A ProspEctive, Single ARm, Multi-center Clinical InveStigation to EValuatE the Safety and Effectiveness of AMDS in the TREatment of Acute DeBakey Type I Dissection: PERSEVERE
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Acute Aortic Dissection
- Sponsor
- Artivion Inc.
- Enrollment
- 115
- Locations
- 25
- Primary Endpoint
- Primary Endpoint to Assess Incidence of Major Adverse Events
- Status
- Active, not recruiting
- Last Updated
- last year
Overview
Brief Summary
Prospective, non-randomized, multicenter clinical investigation to assess the safety and effectiveness of AMDS in the treatment of patients with acute DeBakey type I dissection, with evidence of malperfusion, through open surgical repair.
Investigators
Eligibility Criteria
Inclusion Criteria
- •≥18 years of age or ≤80 years of age (male or female) at time of surgery
- •Acute DeBakey type I dissection based on computed tomography angiography (CTA) and diagnosed ≤14 days from of the index event
- •Presence of malperfusion (cerebral, visceral, renal, spinal cord, and/or peripheral)
Exclusion Criteria
- •Other medical condition that is associated with limited life expectancy \<2 years (e.g., cancer, congestive heart failure)
- •Pregnant or breastfeeding.
- •Unwilling to comply with the follow-up schedule
- •Institutionalized due to administrative or judicial order
- •Unwilling to accept blood transfusions for any reason
- •Coronary malperfusion
- •In circulatory shock (i.e., systolic blood pressure \<90 mmHg) at time of screening
- •In extreme hemodynamic compromise requiring cardiopulmonary resuscitation at time of screening
- •Suspicion of bowel necrosis (as determined by the implanting physician based on imaging observations, peritoneal signs, surgical exploration, elevated serum lactate levels, low pH, and/or acidosis)
- •Clinical or radiographic signs of bowel infarction or gastrointestinal hemorrhage
Outcomes
Primary Outcomes
Primary Endpoint to Assess Incidence of Major Adverse Events
Time Frame: Through 30 days
Patients experiencing at least one of the following MAEs: 1. All-cause mortality (ACM) 2. New disabling stroke 3. New onset renal failure requiring dialysis 4. Myocardial infarction (MI)
Primary Endpoint to Assess Distal Anastomotic New Entry (DANE) tears
Time Frame: Through 30 days
Patients experiencing Distal Anastomotic New Entry (DANE) tears