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Spanish Percutaneous Aortic INtervention REGISTRY (SPAIN REGISTRY)

Conditions
Aorta Dissection
Aortic Coarctation
Aortic Rupture
Aortic Valve Stenosis
Aorta Aneurysm
Aorta Stenosis
Aortic Valve Disease
Interventions
Device: Perclose Proglide (Abbott)
Registration Number
NCT04307888
Lead Sponsor
Sociedad Espanola de Angiologia y Cirugia Vascular
Brief Summary

Multicentre prospective registry including consecutive patients undergoing Percutaneous Endovascular Aneurysm Repair (PEVAR), Percutaneous Endovascular Thoracic Aneurysm Repair (PTEVAR) or Transcatheter Aortic Valve Implantation (TAVI) in which variables related to the percutaneous access closure for implanting devices at aorta level will be collected and analyzed.

The follow-up period will be 30 days after the procedure. The duration of the recruitment period will be one year. All data will be collected telematically and incorporated into a database for subsequent statistical analysis.

There will be 2 points for data interim analysis at 6 and 12 months after initiation of the study.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
600
Inclusion Criteria
  • Men and women over 18 years old
  • Signed informed consent
  • Endovascular procedures on the aorta to any level, performed by percutaneous access and requiring the use of devices ≥ 10F
  • Femoral Access suitable for percutaneous treatment in the opinion of the surgeon
Exclusion Criteria
  • Need for surgical repair of the femoral artery (stenosis aneurysmal)
  • Initial indication of percutaneous closure with another device different from the Perclose Proglide
  • Active infection of the puncture site
  • Condition that prevents complete the 30 days follow up

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Study groupPerclose Proglide (Abbott)Patients undergoing Percutaneous Endovascular Aneurysm Repair (PEVAR), Percutaneous Endovascular Thoracic Aneurysm Repair (PTEVAR) or Transcatheter Aortic Valve Implantation (TAVI) in who percutaneous access closure device is used for implanting devices at aorta level.
Primary Outcome Measures
NameTimeMethod
Rate of closure-procedure technical success as assessed by absence of femoral pseudoaneurysm or arterial occlusion30 days

Rate of cases that are reported with a femoral pseudoaneurysm in the site of arterial access or common femoral artery occlusion related to the closure procedure.

Incidence of Procedure-Emergent Adverse Events related to Frailty as assessed by the Modified Frailty Index (mFI-11)30 days

Incidence of any postoperative adverse event or mortality related to the frailty assessed by the modified frailty index (mFI-11), an 11-factor score predictive of increased risk for postoperative morbidity and mortality in patients undergoing elective and emergent surgery that scores the frailty between 1 to 11, being the 11 the most frailty status.

Quality of Life assesed by EuroQol-5 Dimensions (EQ-5D) Questionnaire30 days

Estimated Impact of the procedure on the Quality of Life measured by EQ-5D Questionnaire on 5 dimensions; mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Mobility dimension asks about the person's walking ability. Self-care dimension asks about the ability to wash or dress by oneself, and usual activities dimension measures performance in "work, study, housework, family or leisure activities". In pain/discomfort dimension, it asks how much pain or discomfort they have, and in anxiety/depression dimension, it asks how anxious or depressed they are. The study participants self-rate their level of severity for each dimension.

Rated level can be coded as 1, 2, or 3, which indicates having no problems for 1, having some problems for 2, and having extreme problems for 3. As a result, a person's health status can be defined by a 5-digit number, ranging from 11111 (having no problems in all dimensions) to 33333 (having extreme problems in all dimensions).

Secondary Outcome Measures
NameTimeMethod
Post-operative Pain assessed by the Visual Analog Scale for Pain30 days

Evaluation of the discomfort or pain after the procedure determined at the end of the procedure with the Visual Analog Scale for Pain, which is a psychometric measuring instrument designed to assess the pain intensity experienced by each patient individually.

The analogous visual scale used for this study measures from 0-10 the intensity of the pain with a series of "faces" that show the intensity in the pain experimentation with categories like "No pain" approximately 0-1, mild, annoying in number 2, nagging in number 4, distressing in number 6, intense in number 8 and worst possible in number 10.

Time of closure procedure hemostasis in seconds1 hour

Duration in seconds of the arterial closure procedure until complete hemostasis

Hospital Stay assessed in days30 days

Duration in days until hospital discharge

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