Prospective, randomized, multi-center study designed to evaluate the outcomes of commercially available contemporary EVAR in a real-world population. Patients will be randomized into two device cohorts and compared across the primary endpoints. Patients will be followed procedurally to discharge, at 1, 6, 12 months and annually through to 5 years (total follow-up commitment).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Endovascular Abdominal Aneurysm Repair (EVAR) using commercially available, FDA approved endovascular graft systems implanted.
FDA approved comparator of choice
Number of Participants with Freedom from Aneurysm-Related Complications (ARC)
Composite endpoint consisting of aneurysm-related death, aneurysm rupture, conversion to open surgery, type I and III endoleaks, device migration (\>10mm), aneurysm sac enlargement (\>5mm), occlusion, and freedom from device-related interventions
Time frame: Through 5 Years
Neck Dilation in mm
Time frame: Through 5 Years
Number of Major Adverse Events (MAEs)
All-cause mortality, Bowel ischemia, Myocardial infarction, Paraplegia, Renal Failure, Respiratory Failure, Stroke, Index Procedural Blood Loss ≥ 1000mL
Time frame: [Time Frame: At 30 days and 12 months]
Count of participants All Cause Mortality
Time frame: At 30 days, 12 months, and annually up to five years
Count of participants AAA-related Mortality
Time frame: At 30 days, 12 months, and annually up to five years
Number of Type Ia endoleaks
Time frame: At 30 days, 12 months, and annually up to five years
Number of Type Ib
Time frame: At 30 days, 12 months, and annually up to five years
Number of Type II
Time frame: At 30 days, 12 months, and annually up to five years
Number of Type III
Time frame: At 30 days, 12 months, and annually up to five years
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Number of Type IV
Time frame: At 30 days, 12 months, and annually up to five years
Number of Unknown Enooleaks
Time frame: At 30 days, 12 months, and annually up to five years
Number of Secondary interventions
Time frame: At 30 days, 12 months, and annually up to five years
Count of subjects lacking device integrity
device patency (stenosis and occlusion) and integrity (kinking, fracture, and polymer leak)
Time frame: At 30 days, 12 months, and annually up to five years
Count of aneurysm ruptures
Time frame: At 30 days, 12 months, and annually up to five years
Count of participants with conversion to open surgery
Time frame: At 30 days, 12 months, and annually up to five years
Count of participants with type I and III endoleaks
Time frame: At 30 days, 12 months, and annually up to five years
Count of participants with device migration (>10mm)
Time frame: 12 months, and annually up to five years
Count of participants with aneurysm sac enlargement (>5mm)
Time frame: 12 months, and annually up to five years
Count of subjects with occlusion
Time frame: 30 days, 12 months, and annually up to five years]
Number of Participants with Freedom From device-related interventions
Time frame: 30 days, 12 months, and annually up to five years]