Prospective, Multicenter, Single Arm Feasibility and Safety Study of the Endologix Fenestrated Stent Graft System for the Endovascular Repair of Juxtarenal/Pararenal (JAA/PAA) Aneurysms
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Abdominal Aortic Aneurysm
- Sponsor
- Endologix
- Enrollment
- 49
- Locations
- 8
- Primary Endpoint
- Primary Safety Endpoint
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The aim of this study is to evaluate the safety and feasibility of the Endologix Fenestrated Stent Graft System for the endovascular repair of juxtarenal or pararenal aortic aneurysms.
Detailed Description
The Endologix Fenestrated Stent Graft System that will be used in this study has three components, listed below: 1. Endologix unibody bifurcated stent graft 2. Endologix fenestrated proximal extension stent graft 3. Endologix renal stent graft
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adequate iliac/femoral access compatible with the required delivery systems
- •Non-aneurysmal infrarenal aortic neck \<15mm in length
- •Most caudal renal artery to aortoiliac bifurcation length \>= 70
- •SMA to aortoiliac bifurcation length \>=90mm
- •Proximal non-aneurysmal aortic neck below the SMA with diameter 18 to 34 mm, length \>=15mm and angle \<=60° to the aneurysm sac
- •Angle \<=60° (clock face) between the SMA and CA
- •Renal arteries both at or below the SMA by \<=35mm and within 30mm of each other axially, with 4 to 8mm lumen diameter, and with clockface angle of 90° to 210° to each other
- •Common iliac artery distal fixation site with: distal fixation length \>=15mm, with diameter \>=10 mm and \<=23 mm and angle \<=90° to the aortic bifurcation
- •Ability to preserve at least one hypogastric artery
Exclusion Criteria
- •Life expectancy \<2 years as judged by the investigator
- •Psychiatric or other condition that may interfere with the study
- •Participating in the enrollment or 30-day follow-up phase of another clinical study
- •Known allergy to any device component
- •Coagulopathy or uncontrolled bleeding disorder
- •Contraindication to contrast media or anticoagulants
- •Ruptured, leaking, or mycotic aneurysm
- •Aortic dissection Serum creatinine (S-Cr) level \>2.0 mg/dL
- •Traumatic vascular injury
- •Active systemic or localized groin infection
Outcomes
Primary Outcomes
Primary Safety Endpoint
Time Frame: 30 days
Major adverse events defined as: * All-cause death * Bowel ischemia * Myocardial infarction * Paraplegia * Renal failure * Respiratory failure * Stroke * Blood loss \>=1,000cc
Secondary Outcomes
- Mortality(Procedurally and to 5 Years)
- Feasibility/Effectiveness(1 Year)
- Stent Graft Patency(30 Days, 6 Months, and Years 1 to 5)
- Major Adverse Events(>30 Days to 5 Years)
- Number of Participants With Renal Dysfunction(30 Days, 6 Months and Years 1 to 5)
- Aneurysm Rupture(Procedurally and to 5 Years)
- Device Integrity(30 Days, 6 Months, and Years 1 to 5)
- Aneurysm Diameter Change(6 Months, and Years 1 to 5)
- Procedural/In-hospital Evaluations(Discharge)
- Secondary Procedures(30 Days, 6 Month and Years 1 to 5)
- Conversion to Open Repair(Procedurally and to 5 Years)