The goal of this surveillance is to confirm the TBE device's safety and efficacy in patients treated with proximal landing in Zone 2 in the post-marketing period.
Study Type
OBSERVATIONAL
Enrollment
200
Patients who attempted implant of TBE in Zone 2 during the enrollment period of this surveillance.
The University of Osaka Hospital
Osaka, Suita, Japan
RECRUITINGDevice Technical Success at the Initial Procedure
All of the following must be met. * Successful access and delivery * Patency of devices * The absence of unanticipated additional procedure related to the device, procedure, or withdrawal of the delivery system
Time frame: Initial procedure
Aortic Rupture of the Treatment Lesion
Rupture in the treated segment of the vessel (e.g., aorta or branch) verified with direct observation or CT / CTA scan.
Time frame: 60 Months
Lesion-related Mortality and All-cause Death
Lesion-related Mortality definition Deaths that meet any of the following criteria: * All deaths within 30 days after the initial procedure during the initial hospitalization or secondary procedures resulting from the treated lesion or endovascular treatment (e.g., procedures for retrograde dissection, loss of patency, loss of device integrity, endoleak, migration, aortic dilation, aneurysm rupture) * All deaths related to the treated lesion or device (e.g., aneurysm rupture, retrograde dissection resulting in fatal cardiac tamponade) Not applicable if there is evidence to support no relationship to the lesion.
Time frame: 60 Months
Disable Stroke
Stroke is the acute onset of symptoms consistent with focal or multifocal central nervous system (CNS) injury caused by vascular blockage resulting in ischemia or vascular rupture resulting in hemorrhage, that: Persists for \> 24 hours or until death
Time frame: 60 Months
Serious Paraplegia
Paraplegia secondary to spinal cord ischemia reported as a serious adverse event from sites.
Time frame: 60 Months
Serious Paraparesis
Paraparesis secondary to spinal cord ischemia reported as a serious adverse event from sites.
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Time frame: 60 Months
Renal Failure Requiring Dialysis
Renal failure reported as a serious adverse event by sites and confirmed to require dialysis.
Time frame: 60 Months
Additional Unanticipated Post-procedural Surgical or Interventional Procedure
Additional unanticipated surgical procedure or endovascular procedure after the initial procedure. Anticipated or unanticipated status will be determined at the discretion of the investigator. Surgical procedures include conversion to thoracotomy, and endovascular procedures includes the placement of devices other than TBE. Endovascular procedures at the access site, lumbar drains for spinal cord ischemia, and procedures to address problems other than the treatment site (such as bare stent placement for intestinal ischemia due to dissection) do not apply.
Time frame: 60 Months
Serious Device-related Ischemia
Ischemia reported by sites as a serious adverse event determined to be related to the device.
Time frame: 60 Months
Distal Device-related Thromboembolic Serious Adverse Event Requiring Intervention or Surgery
Device-related ischemic adverse events reported by sites as serious adverse events that required bypass surgery, surgical procedures, or amputation, or that resulted in death.
Time frame: 60 Months
Serious New Dissection
New events of arterial dissection reported as serious adverse events by sites.
Time frame: 60 Months
Serious Myocardial Infarction
Myocardial infarction reported as a serious adverse event by the sites.
Time frame: 60 Months
Serious Laryngeal or Phrenic Nerve Injury
Nerve damage events reported by the sites as serious adverse events that required retreatment.
Time frame: 60 Months
Serious Heart Failure/Hypotension
Heart failure or hypotension reported as serious adverse events by the sites.
Time frame: 60 Months
Aortic Enlargement in the Region Encompassed by the Initial Lesion
An increase of 5 mm or more in arterial diameter at the affected area compared to images taken at the first follow-up after initial treatment.
Time frame: 60 Months
Endoleak
Serious adverse events reported or confirmed by imaging by the sites. The definitions of each type of endoleaks are as follows: * Type I endoleak is defined as a sealing failure at one of the attachment sites of the graft to the vessel wall. Arterial flow therefore leaks alongside the graft and into the perigraft space. * Type Ia: Proximal leak * Type Ib: Distal leak * Type Ic: Inadequate seal at distal landing zone for side branch component * Type II endoleak is defined as retrograde flow from branch arteries arising from the treated segment of the aorta. * Type III endoleak * Type IIIA endoleak : Attachment of aortic components (aortic-aortic). * Type IIIB endoleak : Fabric tear or disruption. * Type IIIC endoleak:: Attachment of aortic component-side-branch or side-branch-side-branch * Type IV endoleak is defined as flow through porous fabric. * Indeterminate : Endoleak detected with unknown source.
Time frame: 60 Months
Loss of Device Integrity
Defined as any of the following: * Wire fractures identified in the sealing row stents of the aortic component (AC), branch component (SB) or aortic extender (AE). * Stent kinking: Narrowing of the stent graft associated with demonstrable angulation in any of the stent components, with demonstrable flow * Disruption / tears in the graft component of the stent graft * Transient (compression) or permanent stent-graft collapse (invagination) following complete device deployment, resulting in an overall reduction in the aortic or branch vessel luminal diameter. * If the device loses function due to other malfunctions
Time frame: 60 Months
Loss of Aortic or Aortic Branch Patency
No flow or contrast detected through the implanted aortic or side branch devices or distal CTAG devices after the index endovascular procedure.
Time frame: 60 Months
Migration
Longitudinal movement of all or part of the device for a distance ≥10 mm, as confirmed by CT scan, relative to anatomical landmarks and device positioning at the first post-operative CT scan.
Time frame: 60 Months
False Lumen Perfusion through the Primary Entry Tear (Dissection Patients only)
Flow from a proximal aortic source through the primary intimal tear into the aortic false lumen (similar to a Type IA endoleak after treatment of aneurysms).
Time frame: 60 Months
Extension of a Dissection (Proximally or Distally) (Dissection Patients only)
Among the aortic dissections reported by sites as serious adverse events, those in which proximal or distal progression of the lesion from the initial procedure was confirmed on imaging.
Time frame: 60 Months
False Lumen Status in Treated and Untreated Segments (Dissection Patients only)
The thrombosis state of the false lumen at the treated and untreated segments at the initial procedure is confirmed using the following three stages. * Patent is defined as flow present throughout the aortic false lumen in the absence of evidence of thrombus. * Partially thrombosed false lumen is defined as clot within the aortic false lumen that has a residual patent flow channel. * Thrombosed false lumen is defined as complete thrombosis of the aortic false lumen.
Time frame: 60 Months