This study is designed as a prospective, multicenter, non-randomized, single arm study to assess the safety and effectiveness of the Large Diameter Advanta™ V12 Covered Stent for stent implantation in coarctations of the aorta.
The performance metric for comparison is based on data from the Congenital Cardiovascular Interventional Study Consortium (CCISC) as reported by Golden and Hellenbrand \[1\]. The CCISC experience from 1989 to 2005 shows a true procedural success rate of 98.6%. The patient population will be subjects with coarctation of the aorta. A total of 70 subjects, children, adolescents and adults, will be enrolled at up to 15 study sites. Baseline clinical and angiographic assessment will determine the subject's eligibility for enrollment in the study. Subjects will continue in the study for long term annual follow-up through 3, 4, and 5 years.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
70
Stent placement
The Children's Hospital at Westmead
Sydney, Australia
Instituto Dante Pazzanese de Cardiologia
São Paulo, Brazil
Hospital for Sick Children Labatt Family Heart Centre
Toronto, Ontario, Canada
Heart Institute Berlin
Berlin, Germany
Primary Efficacy
The mean difference between Diastolic Velocity (DV)/Systolic Velocity(SV) pre and post procedure (i.e. pre procedure DV/SV - post procedure DV/SV) minus the difference between 12 month and post procedure (i.e. 12 month DV/SV - post procedure DV/SV).
Time frame: 12 month
Primary Safety
30 day morbidity rate of Major Adverse Events (MAE)and Major Adverse Vascular Events (MAVE)
Time frame: 30 days of procedure
Secondary Safety
Device success, defined as the successful delivery and deployment of the study stent and intact retrieval of the delivery system.
Time frame: procedural (time zero)
Secondary Safety
No post procedural stent migration, where migration is defined as displacement of the stent \>20mm from an established anatomical landmark verified during deployment.
Time frame: 12 month
Secondary Safety
Major Adverse Events (MAE)and Major Adverse Vascular Events (MAVE)
Time frame: 12 months
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CardioVascular Center
Frankfurt, Germany
Asklepios Klinik Sankt Augustin
Sankt Augustin, Germany
Schneider Children's Medical Center
Petah Tikva, Israel
San Donato Hospital
Milan, Italy
Bristol Royal Hospital for Children and Bristol Royal Infirmary
Bristol, United Kingdom