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临床试验/NCT04765592
NCT04765592进行中(未招募)不适用

Guo's Aortic Arch Reconstruction :The Prospective ,Multiple Center Study About the Safety and Efficacy of WeFlow-Arch Modeler Embedded Branch Stent Graft System (GIANT Study)

Hangzhou Endonom Medtech Co., Ltd.23 个研究点 分布在 1 个国家目标入组 88 人开始时间: 2021年6月7日最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
88
试验地点
23
主要终点
Rate of all-cause mortality and major stroke within 12 months after surgery

研究概览

简要总结

A prospective ,Multiple Center Study About the Safety and Efficacy of WeFlow-Arch Modeler Embedded Branch Stent Graft System manufactured by EndoNom Medtech (Hangzhou) Co., Ltd. for true/false aortic arch aneurysms and ulcers involving aortic arch . (GIANT Study)

详细描述

This study is a prospective ,multiple center study about the safety and efficacy of WeFlow-Arch Modeler Embedded Branch Stent Graft System, it is expected to complete the implantation of 80 patients in 23 centers within 12 months, and interim follow-up was conducted before discharge, 30 days after surgery, 6 months after surgery and 12 months after surgery, long-term follow-up will be performed at 24 months postoperatively, 36 months postoperatively, 48 months postoperatively and 60 months postoperatively.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients aged 18 to 80 years old;
  • Diagnosed with aortic arch lesions requiring intervention, including true aortic arch aneurysms, pseudo-aortic arch aneurysms, and ulcers involving the aortic arch;
  • Showing a suitable vascular condition, including:
  • Ascending aorta length greater than 50 mm (from the aortic sinusoid junction to the proximal cardiac margin of the innominate artery).
  • Ascending aorta diameter ≥ 24 mm and ≤ 48 mm;
  • Proximal anchoring zone length ≥ 30 mm;
  • Innominate artery diameter ≤ 24 mm and ≥ 7 mm, length ≥ 20 mm;
  • Left common carotid artery or left subclavian artery diameter ≤ 24 mm and ≥ 7 mm, length ≥ 20 mm;
  • Suitable arterial access for endovascular interventional treatment;
  • Able to understand the purpose of the trial, participate in the trial voluntarily with informed consent form signed by the patient him/herself or his or her legal representative, and willing to complete follow-up visits as required under the protocol.
  • Evaluated by at least two vascular surgeons or cardiac surgeons as high surgical risk patients or deemed to have significant surgical contraindications.

排除标准

  • Experienced systemic infection during past three months;
  • Neck surgery was performed within 3 months;
  • Previous endovascular interventional treatment involving the aortic arch was performed;
  • Infectious aortic disease、Takayasu arteritis,Marfan syndrome (or other connective tissue diseases );
  • Severe stenosis, calcification, thrombosis, or tortuosity of the carotid or subclavian artery;
  • Heart transplant;
  • Suffered MI or stroke during past three months;
  • Class IV heart function (NYHA classification);
  • Active peptic ulcers or upper gastrointestinal bleeding occurring within the previous three months;
  • Hematological abnormality, defined as follows: Leukopenia (WBC < 3 × 109/L), acute anemia (Hb < 90 g/L); thrombocytopenia (PLT count < 50 × 109/L), history of bleeding or coagulopathy;
  • Renal insufficiency, creatinine > 265 umol/L (or 3.0mg/dL) and/or end-stage renal disease requiring renal dialysis, as determined by an investigator after a thorough analysis;
  • Pregnant or breastfeeding;
  • Allergies to contrast agents;
  • Life expectancy of less than 12 months;
  • Participating in another drug or device research;
  • Any other disease or abnormality that the investigators believe may hinder endovascular interventional treatment.

结局指标

主要结局

Rate of all-cause mortality and major stroke within 12 months after surgery

时间窗: 12 months after surgery

All-cause mortality includes cardiac mortality, non-cardiac mortality, and mortality from unknown causes. Severe stroke is defined as a modified Rankin score (mRS) ≥ 2 at 90 days following stroke onset.

次要结局

  • Rate of aortic aneurysm-related mortality(12 months post operation)
  • Incidence of aortic arch stent graft displacement(1 month, 6 months, 12 months after operation)
  • Incidence of surgically induced de novo aortic dissection converted to open-heart surgery or secondary intervention(30 days, 6 months, and 12 months after operation)
  • Rate of major adverse events(30 days post operation)
  • Rate of immediate technical success following surgery(immediately after the surgery)
  • Rate of aortic aneurysm progression under control(12 months after operation)
  • Incidence of Type I or Type III endoleak(immediately after the surgery, 1 month, 6 months, 12 months after the surgery)
  • Postoperative branch vessel patency rate(1 month, 6 months, 12 months after operation)
  • Incidence of severe adverse events(30 days, 6 months, and 12 months after operation)
  • Incidence of device-related adverse events(30 days, 6 months, and 12 months after operation)

研究者

发起方
Hangzhou Endonom Medtech Co., Ltd.
申办方类型
Industry
责任方
Sponsor

研究点 (23)

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