Evaluation of Peri-surgical Results at Short and Mean Terms of the GORE ® Excluder Iliac Branch Endoprosthesis
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Iliac Aneurysm
- Sponsor
- University Hospital, Toulouse
- Enrollment
- 3
- Locations
- 1
- Primary Endpoint
- Primary permeability maintenance of the iliac branch endoprosthesis, following its insertion (binary criterion)
- Status
- Terminated
- Last Updated
- 5 years ago
Overview
Brief Summary
The aim of this project is to demonstrate the benefit of the use of aortic iliac branch endoprosthesis in the iliac aneurysms and to avoid the classic complications.
Investigators
Eligibility Criteria
Inclusion Criteria
- •High surgical risk:
- •Comorbidity cardiopulmonary
- •Renal insufficiency
- •Hostile abdomen including ascites or portal hypertension
- •Anatomic criteria:
- •Primitive iliac aneurysm superior to 25 mm without collar
- •Primitive iliac length superior to 40 mm
- •Primitive iliac distal diameter superior to 14 mm
- •Presence of internal iliac collar
- •Affiliation to a social security system
Exclusion Criteria
- •Patient without surgical risk
- •Non-respect of the Anatomic criteria
- •Patient with known allergy to the materials of the device
- •Patient with systemic infection
- •Patient with severe renal insufficiency
- •Patient unable to complete the oximetry test
- •Persons under legal protection
Outcomes
Primary Outcomes
Primary permeability maintenance of the iliac branch endoprosthesis, following its insertion (binary criterion)
Time Frame: at 12 months after surgery
Primary permeability maintenance of the iliac branch endoprosthesis, following its insertion. It is a binary criterion (permeable or not) This criterion will be evaluated by a doppler ultrasound. These exams will be performed by a unique vascular physician, who will measure the hemodynamic criterions and the associated gluteal region oximetry. Endoprosthesis will be considered to be permeable if the patient is asymptomatic (absence of gluteal claudication), if Doppler ultrasound and angio-scan confirm the permeability of the endoprosthesis. Primary permeability will be considered non-maintained at 1 year if a stenosis \>70% or a thrombosis of the hypogastric branch is observed by ultra-sound scan at a follow-up visit during the first year after surgery or at a ultra-sound scan exam motivated by pelvic ischemia clinical signs
Secondary Outcomes
- Morbidity(peri-operative, at short term (3 months), mean-term (12 months))