A PMCF Study in Patients With Infrarenal Aortic Aneurysm Treated With the E-tegra Stent Graft System

N/AActive Not RecruitingNCT04765176

JOTEC GmbH151 enrolled

Overview

The EASY post-market clinical follow-up study is undertaken to demonstrate safety and clinical performance of the E-tegra Stent Graft System used in endovascular treatment of infrarenal aortic aneurysm.

In this study, patients will be observed who receive an E-tegra Stent Graft for the treatment of infrarenal aortic aneurysm. The E-tegra Stent Graft will be implanted at the discretion of the treating physician. Participating physicians will provide their observations collected during routine care for patients they have decided to treat with the E-tegra stent graft. Informed consent of the patients to the use of their clinical records for study purposes will be obtained before their data will be collected in the post-market clinical follow-up study. All patients will be asked to complete questionaires focussing on the health status (HS) (SF-12) and Quality of Life (QoL) (WHOQOL-BREF). The period of data collection will be approximately 60 months from the date of intervention for each patient. Source document verification will be performed on 100% of the patients; data from all visits will be reviewed and verified against existing source documents. Complete DICOM image files of the CT scans as well as other imaging files (e.g. CEUS, MRT) will be sent to a CoreLab for independent second evaluation. There is no CoreLab screening before inclusion. All adverse events defined prior to study start, will be adjudicated by the Clinical Evaluation Committee (CEC).

Study Type

OBSERVATIONAL

Enrollment

151

Conditions

Vascular Aneurysm

Interventions

Endovascular RepairDEVICE

Endovascular repair of the infrarenal aorta using a AAA stent graft.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age ≥ 18 * Patient must have an infrarenal aortic aneurysm with diameter ≥ 50 mm in females and ≥ 55 mm in males, or infrarenal aortic aneurysm with 40-50 mm that has increased in size by ≥ 1 cm per year * Patient is elegible for treatment inside the instructions for use of the E-tegra Stent Graft System * Patient is able and willing to undergo follow-up imaging and examinations prior to discharge from the hospital, at 30 days and 12 months, and annually thereafter until 5 years follow-up * Patient understands and has signed the Informed Consent Form prior to intervention * Patient has a life expectancy of at least 5 years Exclusion Criteria: * Patient with severe calcification or thrombi in the proximal sealing zone * Patient with infectious aneurysm * Patient with inflammatory aneurysm * Patient with pseudoaneurysm * Patient with symptomatic aneurysm * Patient with ruptured or traumatic aneurysm * Patient with suprarenal, juxtarenal, or pararenal aneurysm * Patient with aortic dissection * Patient with a reversed conical neck that is defined as a \> 3 mm distal increase over a 15 mm length * Patient in which the E-tegra Stent Graft System is used in combination with proximal or distal extenders of another company. * Patient who is planned to be treated with an adjunctive aortic bare metal stent or a fenestrated stent graft * Patient who is planned to be treated with a chimney / chimneys in the renal or visceral vessels * Patient who is planned to be treated with an iliac branch device or parallel grafts in the iliac vessels * Patient with genetic connective tissue disease (e.g. Marfan syndrome or Ehlers-Danlos syndrome) * Patient with eGFR \< 45 ml/min/1.73 m2 before the intervention * Patient had or planned to have a major surgical or interventional procedure within 30 days before or 30 days after the planned implantation of the E-tegra Stent Graft System * Patient with other medical condition that may cause the patient to be non-compliant with the protocol, confound the results, or is associated with a limited life expectancy of less than five years (i.e. heart failure, active malignancy (progressive, stable or partial remission)) * Patient who has been enrolled in another active clinical trial that does not allow inclusion in this trial

Locations (1)

Rijnstate Hospital

Arnhem, Netherlands

Outcomes

Primary Outcomes

Mortality

Rate of all-cause mortality

Time frame: 30-day

Secondary Outcomes

Mortality

Rate of all-cause mortality

Time frame: 24 hours, 12, 24, 36, 60 months

Aneurysm-related mortality

Rate of aneurysm-related mortality

Time frame: 30-day, 12, 24, 36, 60 months

Aneurysm rupture-related mortality

Rate of aneurysm rupture-related mortality

Time frame: 30-day, 12, 24, 36, 60 months

Technical success

Rate of patients with device technical success

Time frame: 24 hours

Clinical success

Rate of patients with clinical success

Time frame: 12 months

Reintervention

Rate of patients with any reintervention

Time frame: 30-day, 12, 24, 36, 60 months

Reintervention-free survival

Rate of patients with reintervention-free survival

Time frame: 12 months

Primary limb patency

Rate of patients with primary E-tegra Stent Graft limb patency

Time frame: 30-day, 12, 24, 36, 60 months

Data from ClinicalTrials.gov

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