This study compared the FLAIR™ Endovascular Stent Graft to balloon angioplasty in patients with stenoses at the venous anastomosis of a synthetic AV access graft.
A total of 227 patients were treated at 16 U.S. investigational sites to evaluate the safety and effectiveness of the FLAIR™ Endovascular Stent Graft. This study compared the FLAIR™ Endovascular Stent Graft to balloon angioplasty in patients with stenoses at the venous anastomosis of a synthetic AV access graft.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
227
Primary balloon angioplasty followed by placement of the FLAIR Endovascular Stent Graft
Percutaneous Transluminal Angioplasty
Primary PTA followed by placement of the FLAIR Endovascular Stent Graft. Roll-in participants were enrolled in the study for training purposes and were not randomized.
New York Presbyterian Hospital/Columbia
New York, New York, United States
Percent of Participants With Treatment Area Primary Patency (TAPP)
TAPP was defined as patency (open to blood flow) after the study index procedure until reintervention in the treatment area (within 5 mm proximal or 5 mm distal to the study device or index balloon angioplasty treatment area), or thrombotic occlusion that involved the treatment area.
Time frame: 6 month follow-up
Total Number of Adverse Events
The safety endpoint was evaluated based on the incidence of adverse events observed within the same time interval. An adverse event was defined as any undesirable clinical occurrence in a patient that (a) is considered possibly or definietly device related by the investigator, (b) involves the access circuit (AV graft arterial anastomosis to the superior vena cava-right atrial junction) or the arm where the access circuit is located or (c) the investigator considers relevant to the objectives of this study. An adverse event could be mild, moderate or severe.
Time frame: 6 month Follow-Up
Percent of Participants With Successful Delivery of the Device
The ability to successfully deliver the FLAIR™ Endovascular Stent Graft. Successful delivery is the ability to deliver and seat the implant in the intended location of a stenosed segment of the venous anastomosis region of a synthetic access graft. This attribute is only applicable to the FLAIR and FLAIR Roll-in arms.
Time frame: Index Procedure
Percent of Participants With Procedural Success
Procedural Success was defined as anatomic success (\<30% residual stenosis) and at least one indicator of hemodynamic or clinical success
Time frame: Index Procedure
Percent of Participants With TAPP
TAPP was defined as patency (open to blood flow) after the study index procedure until reintervention in the treatment area (within 5 mm proximal or 5 mm distal to the study device or index balloon angioplasty treatment area), or thrombotic occlusion that involved the treatment area.
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Time frame: 2 month Follow-Up
Percent of Participants With Access Circuit Primary Patency (ACPP)
ACCP defined as patency (open to blood flow) following the index study procedure until access thrombosis or an intervention of a lesion anywhere within the access circuit.
Time frame: 6 month Follow-Up
Percent of Participants With Access Circuit Assisted Primary Patency (ACAPP)
ACAPP defined as patency (open to blood flow)following the index study procedure until access thrombosis or a surgical intervention that excludes the treated lesion from the access circuit.
Time frame: 6 month Follow-Up
Percent of Participants With Access Circuit Cumulative Patency (ACCP or Secondary Patency)
ACCP defined as patency (open to blood flow) following the index study procedure until the access is surgically revised or abandoned because of the inability to treat the original lesion. Multiple treatments for occlusions to restore patency are compatible with ACCP.
Time frame: 6 month Follow-Up
Percent of Participants With Binary Restenosis
Binary restenosis defined as lesions with greater than or equal to 50% diameter stenosis of the treatment area (calculated by a core lab).
Time frame: 6 month Follow-Up