Evaluate the safety and effectiveness of the Abre venous self-expanding stent system for treatment of symptomatic iliofemoral venous outflow obstruction in patients with venous occlusive disease.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
260
venous stent
St. Joseph Hospital
Orange, California, United States
Primary Patency
Freedom from occlusion of the stented segment; Freedom from restenosis \>=50%; and Freedom from clinically-driven target lesion revascularization
Time frame: 12 Months
Composite Major Adverse Events
The components of the Major Adverse Events include: All-cause death occurring post-procedure, clinically-significant pulmonary embolism, major bleeding complication, stent thrombosis, and stent migration
Time frame: 30 Days
Device Success
Successful delivery and deployment of the stent and removal of the delivery system during the index procedure. Stent based outcome measure.
Time frame: Index Procedure
Lesion Success Obtained at Index Procedure
Venographic evidence of \<50% residual stenosis of the stented segment of the target lesion after post-dilation.
Time frame: Index Procedure
Index Procedure Success
Lesion success without procedure-related MAEs prior to hospital discharge
Time frame: 30 days
Primary Patency
Primary Patency: Defined as meeting all of the following criteria: * Freedom from occlusion of the stented segment of the target lesion; * Freedom from restenosis ≥50% of the stented segment of the target lesion; * Freedom from clinically driven target lesion revascularization.
Time frame: 24 Months, 36 Months
Primary Assisted Patency
Uninterrupted patency of the stented segment of the target lesion with a secondary intervention, also known as an adjunctive treatment (e.g. balloon venoplasty, subsequent stenting, etc.)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
The Vascular Experts
Darien, Connecticut, United States
Piedmont Atlanta Hospital
Atlanta, Georgia, United States
University of Michigan Health System
Ann Arbor, Michigan, United States
Mayo Clinic
Rochester, Minnesota, United States
Holy Name Medical Center
Teaneck, New Jersey, United States
Albany Medical Center
Albany, New York, United States
NYU Langone Medical Center
New York, New York, United States
The Mount Sinai Health System
New York, New York, United States
Stony Brook Medicine
Stony Brook, New York, United States
...and 14 more locations
Time frame: 12 Months, 24 Months, 36 Months
Secondary Patency
Secondary patency is defined as patency of the stented segment of the target lesion after subsequent intervention for an occlusion.
Time frame: 12 Months, 24 Months, 36 Months
Stent Fracture
X-ray for the 30-day visit was only required on the first 30 subjects. Stent Fracture within 12, 24, and 36 months included subjects who had scheduled visit-based evaluable imaging and unscheduled imaging up to day 420, 780, and 1080, respectively.
Time frame: 30 Days, 12 Months, 24 Months, 36 Months
Target Lesion Revascularization
Percentage of subjects with target lesion revascularization through 30 days, 180 days, 360 days, 720, and 1080 days.
Time frame: 30 days, 6 months, 12 months, 24 months, 36 months
Delayed Stent Migration
Delayed Stent Migration within 12, 24, and 36 months included subjects who had scheduled visit-based evaluable imaging and unscheduled imaging up to day 420, 780, and 1140, respectively.
Time frame: 12 Months, 24 Months, 36 Months
Major Adverse Events
Safety endpoints (MAE, TLR, and Major Bleeding) included subjects with an event or without an event but follow-up days have reached 150 days for 6-month, 330 days for 12-month, 690 days for 24-month, and 1050 days for 36-month visit.
Time frame: 6 Months, 12 Months, 24 Months, 36 Months
Major Bleeding Related to Index Procedure
A blood loss leading to transfusion of whole blood or red cells provided hemoglobin drop of 3 g/dL (1.86 mmol/L) or more post-index procedure is related to bleeding occurring during the index procedure.
Time frame: 30 Days, 6 Months, 12 Months, 24 Months, 36 Months
Re-Hospitalization
Number of subjects that were re-hospitalized due to their target lesion from the Index Procedure.
Time frame: 0-180, 181-360, 361-720, 721-1080 and 0-1080 days
Villalta Score
Villalta scores categorize the severity of post-thrombotic syndrome (PTS). Higher score indicates increasing severity of PTS. A score of greater or equal to 5 indicates PTS. PTS severity: total score of 5 to 9, mild PTS; score of 10 to 14, moderate PTS; and score of greater or equal to 15 or venous ulcer present, severe PTS. Change in Villalta scores were calculated as the Follow-up score minus the Baseline score (6, 12, 24, or 36 months). A negative change is associated with improved outcome.
Time frame: Baseline to 6 Months, 12 Months, 24 Months, 36 Months
Venous Clinical Severity Score (VCSS)
VCSS scores range from 0=no disease to 30=severe disease. Change in VCSS score was calculated as the Follow-up score minus the Baseline score. A negative change is associated with improved outcome.
Time frame: Baseline to 6 Months, 12 Months, 24 Months, 36 Months
EuroQol-5 Dimension (EQ-5D) Score
Higher score indicates a better quality of life. The questionnaire contains five dimensions where scores rank from 1 (best) to 5 (worst) plus a visual analog scale (VAS) (0 = worst health; 100 = best health). A positive change is associated with improved outcome. Change in EQ-5D scores were calculated as the Follow-up score minus the Baseline score (6, 12, 24, and 24 months) for both the index and VAS scores.
Time frame: Baseline to 6 Months, 12 Months, 24 Months, 36 Months
Venous Insufficiency Epidemiological and Economic Study (VEINES) - Quality of Life/Symptoms (QOL/Sym) Score
Venous Insufficiency Epidemiological and Economic Study (VEINES) - Quality of Life/Symptoms (QOL/Sym). Higher scores correlate to better quality of life on a scale of 1-100. Change in VEINES QOL/Sym scores were calculated as the Follow-up score minus the Baseline score (6, 12, 24, or 36 months). A positive change is associated with improved outcome.
Time frame: Change from Baseline to 6 Months, 12 Months, 24 Months, 36 Months