Real-world clinical trial evidence post-market, evaluating the safety and efficacy of the Dominus® StentGraft Endoprosthesis in treating thoracic aortic diseases, following the Instructions for Use
The multicenter study aims to collect post-market clinical data on the Dominus® Stent-Graft in the treatment of thoracic aortic diseases. With the goal of assessing safety and efficacy, the prospective follow-up study will include 100 patients undergoing Endovascular Treatment of Thoracic Aortic Diseases, following the product's Instructions for Use
Study Type
OBSERVATIONAL
Enrollment
100
Placement of the Dominus® Stent-Graft for endovascular repair of diseases of the Thoracic Aorta
Hospital Evangélico de Vila Velha
Vila Velha, Espírito Santo, Brazil
NOT_YET_RECRUITINGHospital Nossa Senhora da Conceição
Porto Alegre, Rio Grande do Sul, Brazil
RECRUITINGHospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo
Ribeirão Preto, São Paulo, Brazil
RECRUITINGEarly occurrence of adverse events (Safety Outcome)
Early rate Major Adverse Events (MAEs), including all-cause mortality, acute myocardial infarction (AMI), stroke, permanent paraplegia, and recent-onset renal failure (requiring dialysis).
Time frame: 1 month post index procedure
Device Success
Rate of successful introduction, navigation, and deployment of the device at the intended site
Time frame: Intraoperative
Absence of endoprosthesis fracture
rate of absence of endoprosthesis fracture
Time frame: 1 month and 1 year
Endoleak
Rate of persistence of blood flow outside the lumen of the endoluminal graft (based on follow-up imaging). Primary endoleaks occur within 30 days post-procedure, and secondary (or late) endoleaks are detected after 30 days and subsequent to previous negative images.
Time frame: At the end of surgery/procedure, 1 month, 6 month, 1, 2, 3, 4 and 5 years
Reintervention-free
Reintervention-free rate, defined as the absence of open surgical and/or endovascular reintervention
Time frame: At the end of surgery/procedure, 1 month, 6 month, 1, 2, 3, 4 and 5 years
Adverse Events
Adverse events defined as: * All-cause mortality (ACM) * Retrograde type A dissection (RTAD) * Aortic rupture * Permanent paraplegia and paraparesis * Stent induced new entry tear * Conversation to open repair * Disabling stroke * Non-preexisting renal failure
Time frame: At the end of surgery/procedure, 1 month, 6 month, 1, 2, 3, 4 and 5 years
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