to antiplatelet drugs and anticoagulants
10. Life expectancy is less than 12 months (such as advanced malignant tumors)
11. Acute systemic infection
12. Severe stenosis or calcification in the anchoring area at the proximal end of the stent, easily lead to the stent graft difficult adherent
13. Investigator judged that not suitable for interventional treatment.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hangzhou Endonom Medtech Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Wei Guo, Professor

Role: PRINCIPAL_INVESTIGATOR

Chinese PLA General Hospital

Locations

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Chinese PLA General Hospital

Beijing, , China

Site Status

Fuwai Hospital, Chinese Academy of Medical Sciences

Beijing, , China

Site Status

Xiangya Hospital of Central South University

Changsha, , China

Site Status

West China Hospital of Sichuan University

Chengdu, , China

Site Status

Foshan First People's Hospital

Foshan, , China

Site Status

The First Affiliated Hospital of Fujian Medical University

Fuzhou, , China

Site Status

The First Affiliated Hospital of Sun Yat-sen University

Guangzhou, , China

Site Status

First Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, , China

Site Status

Zhejiang Provincial People's Hospital

Hangzhou, , China

Site Status

Anhui Provincial Hospital

Hefei, , China

Site Status

Shandong Provincial Hospital

Jinan, , China

Site Status

The First People's Hospital of Yunnan Province

Kunming, , China

Site Status

Affiliated Hospital of Southwest Medical University

Luzhou, , China

Site Status

The Second Affiliated Hospital of Nanchang University

Nanchang, , China

Site Status

Jiangsu Provincial People's Hospital

Nanjing, , China

Site Status

Nanjing Gulou Hospital

Nanjing, , China

Site Status

The First Affiliated Hospital of Guangxi Medical University

Nanning, , China

Site Status

Renji Hospital, Shanghai Jiaotong University School of Medicine

Shanghai, , China

Site Status

Shanghai Jiaotong University Affiliated Ninth People's Hospital

Shanghai, , China

Site Status

The Second Affiliated Hospital of Naval Medical University

Shanghai, , China

Site Status

Zhongshan Hospital, Fudan University

Shanghai, , China

Site Status

The First Hospital of Hebei Medical University

Shijia Zhuang, , China

Site Status

The First Affiliated Hospital of Soochow University

Suzhou, , China

Site Status

Shanxi Bethune Hospital

Taiyuan, , China

Site Status

Tianjin Chest Hospital

Tianjin, , China

Site Status

Tianjin Medical University General Hospital

Tianjin, , China

Site Status

The First Affiliated Hospital of PLA Air Force Military Medical University

Xi'an, , China

Site Status

Yantai Yuhuangding Hospital

Yantai, , China

Site Status

First Affiliated Hospital of Zhengzhou University

Zhengzhou, , China

Site Status

Countries

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China

Other Identifiers

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WeFlow001

Identifier Type: -

Identifier Source: org_study_id

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