The purpose of this study is to determine whether the Herculink Elite Renal Stent System is safe and effective in the treatment of renal artery stenosis in patients with less than optimal angioplasty results and uncontrolled hypertension. CAUTION: The Herculink Elite Renal Stent System Is An Investigational Device. Limited by Federal (U.S.) Law to Investigational Use Only.
To evaluate the safety and effectiveness of the RX Herculink Elite Renal Stent System in the treatment of suboptimal post-procedural percutaneous transluminal angioplasty (PTA) of atherosclerotic de novo or restenotic renal artery stenosis in patients with uncontrolled hypertension. CAUTION: The Herculink Elite Renal Stent System Is An Investigational Device. Limited by Federal (U.S.) Law to Investigational Use Only.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
202
This is a prospective, non-randomized, single arm, multi-center study to evaluate the safety and effectiveness of the RX Herculink Elite Renal Stent System in patients with sub-optimal renal PTA results in de novo or restenotic renal artery lesions. Patients who satisfy the inclusion/exclusion criteria will be enrolled at sites in the United States. Patients will have follow up visits for evaluation.
Abbott Vascular
Santa Clara, California, United States
Binary Restenosis Rate
Determined by duplex ultrasound or angiogram. Reported as the percentage of participants with occurance of binary restenosis.
Time frame: 9 months
Death for Any Reason
Time frame: 30 days
Ipsilateral Nephrectomy
Ipsilateral: Situated on or affecting the same side as treated. Nephrectomy: Removal of the affected kidney
Time frame: 30 days
Embolic Events Resulting in Kidney Damage
Percentage of participants with an embolic event resulting in kidney damage.
Time frame: 30 days
Event Free Rate of Clinically Indicated Target Lesion Revascularization (TLR)
Event Free percentage: Defined as percentage of participants free from this event.
Time frame: 9 months
9 Month Blood Pressure (Systolic)
As compared to baseline (pre-procedure). Blood pressure measurements at 9 months.
Time frame: Baseline (Pre-Procedure) and 9 months
9 Month Blood Pressure (Diastolic)
As compared to baseline. See Population description.
Time frame: 9 months and baseline
Acute Device Success
Acute device success is defined as, on a per device basis, the achievement of successful delivery of the assigned device(s)as intended to the designated location.
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Time frame: From beginning of index procedure to end of index proceedure.
Acute Procedure Success
Attainment of a final result of \< 30% residual stenosis, as determined by the Angiographic Core Lab.
Time frame: From beginning of index proceedure to end of index proceedure.
Acute Clinical Success
Procedure success without Major Adverse Events (MAE)or access site event requiring surgical or percutaneous intervention prior to hospital discharge. The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
Time frame: From beginning of index proceedure to end of index proceedure.
Primary Patency
Defined as \<60% stenosis without prior re-intervention, as determined by duplex ultrasound or angiogram. The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
Time frame: 9 months
Secondary Patency Rate of <60% Stenosis of the Target Lesion
As determined by duplex ultrasound or angiography regardless of PTA, stenting, or bypass since index procedure. Rate reported as a percentage of participants with this condition. The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
Time frame: 9 months
9 Month Anti-hypertensive Medication In-take, 1 Medication
Number of Anti-Hypertensive Medications taken-baseline compared to follow up, Per Subject Analysis (Intent-to-Treat Population), reported as the percentage of participants using the number of medications indicated. The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
Time frame: 9 months
9 Month Anti-hypertensive Medication In-take, 2 Medications
Number of Anti-Hypertensive Medications taken-baseline compared to follow up, Per Subject Analysis (Intent-to-Treat Population)), reported as the percentage of participants using the number of medications indicated. The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
Time frame: 9 months
9 Month Anti-hypertensive Medication In-take, 3 Medications
Number of Anti-Hypertensive Medications taken-baseline compared to follow up, Per Subject Analysis (Intent-to-Treat Population)), reported as the percentage of participants using the number of medications indicated. The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
Time frame: 9 months
9 mo in Anti-hypertensive Medication In-take, ≥ 4 Medications
Number of Anti-Hypertensive Medications taken at follow up compared to baseline, Per Subject Analysis (Intent-to-Treat Population)), reported as the percentage of participants using the number of medications indicated. The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
Time frame: 9 months
Renal Function (Measured by sCr)
sCR= Serum Creatinine, per subject analysis. ITT. Renal function (measured by sCr) @ baseline: 1.2mg/dL (1.2, 1.3). The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
Time frame: 9 months