Recruiting NA Complex Abdominal Aortic Aneurysms

Tests treatment safety and results for Complex Abdominal Aortic Aneurysms

Official title Clinical Performance and Safety Assessment of the Use of iCover Balloon Expandable Covered Stent (iVascular) Implanted as Bridging Stent in FEVAR (Fenestrated Endovascular Aortic Repair) for the Treatment of Complex Abdominal Aortic Aneurysms

ClinicalTrials.gov ID: NCT07529275

What this study is testing

What it's testing
fenCo is a European multicentre, prospective study to evaluate the use of the iCover covered stents as bridging stents for reno-visceral target vessel during fEVAR for the treatment of complex abdominal aortic aneurysms.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 55 and older

You may be able to join if

  • Patient suitable for treatment of a juxta, para-renal, suprarenal or thoracoabdominal aneurysm with a fenestrated endoprosthesis in accordance with...
  • The fenestrated endograft must be designed in a way that positions the fenestrations directly in front of the orifice of the target vessel, ensuring...
  • Anatomy and patient strictly in accordance with the Instructions For Use (IFU) of the fenestrated endograft chosen to be implanted:
  • Cook Medical: Zenith Fenestrated AAA Endovascular Graft
  • Terumo Aortic: TREO and Anaconda Fenestrated Stent Grafts

You likely can't join if

  • Patients contraindicated for anti-platelet therapy.
  • Patients with uncontrolled haematological disorders or heparin-induced thrombocytopenia.
  • Chronic or acute aortic dissection.
  • Patients refusing treatment.
  • Patients who are pregnant or wish to become pregnant.
  • Patients scheduled for major or life-saving surgery within 30 days of the fenestrated stent procedure.
See the full eligibility criteria
Who can join
  • Patient suitable for treatment of a juxta, para-renal, suprarenal or thoracoabdominal aneurysm with a fenestrated endoprosthesis in accordance with current indications and guidelines for the management of abdominal...
  • The fenestrated endograft must be designed in a way that positions the fenestrations directly in front of the orifice of the target vessel, ensuring that the distance between the fenestration and the orifice of the...
  • Anatomy and patient strictly in accordance with the Instructions For Use (IFU) of the fenestrated endograft chosen to be implanted:
  • Cook Medical: Zenith Fenestrated AAA Endovascular Graft
  • Terumo Aortic: TREO and Anaconda Fenestrated Stent Grafts
  • JOTEC (part of Artivion): E-xtra design engineering.
  • Additional iCover stent, if necessary, could be placed in the same target artery (2 iCovers stents max as bridging stent for each fenestration).
  • Landing zone in the target vessel of at least 10 mm.
  • Target arteries (renal arteries, superior mesenteric artery, celiac trunk) with a diameter between 5 and 10 mm.
  • Angulation of the aorta at the level of the target vessels \< 45 degrees.
  • No early significant branching from the target vessel with a potential risk of coverage and subsequent significant risk of target organ infarctions.
  • Age \> 55 years.
  • Patient having notified his consent to this study and willing to comply with specified follow-up evaluations at the specified times.
  • Patient affiliated to or benefiting from a social security system.
  • Patient with life expectancy \> 12 months.
What rules you out
  • Patients contraindicated for anti-platelet therapy.
  • Patients with uncontrolled haematological disorders or heparin-induced thrombocytopenia.
  • Chronic or acute aortic dissection.
  • Patients refusing treatment.
  • Patients who are pregnant or wish to become pregnant.
  • Patients scheduled for major or life-saving surgery within 30 days of the fenestrated stent procedure.
  • Patients considered hemodynamically unstable or requiring emergency treatment.
  • Patients with severe arteriopathy leading to adverse outflow, which may impair bridging stent patency on the targeted artery.
  • Thrombus in the aortic sealing zone and target arteries with thickness \> to 3 mm.
  • Stenosis (\>50%) or occlusion of target arteries or distal disease resulting in poor iCover stent outflow.
  • Patients allergic to stent materials (L605) and/or PTFE.
  • Patients requiring a hybrid aortic technique with branches, semibranches or chimneys.
  • Patient who has been implanted with any stent type or brand other than iCover as a bridging stent in any target artery.
  • Patients with infectious/mycotic aneurysms.
  • Angulation between renal artery and aortic wall \< 30 degrees.
  • Patients with complex iliac accesses out the IFUs of the fenestrated endograft chosen to be implanted (COOK Medical / Terumo Aortic/Jotec-Artivion) with the iCover Bridging stent.
  • Patient is currently participating in another investigational drug or device study that has not completed the entire follow up period that may interfere with the results of this study.
  • Myocardial infarction or stroke within 3 months prior to the procedure.
  • Patients with an unstable angina pectoris or heart insufficiency NYHA 3 or 4.
  • Patients with ASA classification 5 or higher.
  • Patients with physician modified endografts or in situ laser FEVAR.

The study team makes the final eligibility decision.

Where it's taking place

  • Bonheiden, Belgium
  • Genk, Belgium
  • Ghent, Belgium
  • Gilly, Belgium
  • Hasselt, Belgium
  • Liège, Belgium
  • Bordeaux, France
  • Brest, France
  • Lille, France
  • Marseille, France
  • Nîmes, France
  • Toulouse, France
  • Villeneuve-d'Ascq, France
  • Cologne, Germany
  • Hamburg, Germany
  • Leipzig, Germany
  • München, Germany
  • Amsterdam, Netherlands
  • Groningen, Netherlands
  • Barcelona, Spain

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 55 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Bonheiden, Belgium; Genk, Belgium; Ghent, Belgium; Gilly, Belgium; Hasselt, Belgium; Liège, Belgium and 14 more location(s). Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.