Trial Outcomes & Findings for Early Feasibility of the Branched TAG® Device in the Treatment of Aortic Arch Aneurysms (NCT NCT02264977)

NCT ID: NCT02264977

Last Updated: 2022-09-14

Results Overview

Access to the aneurysm and target landing zone location is obtained via conventional vascular access and endovascular techniques.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

9 participants

Primary outcome timeframe

During treatment procedure (day 0)

Results posted on

2022-09-14

Participant Flow

Participant milestones

Participant milestones
Measure
Branched TAG® Device
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Overall Study
STARTED
9
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Branched TAG® Device
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Overall Study
Death
3
Overall Study
Physician Decision
1
Overall Study
Refuse to return
1

Baseline Characteristics

Early Feasibility of the Branched TAG® Device in the Treatment of Aortic Arch Aneurysms

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Branched TAG® Device
n=9 Participants
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Age, Continuous
72.8 years
STANDARD_DEVIATION 8.0 • n=99 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
Sex: Female, Male
Male
7 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
Race (NIH/OMB)
White
7 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
BMI, Continuous
26.2 kg/(m^2)
STANDARD_DEVIATION 5.5 • n=99 Participants

PRIMARY outcome

Timeframe: During treatment procedure (day 0)

Access to the aneurysm and target landing zone location is obtained via conventional vascular access and endovascular techniques.

Outcome measures

Outcome measures
Measure
Branched TAG® Device
n=9 Participants
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Number of Participants With Successful Study Device Access
9 Participants

PRIMARY outcome

Timeframe: During treatment procedure (day 0)

Absence of deployment failure will be considered a successful deployment. Deployment failure will be considered the failure of any Branched TAG® Device component (Aortic Component, Aortic Extender, or SB Component) to be released from the delivery catheter resulting in a serious adverse event (SAE) due to mechanical failure or use error.

Outcome measures

Outcome measures
Measure
Branched TAG® Device
n=9 Participants
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Number of Participants With Successful Study Device Deployment
9 Participants

PRIMARY outcome

Timeframe: At conclusion of the treatment procedure (day 0)

The presence of forward flow through the implanted Side Branch Component into the target branch vessel.

Outcome measures

Outcome measures
Measure
Branched TAG® Device
n=9 Participants
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Number of Participants With Primary Procedural Side Branch Patency
9 Participants

SECONDARY outcome

Timeframe: 1 Month

Population: One participant not assessed for patency at 1 month.

Outcome measures

Outcome measures
Measure
Branched TAG® Device
n=8 Participants
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Number of Participants With 1 Month Side Branch Primary Patency Assessed by an Independent Core Lab
8 Participants

SECONDARY outcome

Timeframe: 1 Month

Population: Two participants not assessed for endoleaks at 1 month.

Device-related endoleaks are defined as the presence of contrast within the aneurysm sac originating from the junction between any Branched TAG® Device component and the landing zone (Type IA or IB) or the junction between the Aortic Component and either the Side Branch Component or the Aortic Extender (Type III).

Outcome measures

Outcome measures
Measure
Branched TAG® Device
n=7 Participants
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Number of Participants Without 1 Month Device Related Endoleaks Assessed by an Independent Core Lab
7 Participants

Adverse Events

Branched TAG® Device

Serious events: 9 serious events
Other events: 8 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
Branched TAG® Device
n=9 participants at risk
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Blood and lymphatic system disorders
Coagulopathy
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Cardiac disorders
Bradycardia
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Cardiac disorders
Cardiac arrest
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Cardiac disorders
Congestive cardiac failure aggravated
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Cardiac disorders
Myocardial infarction
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Cardiac disorders
Pulseless electrical activity
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Cardiac disorders
ST segment elevation myocardial infarction
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Cardiac disorders
Systolic heart failure
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Congenital, familial and genetic disorders
Hemorrhagic arteriovenous malformation
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Gastrointestinal disorders
Gastrointestinal bleed
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Gastrointestinal disorders
Hematemesis
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
General disorders
Non-cardiac chest pain
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
General disorders
Physical deconditioning
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Hepatobiliary disorders
Cholelithiasis
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Immune system disorders
Anaphylactic reaction
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Infections and infestations
COVID-19
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Infections and infestations
Diverticulitis of colon with hemorrhage
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Infections and infestations
Gastroenteritis
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Infections and infestations
Mediastinal infection
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Infections and infestations
Pneumonia
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Infections and infestations
Staphylococcal bacteremia
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Infections and infestations
Urinary tract infection
22.2%
2/9 • Number of events 2 • From endovascular procedure through 60 months
Infections and infestations
Urosepsis
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Infections and infestations
Viral infection
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Injury, poisoning and procedural complications
Lumbar vertebral fracture L2
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Injury, poisoning and procedural complications
Vascular access site hematoma
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Metabolism and nutrition disorders
Failure to thrive
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Metabolism and nutrition disorders
Malnutrition
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Musculoskeletal and connective tissue disorders
Pseudogout
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung adenocarcinoma
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-small cell lung cancer
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Anoxic encephalopathy
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Arm spasticity
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Cerebral infarction
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Cerebrovascular infarction
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Lacunar infarction
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Middle cerebral artery stroke
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Numbness of lower extremities
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Numbness of upper arm
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Stroke
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Psychiatric disorders
Mental status changes
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Acute on chronic respiratory failure
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Pneumothorax
22.2%
2/9 • Number of events 2 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Respiratory failure
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Vascular disorders
Deep vein thrombosis leg
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Vascular disorders
Hypotension
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months

Other adverse events

Other adverse events
Measure
Branched TAG® Device
n=9 participants at risk
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Blood and lymphatic system disorders
Acute post hemorrhagic anemia
22.2%
2/9 • Number of events 2 • From endovascular procedure through 60 months
Cardiac disorders
AV block first degree
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Cardiac disorders
Atrial fibrillation
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Cardiac disorders
Atrial fibrillation with rapid ventricular response
22.2%
2/9 • Number of events 3 • From endovascular procedure through 60 months
Cardiac disorders
Left atrial appendage thrombosis
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Cardiac disorders
Mobitz type I
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Cardiac disorders
Right bundle branch block
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Cardiac disorders
Sinus bradycardia
11.1%
1/9 • Number of events 2 • From endovascular procedure through 60 months
Cardiac disorders
Sinus tachycardia
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Cardiac disorders
Tachycardia
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Eye disorders
Transient visual loss
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Gastrointestinal disorders
Diarrhea
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Gastrointestinal disorders
Dysphagia
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Gastrointestinal disorders
Ileus
22.2%
2/9 • Number of events 2 • From endovascular procedure through 60 months
Gastrointestinal disorders
Nausea
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Gastrointestinal disorders
Vomiting
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
General disorders
Chest pain (non-cardiac)
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
General disorders
Fever
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
General disorders
Fever of unknown origin
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
General disorders
Neck swelling
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
General disorders
Pain
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
General disorders
Stent-graft endoleak type II
22.2%
2/9 • Number of events 2 • From endovascular procedure through 60 months
Infections and infestations
Acute cystitis
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Infections and infestations
Candidemia
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Infections and infestations
Cellulitis of leg
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Infections and infestations
Lower urinary tract infection
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Infections and infestations
Pneumonia
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Infections and infestations
Upper respiratory infection
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Infections and infestations
Urinary tract infection
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Injury, poisoning and procedural complications
Ankle sprain
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Injury, poisoning and procedural complications
Bruise of head
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Injury, poisoning and procedural complications
Chest injury
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Injury, poisoning and procedural complications
Contusion of chest wall
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Injury, poisoning and procedural complications
Contusion of elbow
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Injury, poisoning and procedural complications
Fall
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Injury, poisoning and procedural complications
Fractured toe
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Injury, poisoning and procedural complications
Laceration of face
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Injury, poisoning and procedural complications
Laceration of wrist
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Injury, poisoning and procedural complications
Neck sprain
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Injury, poisoning and procedural complications
Rib contusion
11.1%
1/9 • Number of events 2 • From endovascular procedure through 60 months
Injury, poisoning and procedural complications
Vascular access site hematoma
22.2%
2/9 • Number of events 2 • From endovascular procedure through 60 months
Metabolism and nutrition disorders
Dehydration
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Metabolism and nutrition disorders
Electrolyte imbalance
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Metabolism and nutrition disorders
Gout acute
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Musculoskeletal and connective tissue disorders
Calf pain
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Musculoskeletal and connective tissue disorders
Leg pain
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign esophageal neoplasm
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Apraxia
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Carpal tunnel syndrome
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Dizziness exertional
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Embolic cerebral infarction
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Foot drop
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Hemiparesis (right)
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Incoordination
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Numbness in leg
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Paralysis arm
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Parkinson's disease
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Radiculopathy
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Nervous system disorders
Weakness left or right side
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Psychiatric disorders
Agitation
22.2%
2/9 • Number of events 2 • From endovascular procedure through 60 months
Psychiatric disorders
Anxiety depression
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Psychiatric disorders
Delirium
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Psychiatric disorders
Depression
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Renal and urinary disorders
Acute kidney injury
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Renal and urinary disorders
Acute renal failure
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Atelectasis
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Bilateral pleural effusion
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Emphysema pulmonary
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Hiccups
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Hypoxemia
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Hypoxia
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Respiratory failure
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Respiratory, thoracic and mediastinal disorders
Sore throat
11.1%
1/9 • Number of events 1 • From endovascular procedure through 60 months
Vascular disorders
Hypotension
33.3%
3/9 • Number of events 3 • From endovascular procedure through 60 months
Vascular disorders
Orthostatic hypotension
11.1%
1/9 • Number of events 2 • From endovascular procedure through 60 months

Additional Information

Jennifer Gorman

W.L. Gore & Associates

Phone: 928-863-8483

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place