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VIVO Clinical Study

Not Applicable
Completed
Conditions
Symptomatic Venous Outflow Obstruction in the Iliofemoral Vein
Interventions
Device: Zilver Vena Venous Self-Expanding Stent
Registration Number
NCT01970007
Lead Sponsor
Cook Research Incorporated
Brief Summary

The purpose of the VIVO Clinical Study is to evaluate the safety and effectiveness of the Zilver® Vena™ Venous Stent in the treatment of symptomatic iliofemoral venous outflow obstruction.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
243
Inclusion Criteria
  • symptomatic venous outflow obstruction in one iliofemoral venous segment (i.e., one limb) per patient, demonstrated by:

    • CEAP "C" ≥ 3, or
    • VCSS pain score ≥ 2

Key

Exclusion Criteria
  • < 18 years of age;
  • pregnant or planning to become pregnant in the next 12 months;
  • planned surgical or interventional procedures of the target limb (except thrombolysis and/or thrombectomy in preparation for the procedure or vena cava filter placement prior to stent implantation in patients at high risk for pulmonary embolism) within 30 days prior to or any time after the study procedure;
  • planned surgical or interventional procedures for other medical conditions (i.e., not associated with the target limb) within 30 days prior to or after the study procedure;
  • lesions with intended treatment lengths extending into the inferior vena cava or below the level of the lesser trochanter;
  • lesion with malignant obstruction;
  • previous stenting of the target vessel;
  • iliofemoral venous segment unsuitable for treatment with available sizes of study devices.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Zilver Vena Venous Self-Expanding StentZilver Vena Venous Self-Expanding Stent-
Primary Outcome Measures
NameTimeMethod
The Rate of Participants With Primary Quantitative Patency at 12 Months12 months

Primary quantitative patency was defined as a treated venous segment that retained (uninterrupted; intervention-free) an MLD (Minimum Lumen Diameter ) \> 50% of the immediate post-procedure stented MLD as demonstrated by venography as determined by the core laboratory.

Number of Participants With 30-day Freedom From Major Adverse Events30 days

Major adverse events were defined as procedural bleeding requiring transfusion, procedure- or device-related death, clinically driven target lesion reintervention, clinical migration, new symptomatic PE, or procedure-related perforation requiring open surgical repair or flow-limiting dissection of the target vessel.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in the Venous Clinical Severity Score (VCSS) at 1 MonthBaseline and 1 month

Venous Clinical Severity Score (VCSS) is a method of classifying venous disease severity based on 10 clinical descriptors (pain, varicose veins, venous edema, skin pigmentation, inflammation, induration, number of active ulcers, duration of active ulcer, size of active ulcer, and use of compression therapy), each scored on a scale from 0 (Absent) to 3 (Severe). The VCSS score is the sum of the scores for the individual descriptors, ranging from 0 to 30.

Mean change = (1-month score - Baseline Score)

Change From Baseline in the Venous Clinical Severity Score (VCSS) at 12 MonthsBaseline and 12 months

Venous Clinical Severity Score (VCSS) is a method of classifying venous disease severity based on 10 clinical descriptors (pain, varicose veins, venous edema, skin pigmentation, inflammation, induration, number of active ulcers, duration of active ulcer, size of active ulcer, and use of compression therapy), each scored on a scale from 0 (Absent) to 3 (Severe). The VCSS score is the sum of the scores for the individual descriptors, ranging from 0 to 30.

Mean change = (12-month score - Baseline Score)

Trial Locations

Locations (30)

Littleton Adventist Hospital

🇺🇸

Littleton, Colorado, United States

University of Louisville - Norton Hospital

🇺🇸

Louisville, Kentucky, United States

Southern Connecticut Vascular Center - Norwalk Hospital

🇺🇸

Norwalk, Connecticut, United States

Arrowhead Hospital

🇺🇸

Glendale, Arizona, United States

Mercy Hospital

🇺🇸

Saint Louis, Missouri, United States

Carolinas Medical Center

🇺🇸

Charlotte, North Carolina, United States

University of Alabama Birmingham Hospital

🇺🇸

Birmingham, Alabama, United States

University of Pittsburgh Medical Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Rex Hospital

🇺🇸

Raleigh, North Carolina, United States

Oklahoma State University Medical Center

🇺🇸

Tulsa, Oklahoma, United States

University of Michigan Health System

🇺🇸

Ann Arbor, Michigan, United States

ProMedica - Jobst Vascular Institute

🇺🇸

Toledo, Ohio, United States

Yale-New Haven Hospital

🇺🇸

New Haven, Connecticut, United States

Florida Pepin Heart Institute

🇺🇸

Tampa, Florida, United States

University of Iowa

🇺🇸

Iowa City, Iowa, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

CHI Health St. Elizabeth

🇺🇸

Lincoln, Nebraska, United States

Methodist Hospital of Indiana

🇺🇸

Indianapolis, Indiana, United States

St. Vincent Medical Group

🇺🇸

Indianapolis, Indiana, United States

Utah Valley Regional Medical Center

🇺🇸

Provo, Utah, United States

Taipei Medical University Wan Fang Hospital

🇨🇳

Taipei, Taiwan

Good Samaritan Hospital

🇺🇸

Cincinnati, Ohio, United States

Christiana Care Health Systems

🇺🇸

Newark, Delaware, United States

Piedmont Hospital

🇺🇸

Atlanta, Georgia, United States

Barnes Jewish Hospital Plaza

🇺🇸

Saint Louis, Missouri, United States

Holy Name Medical Center

🇺🇸

Teaneck, New Jersey, United States

New York University - Langone Medical Center

🇺🇸

New York, New York, United States

Temple University Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

Cardiothoracic and Vascular Surgeons

🇺🇸

Austin, Texas, United States

Shady Grove Adventist

🇺🇸

Rockville, Maryland, United States

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