HISTOACRYL® Used for Embolization of Thoracoabdominal Artery Bleeding

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAesculap AG

About this trial

This observational study will collect information from adult patients in Japan who are treated with Histoacryl® to stop bleeding from arteries in the chest or abdomen, in order to better understand how well the treatment works and how safe it is during routine medical care.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Active thoracoabdominal arterial bleeding diagnosed by endoscopy, catheter angiography, or computed tomography angiography (CTA).

Planned embolization treatment using Histoacryl® as the sole embolic agent for the target lesion.

No endoleak following thoracic endovascular aortic repair (TEVAR) or endovascular abdominal aortic repair (EVAR).

Patients with malignant tumors must have an expected survival of at least 1 month.

Disqualifiers

Previous embolization in the target vascular territory.

Known allergy or hypersensitivity to n-butyl cyanoacrylate (NBCA), Lipiodol®, or related treatment components.

Use of adjunctive embolic agents in the same target location.

Planned surgical treatment after embolization as part of a predefined two-step treatment strategy.

Trial population

Adults with active thoracoabdominal arterial bleeding requiring endovascular embolization will be enrolled at approximately 11 centers in Japan. Eligible patients must be scheduled to undergo embolization with Histoacryl® according to routine clinical practice and within the approved indication in Japan. The study population is expected to include patients with bleeding of various etiologies, including traumatic, iatrogenic, gastrointestinal, pulmonary (hemoptysis), obstetric, neoplastic, or other thoracoabdominal arterial hemorrhages.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Embolization therapy

    Device

    Embolization of Thoracoabdominal Artery Bleeding (TAB), excluding "Cardiac blood vessels other than Pulmonary artery", "Endoscopic esophageal varices embolization operations", and "Pulmonary artery malformation".

Treatment groups

176 Participants
are divided into 1 treatment group
Group A: Embolization1 intervention

Trial outcomes

Primary outcomes

1

Clinical Success at 1 Month After Histoacryl® Embolization

Clinical success is defined as absence of bleeding from the target location after embolization with Histoacryl® without need for re-embolization or other re-interventions of the target lesion due to persistent or recurrent hemorrhage. Assessment performed on a per-patient basis.

Time frame
30 ± 10 days after index embolization procedure

Secondary outcomes

1

Technical Success of Embolarization

Technical success is defined as absence of angiographic evidence of bleeding from the target location at completion of the index embolization procedure. Assessment performed on a per-lesion basis.

Time frame
Immediately after completion of the index procedure
2

Clinical Success at 7 Days

Clinical success defined as absence of bleeding from the target location after embolization without need for re-embolization or other re-interventions due to persistent or recurrent hemorrhage.

Time frame
7 ± 2 days after embolarization
3

Clinical Success at 3 Months (Optional Follow-up)

Clinical success as defined for the primary endpoint, assessed at optional long-term follow-up.

Time frame
90 ± 15 days after embolization
4

Successful Device Delivery

Successful delivery is defined as administration of Histoacryl® with intact microcatheter retrieval at the end of the embolization procedure.

Time frame
During the index embolization procedure

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: