Évaluation des greffes vasculaires GORE-TEX® et GORE® PROPATEN® dans la maladie artérielle périphérique, les anévrismes aortiques et l'accès à la dialyse
This observational study aims to evaluate the performance and safety of GORE-TEX® and GORE® PROPATEN® Vascular Grafts in individuals with Peripheral Artery Disease, Aortic Aneurysms, and Dialysis Access, focusing on graft patency, survival, device-related infections, and useable access circuit over specified time periods.
Collecte de données
Données issues de dossiers médicaux ou de données préexistantes - RétrospectiveMaladies génito-urinaires+16
+ Anévrisme
+ Maladies aortiques
Cohorte
Suivi d'un groupe de personnes dans le temps pour mieux comprendre les causes et l'évolution d'une maladie.Résumé
Date de début de l'étude : 24 janvier 2022
Date à laquelle le premier participant a commencé l'étude.This study focuses on individuals who have received treatment using GORE-TEX® Vascular Grafts or GORE® PROPATEN® Vascular Grafts for specific conditions such as Peripheral Artery Disease (PAD), Aortic Aneurysms, and Dialysis Access. The main aim is to evaluate the performance and safety of these grafts in a real-world setting, potentially leading to improved care and treatment strategies for these conditions. The study involves up to 353 patients from 9 sites across Europe. Participants are divided into three groups based on their condition: PAD, Aortic Aneurysm, and Dialysis Access. For those in the Aortic Aneurysm group, the key measures are the patency of the graft without additional procedures and overall survival over 5 years. In the Dialysis Access group, the focus is on device-related infections within 2 years and the usability of the access circuit. For the PAD group, the study evaluates the patency of the graft with additional procedures and device-related infections or seroma.
Protocole
Cette section fournit des détails sur le plan de l'étude, y compris la manière dont l'étude est conçue et ce qu'elle évalue.356 participants à inclure
Nombre total de participants que l'essai clinique vise à recruter.Cohorte
Éligibilité
Les chercheurs recherchent des patients correspondant à une certaine description appelée critères d'éligibilité : état de santé général ou traitements antérieurs du patient.Tout sexe
Le sexe biologique des participants éligibles à s'inscrire.À partir de 18 ans
Tranche d'âge des participants éligibles à participer.Conditions
Pathologie
Critères
Inclusion Criteria: General Inclusion Criteria 1. Patient is willing and able to provide written informed consent or consent is waived, according to national and local regulations. 2. Patient was at least 18 years of age at the time of implant. PAD Cohort Inclusion Criteria 1. Patient was treated for peripheral arterial disease or peripheral arterial aneurysm requiring bypass treated with GORE-TEX® Vascular Graft, GORE® INTERING® Vascular Graft, GORE-TEX® Stretch Vascular Graft or GORE® PROPATEN® Vascular Graft at least 5 years before site initiation. Aortic Aneurysm Cohort Inclusion Criteria 1\. Patient underwent simultaneous or staged aortic aneurysm repair (open surgical AAA or TAAA) involving a GORE-TEX® Vascular Graft, GORE® INTERING® Vascular Graft, GORE-TEX® Stretch Vascular Graft at least 5 years before site initiation. Research device could have been used to replace or bypass either a diseased visceral branch or the aorta itself. Dialysis Access Cohort Inclusion Criteria 1. Patient required the creation of a vascular access graft for hemodialysis secondary to a diagnosis of End-Stage Renal Disease using a GORE-TEX® Vascular Graft, GORE® INTERING® Vascular Graft, GORE-TEX® Stretch Vascular Graft or GORE® PROPATEN® Vascular Graft at least 2 years before site initiation with the intent to cannulate the registry device. Exclusion Criteria: General Exclusion Criteria 1. Patient was not available for follow up (on-site or remotely) at the clinical site, with the exception of death (e.g., patient lost to follow-up immediately after treatment, patients who live far away from the clinical site and are not available to share follow-up data performed locally). 2. At the time of treatment, patient had known coagulation disorders, including hypercoagulability, that were not amenable to treatment. 3. Patient was pregnant at the time of treatment. 4. Patient had known or suspected systemic infection or infection at the site of graft implantation at the time of implant. 5. Patient had a separate major interventional or surgical vascular procedure within 30 days prior to treatment. CVC catheter placement would be permitted. 6. Patient is already enrolled in this registry under a different cohort. PAD Cohort Exclusion Criteria At the time of treatment, the patient must not have met any of the following criteria: 1. Patient had percutaneous transluminal angioplasty (PTA) or stenting of the target artery at the anticipated site of the proximal or distal anastomosis within 30 days prior to the index procedure. Use of PTA or stenting during the index procedure is permitted. 2. Patient had a stroke or myocardial infarction (MI) within 6 weeks prior to the index procedure. 3. Patient has previous instance of Heparin-induced Thrombocytopenia type 2 or has known hypersensitivity to heparin. 4. Patient required composite bypass for index procedure (graft + significant length of autologous vessel). Autologous "cuffs" or patches are allowed. Aortic Aneurysm Cohort Exclusion Criteria At the time of treatment, the patient must not have met any of the following criteria: 1\. Patient required emergency surgery due to aneurysm rupture. Dialysis Access Cohort Exclusion Criteria At the time of treatment, the patient must not have met any of the following criteria: 1. The patient had a previous documented and unsuccessfully treated ipsilateral central venous stenosis via imaging technique. 2. The patient was taking maintenance immunosuppressant medication at the time of implant such as rapamycin, mycophenolate or mycophenolic acid, prednisone (\> 10 mg), cyclosporine, tacrolimus, or cyclophosphamide. 3. The patient has had a previous instance of Heparin-Induced Thrombocytopenia type 2 (HIT-2) or has known sensitivity to heparin.
Plan de l'étude
Découvrez tous les traitements administrés dans cette étude, leur description détaillée et ce qu'ils impliquent.Objectifs de l'étude
Objectifs principaux
Objectifs secondaires
Centres d'étude
Ce sont les hôpitaux, cliniques ou centres de recherche où l'essai est conduit. Vous pouvez trouver le site le plus proche de vous ainsi que son statut.Cette étude comporte 8 sites
Centre Hospitalier Unversitaire d'Angers
Angers, FranceOuvrir Centre Hospitalier Unversitaire d'Angers dans Google MapsCHRU de Besançon
Besançon, FranceLes Hôpitaux Universitaires de Strasbourg
Strasbourg, FranceAzienda Ospedaliero Universitaria Ospedali Riuniti di Ancona, SOC Chirurgia Vascolare
Ancona, Italy