About this trial
To demonstrate the efficacy and safety of the 8F BASHIR™ .035 Endovascular Catheter and the 8F BASHIR™ S-B .035 Endovascular Catheter for the administration of pharmaco-mechanical catheter directed therapy using pulse sprays of r-tPA into the pulmonary arteries for the treatment of intermediate risk pulmonary embolism (PE).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Willing and able to provide informed consent;
PE symptom duration ≤ 15 days;
Filling defect in at least one major lobar pulmonary artery as determined by CTA;
Patient is diagnosed with intermediate risk PE;
Disqualifiers
Previous history of stroke with residual hemiplegia;
Major surgery ≤ 10 days prior to inclusion in the study;
Platelet count < 100,000/μL;
Pulmonary thrombectomy within the previous 4 days;
Trial design
Single group
Treatments tested in this trial
The Bashir™ Endovascular Catheter
DeviceThe Bashir™ Endovascular Catheter is a device intended for the localized infusion of therapeutic agents into the pulmonary artery and peripheral vasculature.
r-tPA
DrugPulse spray and infusion
Treatment groups
Trial outcomes
Primary outcomes
Efficacy: Death from any cause or hemodynamic decompensation (or collapse)
Observe death from any cause or hemodynamic decompensation (or collapse) through 7-day follow-up, defined as need for cardiopulmonary resuscitation; or 1. SBP \< 90 mmHg for at least 15 minutes; or 2. drop in SBP by at least 40 mmHg for at least 15 minutes with signs of end-organ hypoperfusion (cold extremities or low urinary output \< 30 mL/h or mental confusion); or 3. need for catecholamine administration to maintain adequate organ perfusion and a SBP \> 90 mmHg (including dopamine at the rate of \> 5 micrograms / kg per minute).
Sponsors and contacts
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