Trial Outcomes & Findings for CTAG Dissection/Trauma Post Marketing Surveillance Japan (NCT NCT05414318)

NCT ID: NCT05414318

Last Updated: 2024-10-03

Results Overview

Number of subjects who achieved the primary entry tear exclusion

Recruitment status

COMPLETED

Target enrollment

55 participants

Primary outcome timeframe

At each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)

Results posted on

2024-10-03

Participant Flow

Participant milestones

Participant milestones
Measure
Dissection
Acute complicated Stanford type B dissection: Patients are enrolled and surveyed if the device is used in patients with complicated acute Stanford Type B aortic dissection at sites that contracted for this survey
Trauma
Traumatic thoracic aortic injury: Patients are enrolled and surveyed if the device is used in patients with Traumatic thoracic aortic injury at sites that contracted for this survey
Overall Study
STARTED
43
12
Overall Study
COMPLETED
21
5
Overall Study
NOT COMPLETED
22
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Missing Data for Some Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dissection
n=43 Participants
Acute complicated Stanford type B dissection
Trauma
n=12 Participants
Traumatic thoracic aortic injury
Total
n=55 Participants
Total of all reporting groups
Age, Continuous
65 years
n=38 Participants • Missing Data for Some Participants
58.5 years
n=12 Participants • Missing Data for Some Participants
65 years
n=50 Participants • Missing Data for Some Participants
Sex: Female, Male
Female
10 Participants
n=43 Participants
2 Participants
n=12 Participants
12 Participants
n=55 Participants
Sex: Female, Male
Male
33 Participants
n=43 Participants
10 Participants
n=12 Participants
43 Participants
n=55 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Japan
43 participants
n=43 Participants
12 participants
n=12 Participants
55 participants
n=55 Participants
Height
165 cm
n=38 Participants • Missing Data for Some Participants
166.5 cm
n=10 Participants • Missing Data for Some Participants
165 cm
n=48 Participants • Missing Data for Some Participants
Weight
63.9 kg
n=41 Participants • Missing Data for Some Participants
67.3 kg
n=12 Participants • Missing Data for Some Participants
66.0 kg
n=53 Participants • Missing Data for Some Participants
American Society of Anesthesiologists (ASA) Classification
ASA 1
13 Participants
n=43 Participants
3 Participants
n=12 Participants
16 Participants
n=55 Participants
American Society of Anesthesiologists (ASA) Classification
ASA II
10 Participants
n=43 Participants
0 Participants
n=12 Participants
10 Participants
n=55 Participants
American Society of Anesthesiologists (ASA) Classification
ASA III
11 Participants
n=43 Participants
5 Participants
n=12 Participants
16 Participants
n=55 Participants
American Society of Anesthesiologists (ASA) Classification
ASA IV
9 Participants
n=43 Participants
4 Participants
n=12 Participants
13 Participants
n=55 Participants
American Society of Anesthesiologists (ASA) Classification
ASA V
0 Participants
n=43 Participants
0 Participants
n=12 Participants
0 Participants
n=55 Participants
Pulmonary Disease
4 Participants
n=43 Participants
0 Participants
n=12 Participants
4 Participants
n=55 Participants
Renal Disease
2 Participants
n=43 Participants
0 Participants
n=12 Participants
2 Participants
n=55 Participants
Cerebrovascular Disease
6 Participants
n=43 Participants
0 Participants
n=12 Participants
6 Participants
n=55 Participants
Hypertension
29 Participants
n=43 Participants
2 Participants
n=12 Participants
31 Participants
n=55 Participants
Diabetes Mellitus
5 Participants
n=43 Participants
1 Participants
n=12 Participants
6 Participants
n=55 Participants
Prior Descending Thoracic Aorta Repair
0 Participants
n=43 Participants
0 Participants
n=12 Participants
0 Participants
n=55 Participants
At Risk for Graft Infection
0 Participants
n=43 Participants
1 Participants
n=12 Participants
1 Participants
n=55 Participants
Persistent Refractory Shock
3 Participants
n=43 Participants
2 Participants
n=12 Participants
5 Participants
n=55 Participants
Bowel Necrosis
1 Participants
n=43 Participants
0 Participants
n=12 Participants
1 Participants
n=55 Participants
Degenerative Connective Tissue Disease
1 Participants
n=43 Participants
0 Participants
n=12 Participants
1 Participants
n=55 Participants

PRIMARY outcome

Timeframe: At each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)

Population: Patients with acute complicated Stanford type B dissection with evaluable result. (Not a protocol-defined endpoint for trauma arm and therefore not evaluated)

Number of subjects who achieved the primary entry tear exclusion

Outcome measures

Outcome measures
Measure
Dissection
n=38 Participants
Acute complicated Stanford type B dissection
Trauma
Traumatic thoracic aortic injury
Primary Entry Tear Exclusion
1 Month
21 Participants
Primary Entry Tear Exclusion
6 Months
26 Participants
Primary Entry Tear Exclusion
12 Months
27 Participants
Primary Entry Tear Exclusion
24 Months
22 Participants
Primary Entry Tear Exclusion
36 Months
19 Participants
Primary Entry Tear Exclusion
48 Months
17 Participants
Primary Entry Tear Exclusion
60 Months
20 Participants

PRIMARY outcome

Timeframe: Procedure through 5 years (Day 0-2006)

Population: Subjects with acute complicated Stanford type B dissection. (Not a protocol-defined endpoint for trauma arm and therefore not evaluated)

Number of subjects with Aortic Rupture

Outcome measures

Outcome measures
Measure
Dissection
n=43 Participants
Acute complicated Stanford type B dissection
Trauma
Traumatic thoracic aortic injury
Aortic Rupture
2 Participants

PRIMARY outcome

Timeframe: Procedure through 5 years (Day 0-2006)

Number of subjects with major device-related adverse events

Outcome measures

Outcome measures
Measure
Dissection
n=43 Participants
Acute complicated Stanford type B dissection
Trauma
n=12 Participants
Traumatic thoracic aortic injury
Major Device-related Adverse Events
3 Participants
0 Participants

PRIMARY outcome

Timeframe: Post-procedure through 5 years (Day 1-2006)

Incidence rate of secondary intervention treatment

Outcome measures

Outcome measures
Measure
Dissection
n=42 Participants
Acute complicated Stanford type B dissection
Trauma
n=12 Participants
Traumatic thoracic aortic injury
Secondary Intervention Treatment
5 Participants
0 Participants

PRIMARY outcome

Timeframe: At each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)

Population: Patients with acute complicated Stanford type B dissection with evaluable result. (Outcome not applicable for trauma arm - see Outcome Measure #9 for change in maximum lesion diameter for the trauma arm)

Change in minimum true lumen diameter adjacent to treated segment at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)

Outcome measures

Outcome measures
Measure
Dissection
n=38 Participants
Acute complicated Stanford type B dissection
Trauma
Traumatic thoracic aortic injury
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
1 Month · No Change
6 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
1 Month · Increase
18 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
24 Months · Decrease
0 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
24 Months · No Change
6 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
24 Months · Increase
23 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
36 Months · Decrease
0 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
36 Months · No Change
4 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
36 Months · Increase
18 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
48 Months · Decrease
0 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
48 Months · No Change
3 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
1 Month · Decrease
1 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
6 Months · Decrease
1 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
6 Months · No Change
3 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
6 Months · Increase
26 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
12 Months · Decrease
0 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
12 Months · No Change
7 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
12 Months · Increase
24 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
48 Months · Increase
16 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
60 Months · Decrease
0 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
60 Months · No Change
3 Participants
Change in Minimum True Lumen Diameter Adjacent to Treated Segment
60 Months · Increase
18 Participants

PRIMARY outcome

Timeframe: At each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)

Population: Patients with acute complicated Stanford type B dissection with evaluable result (Outcome not applicable for trauma arm - see Outcome Measure #9 for change in maximum lesion diameter for the trauma arm)

Change in minimum true lumen diameter distal to treated segment at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)

Outcome measures

Outcome measures
Measure
Dissection
n=37 Participants
Acute complicated Stanford type B dissection
Trauma
Traumatic thoracic aortic injury
Change in Minimum True Lumen Diameter Distal to Treated Segment
12 Months · No Change
10 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
12 Months · Increase
16 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
24 Months · Decrease
0 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
1 Month · Decrease
0 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
1 Month · No Change
13 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
1 Month · Increase
11 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
6 Months · Decrease
1 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
6 Months · No Change
11 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
6 Months · Increase
14 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
12 Months · Decrease
0 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
24 Months · No Change
7 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
24 Months · Increase
19 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
36 Months · Decrease
0 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
36 Months · No Change
5 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
36 Months · Increase
15 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
48 Months · Decrease
0 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
48 Months · No Change
6 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
48 Months · Increase
12 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
60 Months · Decrease
0 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
60 Months · No Change
7 Participants
Change in Minimum True Lumen Diameter Distal to Treated Segment
60 Months · Increase
13 Participants

PRIMARY outcome

Timeframe: At each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)

Population: Patients with acute complicated Stanford type B dissection with evaluable result (Outcome not applicable for trauma arm - see Outcome Measure #9 for change in maximum lesion diameter for the trauma arm)

Change in maximum false lumen diameter adjacent to treated segment at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)

Outcome measures

Outcome measures
Measure
Dissection
n=38 Participants
Acute complicated Stanford type B dissection
Trauma
Traumatic thoracic aortic injury
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
24 Months · Decrease
21 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
24 Months · No Change
2 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
24 Months · Increase
2 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
36 Months · Decrease
17 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
36 Months · No Change
2 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
48 Months · Decrease
15 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
48 Months · No Change
2 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
48 Months · Increase
1 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
1 Month · Decrease
18 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
1 Month · No Change
5 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
1 Month · Increase
1 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
6 Months · Decrease
23 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
6 Months · No Change
4 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
6 Months · Increase
0 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
12 Months · Decrease
24 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
12 Months · No Change
4 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
12 Months · Increase
1 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
36 Months · Increase
1 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
60 Months · Decrease
18 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
60 Months · No Change
0 Participants
Change in Maximum False Lumen Diameter Adjacent to Treated Segment
60 Months · Increase
1 Participants

PRIMARY outcome

Timeframe: At each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)

Population: Patients with acute complicated Stanford type B dissection with evaluable result (Outcome not applicable for trauma arm - see Outcome Measure #9 for change in maximum lesion diameter for the trauma arm)

Change in maximum false lumen diameter distal to treated segment at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)

Outcome measures

Outcome measures
Measure
Dissection
n=37 Participants
Acute complicated Stanford type B dissection
Trauma
Traumatic thoracic aortic injury
Change in Maximum False Lumen Diameter Distal to Treated Segment
1 Month · Increase
0 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
6 Months · Decrease
19 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
6 Months · No Change
5 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
1 Month · Decrease
14 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
1 Month · No Change
10 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
6 Months · Increase
1 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
12 Months · Decrease
20 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
12 Months · No Change
4 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
12 Months · Increase
2 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
24 Months · Decrease
15 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
24 Months · No Change
6 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
24 Months · Increase
2 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
36 Months · Decrease
12 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
36 Months · No Change
3 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
36 Months · Increase
4 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
48 Months · Decrease
14 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
48 Months · No Change
1 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
48 Months · Increase
2 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
60 Months · Decrease
15 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
60 Months · No Change
3 Participants
Change in Maximum False Lumen Diameter Distal to Treated Segment
60 Months · Increase
1 Participants

PRIMARY outcome

Timeframe: At each follow-up visit from 6 months through 5 years: 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)

Population: Subjects with Traumatic thoracic aortic injury. (Outcome not applicable for dissection arm - see Outcome Measures #5-8 for change in true/false lumen diameter for the dissection arm)

Change in maximum lesion diameter at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)

Outcome measures

Outcome measures
Measure
Dissection
n=3 Participants
Acute complicated Stanford type B dissection
Trauma
Traumatic thoracic aortic injury
Change in Maximum Lesion Diameter
6 Months · Decrease
1 Participants
Change in Maximum Lesion Diameter
6 Months · No Change
2 Participants
Change in Maximum Lesion Diameter
6 Months · Increase
0 Participants
Change in Maximum Lesion Diameter
12 Months · Decrease
1 Participants
Change in Maximum Lesion Diameter
12 Months · No Change
2 Participants
Change in Maximum Lesion Diameter
12 Months · Increase
0 Participants
Change in Maximum Lesion Diameter
24 Months · Decrease
1 Participants
Change in Maximum Lesion Diameter
24 Months · No Change
2 Participants
Change in Maximum Lesion Diameter
24 Months · Increase
0 Participants
Change in Maximum Lesion Diameter
36 Months · Decrease
1 Participants
Change in Maximum Lesion Diameter
36 Months · No Change
0 Participants
Change in Maximum Lesion Diameter
36 Months · Increase
0 Participants
Change in Maximum Lesion Diameter
48 Months · Decrease
1 Participants
Change in Maximum Lesion Diameter
48 Months · No Change
1 Participants
Change in Maximum Lesion Diameter
48 Months · Increase
0 Participants
Change in Maximum Lesion Diameter
60 Months · Decrease
1 Participants
Change in Maximum Lesion Diameter
60 Months · No Change
0 Participants
Change in Maximum Lesion Diameter
60 Months · Increase
0 Participants

Adverse Events

Dissection

Serious events: 17 serious events
Other events: 0 other events
Deaths: 10 deaths

Trauma

Serious events: 1 serious events
Other events: 0 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Dissection
n=43 participants at risk
Acute complicated Stanford type B dissection
Trauma
n=12 participants at risk
Traumatic thoracic aortic injury
Vascular disorders
Aortic Rupture
4.7%
2/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)
Vascular disorders
New Aortic Dissection
4.7%
2/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)
Vascular disorders
False Lumen Enlargement (>=5mm)
2.3%
1/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)
Respiratory, thoracic and mediastinal disorders
Atelactasis/Pneumonia
2.3%
1/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
2.3%
1/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)
Cardiac disorders
Congestive Heart Failure
7.0%
3/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)
Gastrointestinal disorders
Bowel Ischemia
7.0%
3/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)
Gastrointestinal disorders
Other Bowel Complication
2.3%
1/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)
Vascular disorders
Other Vascular Complication
2.3%
1/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)
Nervous system disorders
Paraplegia/Paraparesis
2.3%
1/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)
Infections and infestations
Prosthesis Infection
4.7%
2/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)
Infections and infestations
Other Infection
2.3%
1/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)
General disorders
Other Complications (not device complication)
7.0%
3/43 • 5 years (Post-operative day 0-2006)
8.3%
1/12 • 5 years (Post-operative day 0-2006)
Vascular disorders
Endoleak Type Ia
2.3%
1/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)
Vascular disorders
Endoleak Type III
2.3%
1/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)
Vascular disorders
Endoleak, Other
2.3%
1/43 • 5 years (Post-operative day 0-2006)
0.00%
0/12 • 5 years (Post-operative day 0-2006)

Other adverse events

Adverse event data not reported

Additional Information

Charee Robe

W.L. Gore & Associates

Phone: 928-864-4048

Results disclosure agreements

  • Principal investigator is a sponsor employee The PI is required to obtain written permission from the Sponsor prior to publishing trial results.
  • Publication restrictions are in place

Restriction type: OTHER