Complex Aortic Aneurysm Repair Using Physician Modified Endografts and Custom Made Devices
NCT02050113 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 600
Last updated 2025-10-22
Summary
The purpose of this study is to evaluate the safety and efficacy of custom made devices, Zenith t-Branch devices and physician modification of FDA approved off-the-shelf endovascular grafts in the treatment of patients with complex abdominal aneurysms, aortoiliac aneurysms, thoracoabdominal aneurysms and aortic arch aneurysms who (1) have anatomy not suitable for endovascular repair using grafts currently marketed in the United States,(2) are deemed unsafe to wait the required time necessary for commercial endograft manufacturing, and (3) are at high risk for open surgical repair. Amendment to the study has created a cohort open to people with connective tissue diseases such as Marfan, Ehlers-Danlos or Loey-Dietz syndromes to enroll in the trial. An additional amendment to the study allows the use of a custom made device to treat an aneurysm in the aortic arch.
Conditions
- Complex Aortic Aneurysms
- Thoracoabdominal Aneurysms
- Pararenal Aneurysms
- Juxtarenal Aneurysms
- Marfan Syndrome
- Ehlers-Danlos Syndrome
- Loeys-Dietz Syndrome
- Aortic Arch Aneurysm
Interventions
- DEVICE
-
Custom Made Fenestrated or Branched Stent Graft
The surgeon will place a custom made graft, t-Branch device or modify commercially available stent grafts to match the anatomy of the patient being treated. Small fenestrations (holes) will be made in the stent graft so that additional stents can be inserted through the fenestration and into the blood vessels that lead to the kidneys, intestines or liver. These stents allow blood to flow freely to these organs. If the aneurysm is in the aortic arch stents may be placed in the carotid and subclavian arteries. This surgery is done through small incisions in the groin and sometimes in the upper arm.
Sponsors & Collaborators
-
Andres Schanzer
lead OTHER
Principal Investigators
-
Andres Schanzer, MD · University of Massachusetts, Worcester
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-03-31
- Primary Completion
- 2030-03-31
- Completion
- 2030-03-31
- FDA Device
- Yes
Countries
- United States
Study Locations
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