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N/A N=60 Treatment

A Multicenter, Open Label, Prospective, Non-Randomized Study Of INCRAFT™ In Subjects With AAA (INNOVATION)

Abdominal Aortic Aneurysms

Enrolled (actual)
60
Serious AEs
13.3%
Results posted
Nov 2013
Primary outcome: Primary: Rate of Technical Success Through the One Month Follow up. — 54 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Cordis AAA stent graft system "INCRAFT TM" (Device)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Cordis US Corp.
Primary completion
Aug 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
Rate of Technical Success Through the One Month Follow up.
54
PRIMARY
Rate of Primary Safety Endpoint Within 1 Month Post-procedure.
56
SECONDARY
Percentage of Participants With Incidence of Aneurysm Enlargement Annually Through 5 Years Post - Procedure.
0.0; 0.0; 4.4; 10.3; 7.9
SECONDARY
Percentage of Participants With Incidence of Stent-graft Migration Annually Through 5 Years Post - Procedure.
0.0; 0.0; 0.0; 0.0; 0.0
SECONDARY
The Cumulative Percentage of Participants With Major Adverse Events at Annually Through 5 Years Post - Procedure.
1.8; 11.5; 12.7; 17.6; 24
SECONDARY
The Percentage of Participants With Endoleaks at Annually Through 5 Years Post - Procedure.
0.0; 0.0; 4.4; 2.6; 2.6
SECONDARY
The Percentage of Participants With Stent-graft Fractures at 30 Days and Annually Through 5 Years Post - Procedure.
0.0; 0.0; 0.0; 1.0; 2.5; 2.6
SECONDARY
The Percentage of Participants With Thrombosis at 30 Days and Annually Through 5 Years Post - Procedure.
0.0; 0.0; 1.9; 1.8; 2.0; 2.0
SECONDARY
The Percentage of Participants With Stent Graft Explant at 30 Days and Annually Through 5 Years Post - Procedure.
0.0; 0.0; 0.0; 0.0; 0.0; 0.0
SECONDARY
The Percentage of Participants With Endoleg Patency at 30 Days and Annually Through 5 Years Post - Procedure.
100; 100; 100; 97.8; 97.6; 97.4

Summary

This study is a multi-center prospective, open label, non-randomized investigation of INCRAFT™ in subjects with abdominal aortic aneurysms. The study will enroll up to 60 subjects in up to 7 sites in Germany and Italy.

Eligibility Criteria

INCLUSION CRITERIA

  • Subject is a male or infertile female > 18 years of age
  • Subject understands study requirements and treatment procedures and agrees to sign an informed consent form prior to any study procedures.
  • Subject is considered an appropriate candidate for open surgical repair of an abdominal aortic aneurysm.
  • Subject has at least one of the following:
  • Abdominal aortic aneurysm ≥4.5 cm in women or ≥ 5 cm in men in diameter
  • Aneurysm, which is >4 cm and which has increased in size by 0.5 cm within 6 months
  • The maximum aortic diameter is ≥1.5 times that of the reference aortic diameter
  • Saccular aneurysm
  • Subject has access vessel size compatible with vascular access techniques and potential accessories used with delivery profile of 14Fr
  • Subject aortic aneurysm neck is ≥15 mm in length
  • Subject iliac landing zone≥10mm in length
  • Subject has distal iliac landing sites with diameter ranges of 9-18mm
  • Subject proximal aortic attachment is between 20-27 mm in diameter.
  • Subject has a minimum overall AAA treatment length (from lowest renal artery to distal landing zone) of 140 mm.
  • Subject is willing to comply with all specified follow-up evaluations.

EXCLUSION CRITERIA

  • Subject has one of the following:
  • a dissecting or inflammatory aneurysm
  • acutely ruptured aneurysm
  • pararenal or leaking aneurysm
  • The supra-renal aorta at 2cm above the lowest renal aorta is not more than the nominal diameter of the aortic bifurcate prosthesis
  • Aortic length (lowest renal artery origin to the aortic bifurcation) of 60° in the supra-renal and/or infra-renal locations
  • Aortic bifurcation ≤18mm in diameter
  • Acute vascular injury due to trauma
  • Subject has a known allergy to contrast medium
  • Subject has known allergy to nitinol, PET or PTFE
  • Subject has a need for emergent surgery
  • Subject has a contraindication to undergoing angiography
  • Subject has a thoracic aortic aneurysm that requires treatment
  • Subject has Infra-renal aortic dissection
  • Subject has an Iliac anatomy which would require occlusion of both internal iliac arteries
  • Subject has congenital abnormalities in which the placement of the stent-graft will cause occlusion of major arterial flow. Such abnormalities should be evaluated (e.g. angiography or CT) prior to treatment
  • Subject has unstable angina as defined by Braunwald angina classification
  • Subject has morbid obesity (BMI of >40.0) or other clinical conditions that severely inhibit visualization of the aorta
  • Subject has connective tissue disease (e.g., Marfan's or Ehler's-Danos syndrome)
  • Subject has known bleeding or hypercoagulable disorder
  • Subject has contraindication for anticoagulation
  • Subject with Stroke or MI or intracranial bleeding within 3 months prior to the procedure
  • Subject with renal insufficiency (creatinine > 2.0 mg/dl)
  • Subject has known or suspected active infection at the time of the index procedure (for ex. Pneumonia, acute virus infection, contaminated wounds etc)
  • Subject is currently taking systemic immunosuppressant therapy
  • Subject had a major surgical procedure within 30 days prior to procedure or planned within 30 days post procedure
  • Subject has a life expectancy less than 2 years
  • Subject is currently participating in another research study involving an investigational device or new drug
  • Other medical, social, or psychological issues that in the opinion of the investigator preclude them from receiving this treatment, and the procedures and evaluations pre- and post-treatment
  • Subject with an existing AAA surgical graft and/or a AAA stent-graft system
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01106391). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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