About this trial
The purpose of this registry is to evaluate the long-term safety and performance of Intervascular Vascular Grafts and Patches (Intergard Standard, Hemashield, Intergard Silver, Intergard Synergy) for bypass, repair or replacement of aortic, peripheral, or carotid arteries. This registry is intended to further define the expected product lifetime of the devices and to collect data related to usefulness of the antimicrobial coatings.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Willing, and able to provide legally-effective written informed consent (as required by Institutional Review Board or Ethics Committee)
Male and female patients that have undergone bypass, replacement or repair of the peripheral arteries, aorta, or carotid artery using the Intervascular Vascular Grafts and Patches (Intergard Standard, Hemashield, Intergard Silver, Intergard Synergy)
Were at least 18 years of age at the time of the procedure
Available records for data collection with a minimum of 3 years (36 months) of data/follow-up.
Disqualifiers
Active infection in the region of device placement at the time of implantation of the Intergard Standard and Hemashield Vascular Graft or Patch.
Trial population
An approximate 1,200 participants (400 treated for Aortic Disease, 400 treated for Peripheral Arterial Disease, and 400 treated for Carotid Artery Disease) from up to 25 sites across the United States and Europe will participate in this registry. The number of participants and sites included will ensure a representation of the overall population, specifically in vascular surgery. No mandated procedures, assessments or visits will be implemented, given the non-interventional and retrospective nature of the registry.
Trial design
Cohort
Retrospective
Treatments tested in this trial
Intergard Standard - Collagen Coated Vascular Grafts and Patches
DeviceIntergard Standard, Collagen coated vascular grafts and patches are made of knitted (knitted or knitted ultrathin) or woven polyester. The products are coated with a highly purified form of cross-linked bovine collagen to minimize intraoperative bleeding and eliminate the need for preclotting at the time of implant. Note that the radially supported grafts have a polypropylene supportive coil designed to resist kinking and compression of extra-anatomical vascular repair, where potential unwanted mechanical compression of the graft may occur.
Hemashield - Collagen Coated Vascular Grafts and Patches
DeviceHemashield Vascular Grafts and Patches are made of knitted or woven polyester. The products are impregnated with a highly purified bovine collagen to reduce bleeding at the time of implant and thereby eliminates the operative preclotting step.
Intergard Silver - Antimicrobial Collagen Coated Vascular Grafts and Patches
DeviceIntergard Silver antimicrobial collagen coated vascular grafts are made of knitted (knitted or knitted ultrathin) or woven polyester. The Hemapatch Silver Ultrathin is a surgical patch made from knitted ultrathin polyester fabric. The products are coated with a highly purified form of cross-linked bovine collagen to minimize intraoperative bleeding and eliminate the need for preclotting at the time of implant. In addition to collagen coating, the collagen matrix of Intergard Silver vascular grafts and patches is loaded with an antimicrobial agent: silver acetate. The coating of silver is designed to inhibit the microbial colonization on the device and within tissue immediately proximate to the device in the acute post-operative phase.
Intergard Synergy - Antimicrobial Collagen Coated Vascular Grafts
DeviceIntergard Synergy antimicrobial collagen coated vascular grafts are made of knitted (knitted or knitted ultrathin) polyester. The products are coated with a highly purified form of cross-linked bovine collagen to minimize intraoperative bleeding and eliminate the need for preclotting at the time of implant. In addition to collagen coating, the collagen matrix of Intergard Synergy Antimicrobial collagen coated vascular grafts is loaded with antimicrobial agents: silver acetate and triclosan. The addition of silver acetate and triclosan on collagen coated vascular products is designed to inhibit the microbial colonization on the device and in the surrounding tissues in the acute postoperative phase.
Treatment groups
Trial outcomes
Primary outcomes
Peripheral Arterial Disease Cohort: Cohort: Percentage of participants meeting primary device patency
Primary device patency defined as freedom from device occlusion or reintervention
Aortic Disease Cohort: Percentage of participants meeting primary device patency
Primary device patency defined as freedom from device occlusion or reintervention
Carotid Artery Disease Cohort: Percentage of participants achieving freedom from occlusion or reintervention
Peripheral Arterial Disease Cohort: Incidence of Major Adverse Limb Events (MALE)
MALE defined as major amputation or major reintervention, including placement of a new bypass graft, interposition graft, thrombectomy, or thrombolysis
Secondary outcomes
All cohorts: Percentage of participants achieving technical success
Technical success defined as restoration of flow or repair of a vessel without any device deficiencies
All cohorts: Incidence of reported complications and events
Reported complications and events include device infection, registry or device-related serious incident or death
All cohorts: Incidence of infection
Peripheral Arterial Disease Cohort: Percentage of patients meeting primary-assisted device patency
Primary-assisted device patency is defined as freedom from device occlusion irrespective of whether an intervention was performed
Sponsors and contacts
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