MedPath

FlowTriever All-Comer Registry for Patient Safety and Hemodynamics

Completed
Conditions
PE - Pulmonary Embolism
PE - Pulmonary Thromboembolism
Interventions
Device: FlowTriever System
Drug: Anticoagulation Agents
Registration Number
NCT03761173
Lead Sponsor
Inari Medical
Brief Summary

To evaluate the safety and effectiveness of the FlowTriever System for use in the removal of emboli from the pulmonary arteries in the treatment of acute pulmonary embolism (PE). The use of the device will be assessed in a real-world population, with eligibility criteria that closely approximate its use in clinical practice.

Up to 300 additional patients with anticoagulation treatment as the initial planned primary treatment strategy for intermediate risk PE will also be evaluated (US only).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1186
Inclusion Criteria
  • Clinical signs and symptoms consistent with acute PE

  • Echo, CTPA or pulmonary angiographic evidence of proximal filling defect in at least one main or lobar pulmonary artery

  • Scheduled for PE treatment with the FlowTriever System per the Investigator's discretion*

    • US only: Patients enrolled in the Conservative Therapy Sub-study are not required to meet this inclusion criteria but must instead be scheduled for primary anticoagulation therapy as the primary treatment strategy.
Exclusion Criteria
  • Unable to be anticoagulated with heparin or alternative

  • Diagnosis with a minor PE with a less than 0.9 RV/LV ratio

  • Known sensitivity to radiographic contrast agents that, in the Investigator's opinion, cannot be adequately pre-treated*

  • Imaging evidence or other evidence that suggests, in the Investigator's opinion, the subject is not appropriate for mechanical thrombectomy intervention*

  • Life expectancy < 30 days, as determined by Investigator

  • Current participation in another investigational drug or device treatment study that, in the Investigator's opinion, would interfere with participation in this study

    • US Only Patients enrolled in the Conservative Therapy Sub-study are not required to meet these exclusion criteria

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
FlowTrieverFlowTriever SystemMechanical thrombectomy for pulmonary embolism
Conservative Therapy Sub-StudyAnticoagulation AgentsAnticoagulation medication for pulmonary embolism (as directed by treating physician)
Primary Outcome Measures
NameTimeMethod
Composite Major Adverse Events48-hours

Rate of subjects with composite of device-related death, major bleeding, device or procedure-related adverse events

Secondary Outcome Measures
NameTimeMethod
Individual Major Adverse Events48-hours

Rate of subjects with individual components of composite MAE

Device-related serious adverse events30-days

Rate of device-related SAEs

All-cause mortality30-days

Rate of deaths

Trial Locations

Locations (81)

Rush Medical Center

🇺🇸

Chicago, Illinois, United States

University Hospitals Cleveland Medical Center

🇺🇸

Cleveland, Ohio, United States

University of Pittsburgh Medical Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Pima Heart and Vascular

🇺🇸

Tucson, Arizona, United States

Hopital de la Cavale Blanche - CHU Brest

🇫🇷

Brest, France

Cardioangiologisches Centrum Bethanien

🇩🇪

Frankfurt, Germany

Sarasota Memorial Hospital

🇺🇸

Sarasota, Florida, United States

Opelousas General

🇺🇸

Opelousas, Louisiana, United States

Christiana Care Health Services

🇺🇸

Newark, Delaware, United States

Ascension Sacred Heart

🇺🇸

Pensacola, Florida, United States

Ascension Genesys Hospital

🇺🇸

Grand Blanc, Michigan, United States

Methodist Healthcare Foundation

🇺🇸

Germantown, Tennessee, United States

Tallahassee Memorial Hospital

🇺🇸

Tallahassee, Florida, United States

NYU Langone Medical Center

🇺🇸

New York, New York, United States

Beaumont Health

🇺🇸

Royal Oak, Michigan, United States

St. Joseph Mercy

🇺🇸

Ypsilanti, Michigan, United States

UTMC Knoxville

🇺🇸

Knoxville, Tennessee, United States

Centre Hospitalier Universitaire de Besançon

🇫🇷

Besançon, France

Charité Hospital - Campus Virchow-Klinikum

🇩🇪

Berlin, Germany

Helios Kliniken Schwerin

🇩🇪

Schwerin, Germany

Universitair Medisch Centrum Utrecht

🇳🇱

Utrecht, Netherlands

Inselspital

🇨🇭

Bern, Switzerland

Unispital

🇨🇭

Zürich, Switzerland

Palmetto General Hospital

🇺🇸

Miami, Florida, United States

University of Miami

🇺🇸

Miami, Florida, United States

Mount Sinai Medical Center of Florida

🇺🇸

Miami, Florida, United States

Indiana University School of Medicine

🇺🇸

Indianapolis, Indiana, United States

UZ Antwerpen

🇧🇪

Antwerpen, Belgium

Jamaica Hospital

🇺🇸

Queens, New York, United States

Inova Fairfax

🇺🇸

Falls Church, Virginia, United States

Sentara

🇺🇸

Norfolk, Virginia, United States

Valley Health

🇺🇸

Ridgewood, New Jersey, United States

University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

University of Missouri, Columbia

🇺🇸

Columbia, Missouri, United States

Westchester Medical Center

🇺🇸

Valhalla, New York, United States

CentraCare Heart & Vascular Center

🇺🇸

Saint Cloud, Minnesota, United States

SUNY, The University at Buffalo

🇺🇸

Buffalo, New York, United States

Saint Luke's Hospital of Kansas City

🇺🇸

Lee's Summit, Missouri, United States

Lexington Medical Center

🇺🇸

West Columbia, South Carolina, United States

Mount Sinai

🇺🇸

New York, New York, United States

Northwell Health

🇺🇸

Manhasset, New York, United States

CardioVoyage

🇺🇸

Denison, Texas, United States

Missouri Cardiovascular Specialists

🇺🇸

Columbia, Missouri, United States

CHU Grenoble

🇫🇷

Grenoble, France

St. Francis Hospital & Heart Center

🇺🇸

Roslyn, New York, United States

Providence Regional Medical Center Everett

🇺🇸

Everett, Washington, United States

Hospital Clínico San Carlos

🇪🇸

Madrid, Spain

Albany Medical Center

🇺🇸

Albany, New York, United States

Providence Sacred Heart

🇺🇸

Spokane, Washington, United States

Allgemeines Krankenhaus AKH Wien

🇦🇹

Vienna, Austria

UZ Brussel

🇧🇪

Brussel, Belgium

Institut Coeur Poumon - CHU de Lille

🇫🇷

Lille, France

European Hospital Georges Pompidou

🇫🇷

Paris, France

The Royal London Hospital, Bart's Health

🇬🇧

London, United Kingdom

Gregorio Maranon University Hospital

🇪🇸

Madrid, Spain

HCL Hôpital Louis Pradel - Hôpital Cardiologique

🇫🇷

Lyon, France

University Hospital

🇩🇪

Heidelberg, Germany

The Royal Free Hospital

🇬🇧

London, United Kingdom

Universitatsklinikum des Saarlandes

🇩🇪

Homburg, Germany

Kantonsspital Sankt Gallen

🇨🇭

Saint Gallen, Switzerland

Metropolitan Heart and Vascular Institute

🇺🇸

Minneapolis, Minnesota, United States

St. Thomas West

🇺🇸

Nashville, Tennessee, United States

University of Minnesota

🇺🇸

Minneapolis, Minnesota, United States

Henry Ford Health System

🇺🇸

Detroit, Michigan, United States

Memorial Hospital Jacksonville

🇺🇸

Jacksonville, Florida, United States

UAB Division of Cardiovascular Disease

🇺🇸

Birmingham, Alabama, United States

Aurora St. Luke's Medical Center

🇺🇸

Milwaukee, Wisconsin, United States

University of Colorado

🇺🇸

Aurora, Colorado, United States

Wake Forest Baptist Medical Center

🇺🇸

Winston-Salem, North Carolina, United States

Yale University

🇺🇸

New Haven, Connecticut, United States

University of Arizona College of Medicine

🇺🇸

Tucson, Arizona, United States

Lakeland Vascular Institute

🇺🇸

Lakeland, Florida, United States

Emory University

🇺🇸

Atlanta, Georgia, United States

University of Chicago

🇺🇸

Chicago, Illinois, United States

Northwestern University

🇺🇸

Evanston, Illinois, United States

Javon Bea Hospital

🇺🇸

Rockford, Illinois, United States

Norton Healthcare

🇺🇸

Louisville, Kentucky, United States

Baptist Health Lousville

🇺🇸

Louisville, Kentucky, United States

Ascension Providence Hospital

🇺🇸

Madison Heights, Michigan, United States

Ascension Providence Rochester Hospital

🇺🇸

Rochester, Michigan, United States

Thomas Jefferson University

🇺🇸

Philadelphia, Pennsylvania, United States

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