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Angio-Seal Interventional Radiology (IR) Registry

Completed
Conditions
Diagnostic and/or Interventional Radiology Procedures
Registration Number
NCT01222104
Lead Sponsor
Abbott Medical Devices
Brief Summary

The purpose of this study is to collect data on the standard of care use of the St. Jude Medical (SJM) Angio Seal™ Evolution™ and V-Twist Integrated Platform (VIP) Devices in diagnostic and/or interventional radiology patient populations.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
634
Inclusion Criteria
  1. Patient is undergoing a diagnostic and/or interventional radiology procedure via femoral arterial access and the investigator performing the procedure would use Angio-Seal for closure as part of his/her routine care of the patient. Angio-Seal deployment will follow the standard of care for vascular closure device use and the Instructions for Use (IFU) for the device.
  2. Sheath angiography prior to Angio-Seal deployment reveals appropriate anatomy and puncture location for vascular closure device deployment.
Exclusion Criteria
  1. Patients who are unable to provide written informed consent.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Rate of Major Vascular Complications30 days

Collect data on patients who have undergone a diagnostic and/or interventional radiology procedure in which the St. Jude Medical (SJM) Angio-Seal Evolution or V-Twist Integrated Platform (VIP) Device was deployed, to evaluate the rate of major vascular complications out to 30 days post-procedure.

The following are defined as a major vascular complication:

1. Vascular injury requiring repair via surgery, angioplasty, ultrasound guided compression, thrombin injection, or other means;

2. Permanent (unresolved at 30-day post-procedure evaluation) access site-related nerve injury or access site-related nerve injury requiring intervention;

3. Access site related bleeding requiring transfusion;

4. New ipsilateral lower extremity ischemia requiring surgical intervention;

5. Retroperitoneal bleeding;

6. Generalized infection requiring prolonged hospitalization and/or treatment with IV antibiotics;

7. Access related complication that results in extended hospital stay;

8. Death

Secondary Outcome Measures
NameTimeMethod
Time to HemostasisProcedure

Time-to-hemostasis stratified into 3 categories: hemostasis in less than 1 minute alone or in combination with manual compression (standard of care), 1-5 minutes alone or in combination with manual compression (standard of care), and/or hemostasis achieved \>5 minutes and/or with additional hemostasis methods required.

Rate of Minor Vascular Complications30 days

The following are defined as a minor vascular complication:

1. Unanticipated access site bleeding requiring ≥ 30 minutes of manual compression to re-achieve hemostasis;

2. Ipsilateral hematoma \>10 cm;

3. Ipsilateral pseudoaneurysm without intervention;

4. Ipsilateral arteriovenous fistula;

5. Ipsilateral deep vein thrombosis;

6. Local access site infection without prolonged hospitalization

Impact of Guided Access on Use of Closure Device.30 days

The influence of fluoroscopy and/or ultrasound guided access on the decision to use a closure device.

Impact of Guided Access on Achieving Target Puncture Location.30 days

The influence of fluoroscopy and/or ultrasound guided access on puncture location.

Rate of Major Vascular Complications (MVCs) by Guided Access Mode.30 days

The influence of fluoroscopy and/or ultrasound guided access on Major Vascular Complications (MVCs).

Rate of Minor Vascular Complications by Guided Access Mode.30 days

The influence of fluoroscopy and/or ultrasound guided access on minor vascular complications.

Impact of Peripheral Vascular Disease (PVD) on Use of Closure Device30 days

Presence of peripheral vascular disease (PVD) and its effect on the decision to use a closure device

Impact of Peripheral Vascular Disease (PVD) on Achieving Hemostasis by Device30 days

Presence of peripheral vascular disease (PVD) and its effect on hemostasis. Initial hemostasis by device achieved.

Rate of Major Vascular Complications (MVC) by Presence of Peripheral Vascular Disease (PVD)30 days

Presence of peripheral vascular disease (PVD) and its effect on Major Vascular Complications (MVC).

Rate of Minor Vascular Complications by Presence of Peripheral Vascular Disease (PVD)30 days

Presence of peripheral vascular disease (PVD) and its effect on minor vascular complications.

Trial Locations

Locations (10)

Loma Linda University Medical Center

🇺🇸

Loma Linda, California, United States

Baptist Cardiac and Vascular Institute

🇺🇸

Miami, Florida, United States

Riverside Methodist Hospital

🇺🇸

Columbus, Ohio, United States

Thomas Jefferson Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

Albert Einstein Medical Center

🇺🇸

Philadelphia, Pennsylvania, United States

Yale New Haven Hospital

🇺🇸

New Haven, Connecticut, United States

Mayfield Clinic, Inc.; The University Hospital

🇺🇸

Cincinnati, Ohio, United States

Kaleida Health

🇺🇸

Buffalo, New York, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

University of Kansas Medical Center

🇺🇸

Kansas City, Kansas, United States

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