Clinical Effectiveness of an Off-the-shelf Single REnal Scalloped sTent-graft for HOstile NEck Infrarenal Abdominal Aortic Aneurysm
NCT05609539 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 50
Last updated 2025-10-02
Summary
The goal of this multicenter, observational cohort study is to evaluates the clinical effectiveness of a single-renal scallop custom-made stent-graft (TREO, Terumo Aortic, Sunrise, FL) to treat "hostile" AAA with mismatched renal arteries as actual standard of care in this Vascular Unit The main question it aims to answer are: if a dedicated devices could improve the results in the endovascular treatment of patients suffering to infrarenal abdominal aortic aneurism with a mismatched takeoff of the renal arteries.
Participants responding to inclusion criteria will be treated as best clinical practice with a custom made device with a single scallop for the renal artery. The minimum follow-up requested, as standard clinical practice, was: 3-months, 12-18 months- and 5-years CTA; clinical and DUS examination at 6- and 12- and 36-months after the intervention and yearly thereafter.
No comparison group was present.
Conditions
- Abdominal Aortic Aneurysm
Interventions
- DEVICE
-
Endovascular Aortic Repair (EVAR)
Techniques for delivery and deployment of the standard device have been well described by different papers, but for the "prototype" some attention is required. Once the device was advanced at the level of the lowest RA the C-Arm has been moved to correct the parallax effect and positioned orthogonally to the origin of the artery. This procedure permits perfectly matching the scallop with the artery takeoff. A selective angiogram was performed to assure the patency of the lower RA. After the deployment of the main body proper iliac extensions were delivered to completely exclude the aneurysm as standard practice.
Sponsors & Collaborators
-
Ospedale di Circolo - Fondazione Macchi
collaborator OTHER -
Azienda Ospedaliera di Padova
collaborator OTHER -
Azienda Ospedaliera Ordine Mauriziano di Torino
collaborator OTHER -
Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico
collaborator OTHER -
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
collaborator OTHER -
Azienda Ospedaliero-Universitaria di Modena
lead OTHER
Principal Investigators
-
Roberto Silingardi, Prof. · AOU di Modena
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-02-01
- Primary Completion
- 2025-09-28
- Completion
- 2025-09-28
- FDA Device
- Yes
Countries
- Italy
Study Locations
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