Trial Outcomes & Findings for Achieving Portal Access With Scorpion Post-Approval Study (APASS) (NCT NCT05765253)

NCT ID: NCT05765253

Last Updated: 2024-12-11

Results Overview

Creation of the parenchymal tract between the hepatic vein and an intrahepatic branch of the portal vein confirmed by portogram (CO2/contrast).

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

3 participants

Primary outcome timeframe

TIPS Procedure (Day 0), up to 93 minutes

Results posted on

2024-12-11

Participant Flow

Participant milestones

Participant milestones
Measure
TIPS With Scorpion Portal Vein Access Kit
Scorpion or Scorpion X access set Scorpion Portal Vein Access Kit: Portal Vein Access with Scorpion or Scorpion X set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
TIPS With Cook Transjugular Liver Access Set
Ring or Rosch-Uchida access set Cook Transjugular Liver Access Set: Portal Vein Access with Ring or Rosch-Uchida set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Overall Study
STARTED
2
1
Overall Study
COMPLETED
2
1
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Achieving Portal Access With Scorpion Post-Approval Study (APASS)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TIPS With Scorpion Portal Vein Access Kit
n=2 Participants
Scorpion or Scorpion X access set Scorpion Portal Vein Access Kit: Portal Vein Access with Scorpion or Scorpion X set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
TIPS With Cook Transjugular Liver Access Set
n=1 Participants
Ring or Rosch-Uchida access set Cook Transjugular Liver Access Set: Portal Vein Access with Ring or Rosch-Uchida set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Total
n=3 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: TIPS Procedure (Day 0), up to 93 minutes

Population: 2 participants with Scorpion Portal Vein Access Kit whereas 1 participant with Cook Transjugular Liver Access Set

Creation of the parenchymal tract between the hepatic vein and an intrahepatic branch of the portal vein confirmed by portogram (CO2/contrast).

Outcome measures

Outcome measures
Measure
TIPS With Scorpion Portal Vein Access Kit
n=2 Participants
Scorpion or Scorpion X access set Scorpion Portal Vein Access Kit: Portal Vein Access with Scorpion or Scorpion X set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
TIPS With Cook Transjugular Liver Access Set
n=1 Participants
Ring or Rosch-Uchida access set Cook Transjugular Liver Access Set: Portal Vein Access with Ring or Rosch-Uchida set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Number of Participants With Procedural Success
Yes
2 Participants
1 Participants
Number of Participants With Procedural Success
No
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Through 30 days post-TIPS procedure

Major complications associated with the procedure or study device and defined as complications resulting in an unplanned increase in the level of care, prolonged hospitalization, permanent adverse sequelae, or death.

Outcome measures

Outcome measures
Measure
TIPS With Scorpion Portal Vein Access Kit
n=2 Participants
Scorpion or Scorpion X access set Scorpion Portal Vein Access Kit: Portal Vein Access with Scorpion or Scorpion X set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
TIPS With Cook Transjugular Liver Access Set
n=1 Participants
Ring or Rosch-Uchida access set Cook Transjugular Liver Access Set: Portal Vein Access with Ring or Rosch-Uchida set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Composite of Major Complications
0 Events
1 Events

SECONDARY outcome

Timeframe: TIPS Procedure (Day 0), up to 52 minutes

Population: 2 participants with Scorpion Portal Vein Access Kit whereas 1 participant with Cook Transjugular Liver Access Set

Time (in minutes) from the first forward motion of the needle to confirmation of portal vein access via portogram.

Outcome measures

Outcome measures
Measure
TIPS With Scorpion Portal Vein Access Kit
n=2 Participants
Scorpion or Scorpion X access set Scorpion Portal Vein Access Kit: Portal Vein Access with Scorpion or Scorpion X set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
TIPS With Cook Transjugular Liver Access Set
n=1 Participants
Ring or Rosch-Uchida access set Cook Transjugular Liver Access Set: Portal Vein Access with Ring or Rosch-Uchida set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Portal Vein Access (PVA) Time
Subject ID 02-001
52 minutes
Portal Vein Access (PVA) Time
Subject ID 02-002
7 minutes
Portal Vein Access (PVA) Time
Subject ID 02-003
8 minutes

SECONDARY outcome

Timeframe: TIPS Procedure (Day 0), up to 93 minutes

Creation of a shunt (stent bridging) between the portal and systemic veins.

Outcome measures

Outcome measures
Measure
TIPS With Scorpion Portal Vein Access Kit
n=2 Participants
Scorpion or Scorpion X access set Scorpion Portal Vein Access Kit: Portal Vein Access with Scorpion or Scorpion X set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
TIPS With Cook Transjugular Liver Access Set
n=1 Participants
Ring or Rosch-Uchida access set Cook Transjugular Liver Access Set: Portal Vein Access with Ring or Rosch-Uchida set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Number of Participants With Technical Success
Yes
2 Participants
1 Participants
Number of Participants With Technical Success
No
0 Participants
0 Participants

SECONDARY outcome

Timeframe: TIPS Procedure (Day 0), up to 93 minutes

Population: 2 participants with Scorpion Portal Vein Access Kit whereas 1 participant with Cook Transjugular Liver Access Set

Count of needle throws between the hepatic and portal vein to create the parenchymal tract.

Outcome measures

Outcome measures
Measure
TIPS With Scorpion Portal Vein Access Kit
n=2 Participants
Scorpion or Scorpion X access set Scorpion Portal Vein Access Kit: Portal Vein Access with Scorpion or Scorpion X set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
TIPS With Cook Transjugular Liver Access Set
n=1 Participants
Ring or Rosch-Uchida access set Cook Transjugular Liver Access Set: Portal Vein Access with Ring or Rosch-Uchida set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Number of Needle Passes
Subject ID 02-001
3 Number of Needle Passes
Number of Needle Passes
Subject ID 02-002
1 Number of Needle Passes
Number of Needle Passes
Subject ID 02-003
1 Number of Needle Passes

SECONDARY outcome

Timeframe: TIPS Procedure (Day 0), up to 93 minutes

Population: 2 participants with Scorpion Portal Vein Access Kit whereas 1 participant with Cook Transjugular Liver Access Set

Interval (in minutes) from first jugular access for TIPS creation to removal of catheters from the patient.

Outcome measures

Outcome measures
Measure
TIPS With Scorpion Portal Vein Access Kit
n=2 Participants
Scorpion or Scorpion X access set Scorpion Portal Vein Access Kit: Portal Vein Access with Scorpion or Scorpion X set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
TIPS With Cook Transjugular Liver Access Set
n=1 Participants
Ring or Rosch-Uchida access set Cook Transjugular Liver Access Set: Portal Vein Access with Ring or Rosch-Uchida set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Procedure Duration
Subject ID 02-001
93 Minutes
Procedure Duration
Subject ID 02-002
35 Minutes
Procedure Duration
Subject ID 02-003
49 Minutes

SECONDARY outcome

Timeframe: TIPS Procedure (Day 0), up to 31.5 minutes

Population: 2 participants with Scorpion Portal Vein Access Kit whereas 1 participant with Cook Transjugular Liver Access Set

Measured in minutes

Outcome measures

Outcome measures
Measure
TIPS With Scorpion Portal Vein Access Kit
n=2 Participants
Scorpion or Scorpion X access set Scorpion Portal Vein Access Kit: Portal Vein Access with Scorpion or Scorpion X set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
TIPS With Cook Transjugular Liver Access Set
n=1 Participants
Ring or Rosch-Uchida access set Cook Transjugular Liver Access Set: Portal Vein Access with Ring or Rosch-Uchida set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Fluoroscopy Time
Subject ID 02-001
31.5 Minutes
Fluoroscopy Time
Subject ID 02-002
18.2 Minutes
Fluoroscopy Time
Subject ID 02-003
16.7 Minutes

SECONDARY outcome

Timeframe: Through 30 days post-TIPS procedure

Population: 2 participants with Scorpion Portal Vein Access Kit whereas 1 participant with Cook Transjugular Liver Access Set

Incidence of complications related to the device as judged by the Investigator

Outcome measures

Outcome measures
Measure
TIPS With Scorpion Portal Vein Access Kit
n=2 Participants
Scorpion or Scorpion X access set Scorpion Portal Vein Access Kit: Portal Vein Access with Scorpion or Scorpion X set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
TIPS With Cook Transjugular Liver Access Set
n=1 Participants
Ring or Rosch-Uchida access set Cook Transjugular Liver Access Set: Portal Vein Access with Ring or Rosch-Uchida set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Device-Related Complications
Subject ID 02-002
2 Number of AEs
Device-Related Complications
Subject ID 02-003
4 Number of AEs
Device-Related Complications
Subject ID 02-001
2 Number of AEs

Adverse Events

TIPS With Scorpion Portal Vein Access Kit

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

TIPS With Cook Transjugular Liver Access Set

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
TIPS With Scorpion Portal Vein Access Kit
n=2 participants at risk
Scorpion or Scorpion X access set Scorpion Portal Vein Access Kit: Portal Vein Access with Scorpion or Scorpion X set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
TIPS With Cook Transjugular Liver Access Set
n=1 participants at risk
Ring or Rosch-Uchida access set Cook Transjugular Liver Access Set: Portal Vein Access with Ring or Rosch-Uchida set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Nervous system disorders
Hepatic encephalopathy
0.00%
0/2 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.
100.0%
1/1 • Number of events 1 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.
Gastrointestinal disorders
Abdominal pain
50.0%
1/2 • Number of events 1 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.
0.00%
0/1 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.
General disorders
Oedema peripheral
50.0%
1/2 • Number of events 1 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.
0.00%
0/1 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.
Respiratory, thoracic and mediastinal disorders
Dyspnea
50.0%
1/2 • Number of events 1 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.
0.00%
0/1 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.

Other adverse events

Other adverse events
Measure
TIPS With Scorpion Portal Vein Access Kit
n=2 participants at risk
Scorpion or Scorpion X access set Scorpion Portal Vein Access Kit: Portal Vein Access with Scorpion or Scorpion X set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
TIPS With Cook Transjugular Liver Access Set
n=1 participants at risk
Ring or Rosch-Uchida access set Cook Transjugular Liver Access Set: Portal Vein Access with Ring or Rosch-Uchida set Transjugular Intrahepatic Portosystemic Shunt (TIPS): Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Gastrointestinal disorders
Vomiting
0.00%
0/2 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.
100.0%
1/1 • Number of events 1 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.
Respiratory, thoracic and mediastinal disorders
Dyspnea exertional
50.0%
1/2 • Number of events 1 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.
0.00%
0/1 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.
Gastrointestinal disorders
Abdominal distension
50.0%
1/2 • Number of events 1 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.
0.00%
0/1 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.
General disorders
Decreased activity
50.0%
1/2 • Number of events 1 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.
0.00%
0/1 • Adverse event reporting started at the time of the TIPS procedure (on Day 0) and ended at Day 30.

Additional Information

Danyel Carr

Argon Medical Devices

Phone: 469-731-1421

Results disclosure agreements

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