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In this study patients will be observed, who receive a multi-branch stent graft tailored to the patients anatomy for the endovascular treatment of a thoracoabdominal aortic aneurysm Crawford type I, II, III, IV or V.
The objective of this study is to evaluate clinical and technical success as well as safety and feasibility of the multi-branch stent graft Systems used in endovascular treatment of thoracoabdominal aortic aneurysms that cannot be treated with commercially available devices. Primary endpoint of this study is the rate of patients with stable or decreasing aneurysm size at 12 months follow-up.
In this study patients will be observed, who receive a multi-branch stent graft tailored to the patient´s anatomy for the endovascular treatment of a thoracoabdominal aortic aneurysm Crawford type I, II, III, IV or V. Participating physicians will be asked to provide their observations collected during routine care for patients he/she had decided to treat with a multi-branch stent graft produced by JOTEC GmbH. Informed consent of the patients to allow the use of their clinical records for the purpose of this observational study will be obtained before data are being collected.
The period of data collection will be 36 months from the intervention for each patient. A risk based source data verification will be performed. CT angiograms will be evaluated by a CoreLab.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Endovascular thoracoabdominal aneurysm repair | Device | Endovascular treatment of patients with thoracoabdominal aneurysm using a multibranch stent graft tailored to the patient´s anatomy in combination with peripheral covered stents to bridge the visceral arteries |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of patients with stable or decreasing aneurysm size at 12 months follow-up (measured by CoreLab) | Decreasing size: >/= 5mm Increasing size: \ | 12 months follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of all cause mortality | intra-op, post-op until 36 months follow-up | |
| Rate of patients with aneurysm rupture | post-op until 36 months follow-up | |
| Rate of patients with main adverse events (product-related, procedure-related, aneurysm-related) |
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Inclusion Criteria:
Exclusion Criteria:
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A total number of 40 male and female patients with asymptomatic thoracoabdominal aortic aneurysm, treated with a multi-branch stent graft system.
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| Name | Affiliation | Role |
|---|---|---|
| Hubert Schelzig, Professor | Uniklinikum Düsseldorf | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Uniklinikum Düsseldorf | Düsseldorf | North Rhine-Westphalia | 40225 | Germany |
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| post-op until 36 months follow-up |
| Rate of interventions in peri-operative periods (all related interventions until index procedure) | intra-op |
| Rate of reinterventions | post-op until 36 months follow-up |
| Rate of patients with endoleaks type Ia, Ib, II, III, IV, V and of unknown origin | post-op until 36 months follow-up |
| Rate of patients with multi-branch stent graft migration | post-op until 36 months follow-up |
| Rate of patients with loss of device integrity | post-op until 36 months follow-up |
| Rate of patients with primary / secondary patency of branch vessels | post-op until 36 months follow-up |
| Rate of patients with stent graft infection | post-op until 36 months follow-up |
| Rate of patients with primary / secondary technical success | post-op until 36 months follow-up |
| Rate of patients with primary / secondary clinical success | post-op until 36 months follow-up |
| Rate of patients with removal or failure to implant the multi-branch stent graft | intra-op, post-op until 36 months follow-up |