About this trial
To assess the safety and effectiveness of the ASG device in the treatment of de novo Type A aortic dissections.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
De novo Type A aortic dissection (≤30 days from symptom onset to index endovascular procedure) compatible with the treatment requirements of the ASG device.
Primarily intended to be treated by placement of the ASG device in the ascending aorta. Distal adjunctive procedures not in contact with the ASG device may be performed during the index endovascular procedure at the discretion of the Investigator.
≥80 years of age
Body mass index (BMI) ≥ 35 kg/m2
Disqualifiers
Primary Arm
Mechanical heart valve in the aortic position.
Aortic insufficiency grade 3 or greater confirmed during TEE pre-implant.
Indwelling intravascular device that would interfere with or result in contact with planned repair (e.g., contiguous arch graft, LVAD, TAVR device in continuity with aortic tear).
Trial design
Parallel
Treatments tested in this trial
GORE® Ascending Stent Graft (ASG device)
DeviceEndovascular aortic repair of the ascending aorta
Treatment groups
Trial outcomes
Primary outcomes
Primary Safety Endpoint
Composite of the following events: Death ≤30 days of the index endovascular procedure, or during initial hospitalization, whichever is later Disabling Stroke ≤30 days following the index endovascular procedure
Primary Effectiveness Endpoint
Clinical Success, a composite of: Assisted Technical Success (at end of index endovascular procedure) Absence of the following (cumulative through 30-days, except as specified): Aortic rupture Death ≤30days of the index endovascular procedure, or during initial hospitalization, whichever is later Study Device Reintervention Conversion to open surgical repair
Secondary outcomes
Secondary Endpoint
Procedural Success Treatment Success Primary Technical Success (Unassisted) SF-36® Physical Component Summary measured at one year follow-up
Sponsors and contacts
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