B-SAFER: Branched Stented Anastomosis Frozen Elephant Trunk Repair

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorEric Roselli, M. D.

About this trial

A prospective, single-center, non-blind, non-randomized safety and feasibility study of the hybrid repair of thoracic aortic pathologies requiring repair of the aortic arch proximal to the origin of innominate artery.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

At least 18 years of age

Subject is willing and able to give written informed consent to participate in the study or the subject's legally authorized representative has given written informed consent for the subject to participate in the study.

Expected life expectancy of greater than two years after repair

Subject has aortic pathology and requires repair or replacement of multiple damaged or diseased segments of the thoracic aorta (at least one of the following condition): Thoracic aortic aneurysm considered at increased risk for rupture or complications, Acute aortic dissection requiring urgent repair, Congenital aortic disease requiring repair

Disqualifiers

Subject is unfit for open surgical repair involving circulatory arrest

Subject is comatose or suffering from irreversible severe brain malperfusion

Subject has known sensitivity to components of the devices

Subject has an active systemic infection that, in the opinion of the investigator, would compromise the outcome of the surgical procedure

Trial design

Design model

Single group

Treatments tested in this trial

  • B-SAFER

    Device

    Simplified hybrid frozen elephant trunk repair will be performed by utilizing B-SAFER technique which involves a physician modified endovascular stentgraft to treat the proximal aorta in subjects with aortic disease involving multiple segments.

Treatment groups

590 Participants
are divided into 1 treatment group
Group A: TreatmentExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

All-cause mortality

Individual rate of occurrence of the death from all-cause

Time frame
Up to 30 days
2

Stroke, excluding TIA

Individual rate of occurrence of stroke

Time frame
Up to 30 days
3

Paralysis, excluding paraparesis

Individual rate of occurrence of paralysis

Time frame
Up to 30 days
4

Technical success

Composite of the following criteria: successful delivery of the device through the vasculature, successful deployment of the device at the intended location, and patient survival

Time frame
24 hours

Secondary outcomes

1

Aortic related death

Individual rate of the aortic related death

Time frame
Up to 36 months after the index procedure
2

Pseudoaneurysm at the treatment sites

Individual rate of the pseudoaneurysm at the treatment sites

Time frame
Up to 36 months after the index procedure
3

Unanticipated aortic or branch-related re-operation

Individual rate of the unanticipated aortic or branch-related re-operation

Time frame
Up to 36 months after the index procedure
4

Late Type I endoleak

Individual rate of the Type I endoleak confirmed by CT imaging assessment

Time frame
Up to 36 months after the index procedure

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Eric Roselli, M. D.

Lead sponsor

The Cleveland Clinic

Sponsor institution

The Cleveland Clinic

Collaborator