Clinical Study of Abdominal Aortic Aneurysm Exclusion (TALENT Abdominal)
l
1 other identifier
interventional
75
1 country
1
Brief Summary
The purpose of the study is to evaluate the TALENT endoluminal stent-graft system in patients with abdominal aortic aneurysms. The TALENT endoluminal stent-graft system is a flexible, implantable endoluminal vascular device preloaded in a placement system that is used to exclude abdominal aortic aneurysms.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Oct 2002
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2002
CompletedFirst Submitted
Initial submission to the registry
October 24, 2007
CompletedFirst Posted
Study publicly available on registry
October 25, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2012
CompletedMay 15, 2009
May 1, 2009
10 years
October 24, 2007
May 14, 2009
Conditions
Outcome Measures
Primary Outcomes (1)
Determine the proportion in whom successful implantation is achieved, as indicated by aneurysm exclusion and graft patency.
At implant, time of discharge, and 1, 6, and 12 months.
Secondary Outcomes (2)
Determine the proportion of patients who experience adverse events.
During and after implantation.
Determine the proportion of patients who experience comorbidities and overall mortality rates.
During and after implantation.
Study Arms (1)
1
EXPERIMENTALInterventions
roadmapping, and angiography for proper implant positioning. The TALENT endoluminal stent-graft endoprosthesis is inserted by delivery catheter and introducer sheath via a surgical cutdown (e.g., external iliac artery, femoral artery) approach. The insertion method depends on each patient's anatomy and is determined by the Clinical Investigator.
Eligibility Criteria
You may qualify if:
- Subject is ≥ 18 years of age.
- Subject has a proximal AAA neck (distance between the top of the aneurysm and the renal arteries) ≥ 5 mm.
- Subject has a proximal aortic neck diameter ≥ 14 mm and ≤ 32 mm.
- Subject has an angle between the suprarenal aorta and the aneurysm ≤ 60°.
- Subject has renal arteries ≥ 9 cm from the aortic neck bifurcation.
- Subject has proximal and distal iliac neck diameters ≥ 8 mm and ≤ 24 mm.
- Subject has a distal iliac neck length ≥ 15 mm.
- Subject has signed the informed consent.
- Subject will be available for follow-up at periodic intervals after the procedure.
You may not qualify if:
- Subject has a document patent inferior mesenteric artery and an occluded or stenotic celiac and superior mesenteric artery.
- Subject has a lesion that cannot be crossed with a guide wire.
- Subject whose arterial access site cannot accommodate the delivery catheter.
- Subject has no distal vascular bed.
- Subject has systemic infection, or is suspected of having systemic infection.
- Subject has an untreatable bleeding diathesis.
- Subject is not available or is not willing to come back for periodic follow-up (surveillance) after the procedure.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Arizona Heart Institute
Phoenix, Arizona, 85006, United States
Related Publications (28)
Becker GJ, Benenati JF, Zemel G, Sallee DS, Suarez CA, Roeren TK, Katzen BT. Percutaneous placement of a balloon-expandable intraluminal graft for life-threatening subclavian arterial hemorrhage. J Vasc Interv Radiol. 1991 May;2(2):225-9. doi: 10.1016/s1051-0443(91)72286-0.
PMID: 1799760BACKGROUNDBickerstaff LK, Hollier LH, Van Peenen HJ, Melton LJ 3rd, Pairolero PC, Cherry KJ. Abdominal aortic aneurysms: the changing natural history. J Vasc Surg. 1984 Jan;1(1):6-12.
PMID: 6481873BACKGROUNDBlum U, Langer M, Spillner G, Mialhe C, Beyersdorf F, Buitrago-Tellez C, Voshage G, Duber C, Schlosser V, Cragg AH. Abdominal aortic aneurysms: preliminary technical and clinical results with transfemoral placement of endovascular self-expanding stent-grafts. Radiology. 1996 Jan;198(1):25-31. doi: 10.1148/radiology.198.1.8539389.
PMID: 8539389BACKGROUNDPathology of nonspecific abdominal aortic aneurysm disease. In Current Therapy in Vascular Surgery, 2nd edition, CB Ernst and JC Stanley, eds. B.C. Decker, Philadelphia, PA.
BACKGROUNDCollin J, Araujo L, Walton J, Lindsell D. Oxford screening programme for abdominal aortic aneurysm in men aged 65 to 74 years. Lancet. 1988 Sep 10;2(8611):613-5. doi: 10.1016/s0140-6736(88)90649-6.
PMID: 2900988BACKGROUNDCronenwett JL and LN Samspon. 1995. Aneurysms of the abdominal aorta and iliac arteris. In Current Diagnosis and Treatment in Vascular Surgery, 1st edition, RH Dean, JST Yao and DC Brewster, eds. Appleton and Lange, Norwalk, CT. pp 220-238.
BACKGROUNDDake MD, Miller DC, Semba CP, Mitchell RS, Walker PJ, Liddell RP. Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med. 1994 Dec 29;331(26):1729-34. doi: 10.1056/NEJM199412293312601.
PMID: 7984192BACKGROUNDDUBOST C, ALLARY M, OECONOMOS N. Resection of an aneurysm of the abdominal aorta: reestablishment of the continuity by a preserved human arterial graft, with result after five months. AMA Arch Surg. 1952 Mar;64(3):405-8. No abstract available.
PMID: 14894065BACKGROUNDGeroulakos G, Nicolaides A. Infrarenal abdominal aortic aneurysms less than five centimetres in diameter: the surgeon's dilemma. Eur J Vasc Surg. 1992 Nov;6(6):616-22. doi: 10.1016/s0950-821x(05)80838-2.
PMID: 1451817BACKGROUNDGloviczki P. Ruptured abdominal aortic aneurysms. In Vascular Surgery, 4th edition, Rutherford, RB, ed. Saunders, Philadelphia, PA, chapter 76.
BACKGROUNDHallett JW Jr, Bower TC, Cherry KJ, Gloviczki P, Joyce JW, Pairolero PC. Selection and preparation of high-risk patients for repair of abdominal aortic aneurysms. Mayo Clin Proc. 1994 Aug;69(8):763-8. doi: 10.1016/s0025-6196(12)61096-9.
PMID: 8035633BACKGROUNDIngoldby CJ, Wujanto R, Mitchell JE. Impact of vascular surgery on community mortality from ruptured aortic aneurysms. Br J Surg. 1986 Jul;73(7):551-3. doi: 10.1002/bjs.1800730711.
PMID: 3730787BACKGROUNDJohansson G, Swedenborg J. Ruptured abdominal aortic aneurysms: a study of incidence and mortality. Br J Surg. 1986 Feb;73(2):101-3. doi: 10.1002/bjs.1800730205.
PMID: 3947894BACKGROUNDJohansen K. Ruptured abdominal aortic aneurysm: how should recent outcome studies impact current practices? Semin Vasc Surg. 1995 Jun;8(2):163-7. No abstract available.
PMID: 7670667BACKGROUNDJohnston KW. Nonruptured abdominal aortic aneurysm: six-year follow-up results from the multicenter prospective Canadian aneurysm study. Canadian Society for Vascular Surgery Aneurysm Study Group. J Vasc Surg. 1994 Aug;20(2):163-70. doi: 10.1016/0741-5214(94)90002-7.
PMID: 8040938BACKGROUNDLee JT, Lee J, Aziz I, Donayre CE, Walot I, Kopchok GE, Heilbron M Jr, Lippmann M, White RA. Stent-graft migration following endovascular repair of aneurysms with large proximal necks: anatomical risk factors and long-term sequelae. J Endovasc Ther. 2002 Oct;9(5):652-64. doi: 10.1177/152660280200900517.
PMID: 12431151BACKGROUNDMelton LJ 3rd, Bickerstaff LK, Hollier LH, Van Peenen HJ, Lie JT, Pairolero PC, Cherry KJ, O'Fallon WM. Changing incidence of abdominal aortic aneurysms: a population-based study. Am J Epidemiol. 1984 Sep;120(3):379-86. doi: 10.1093/oxfordjournals.aje.a113902.
PMID: 6475915BACKGROUNDNehler MR, Taylor LM Jr, Moneta GL, Porter JM. Indications for operation for infrarenal abdominal aortic aneurysms: current guidelines. Semin Vasc Surg. 1995 Jun;8(2):108-14. No abstract available.
PMID: 7670661BACKGROUNDNevitt MP, Ballard DJ, Hallett JW Jr. Prognosis of abdominal aortic aneurysms. A population-based study. N Engl J Med. 1989 Oct 12;321(15):1009-14. doi: 10.1056/NEJM198910123211504.
PMID: 2674715BACKGROUNDO'Donnell TF, Darling RC, Linton RR. Is 80 years too old for aneurysmectomy? Arch Surg. 1976 Nov;111(11):1250-7. doi: 10.1001/archsurg.1976.01360290084012.
PMID: 985073BACKGROUNDO'Hara PJ, Hertzer NR, Krajewski LP, Tan M, Xiong X, Beven EG. Ten-year experience with abdominal aortic aneurysm repair in octogenarians: early results and late outcome. J Vasc Surg. 1995 May;21(5):830-7; discussion 837-8. doi: 10.1016/s0741-5214(05)80015-1.
PMID: 7769742BACKGROUNDPairolero PC. Repair of abdominal aortic aneurysms in high-risk patients. Surg Clin North Am. 1989 Aug;69(4):755-63. doi: 10.1016/s0039-6109(16)44882-6.
PMID: 2749441BACKGROUNDParodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg. 1991 Nov;5(6):491-9. doi: 10.1007/BF02015271.
PMID: 1837729BACKGROUNDPerler BA. 1995. Natural history of abdominal aortic aneurysm. A clinical presentation. Seventh Annual International Symposium on Vascular Diagnosis and Intervention. pp. 173-175.
BACKGROUNDRose WM 3rd, Ernst CB. Abdominal aortic aneurysm. Compr Ther. 1995 Jul;21(7):339-43. No abstract available.
PMID: 7554809BACKGROUNDScott RA, Ashton HA, Kay DN. Abdominal aortic aneurysm in 4237 screened patients: prevalence, development and management over 6 years. Br J Surg. 1991 Sep;78(9):1122-5. doi: 10.1002/bjs.1800780929.
PMID: 1933203BACKGROUNDVeith FJ, Abbott WM, Yao JS, Goldstone J, White RA, Abel D, Dake MD, Ernest CB, Fogarty TJ, Johnston KW, et al. Guidelines for development and use of transluminally placed endovascular prosthetic grafts in the arterial system. Endovascular Graft Committee. J Vasc Surg. 1995 Apr;21(4):670-85. doi: 10.1016/s0741-5214(95)70198-2. No abstract available.
PMID: 7707571BACKGROUNDZarins CK, Harris EJ Jr. Operative repair for aortic aneurysms: the gold standard. J Endovasc Surg. 1997 Aug;4(3):232-41. doi: 10.1583/1074-6218(1997)0042.0.CO;2.
PMID: 9291048BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Edward B Diethrich, M.D.
Arizona Heart Institute
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
October 24, 2007
First Posted
October 25, 2007
Study Start
October 1, 2002
Primary Completion
October 1, 2012
Study Completion
October 1, 2012
Last Updated
May 15, 2009
Record last verified: 2009-05