FLUENCY® PLUS Endovascular Stent Graft for In-stent Restenosis

Completed · Not applicable

Conditions studied: Restenosis

In brief

The primary purpose of this study is to demonstrate that the FLUENCY® PLUS Endovascular Stent Graft can effectively and safely treat in-stent restenotic lesions in the venous outflow of the Arteriovenous (AV) access circuit of hemodialysis patients with either of the two predominant vascular access types - those with an AV graft and those with an AV fistula.

Key facts

Study ID

NCT01257438

Run by

C. R. Bard

People needed

275

Starts

2010-12-01

Expected to finish

2016-01-01

Last updated by the study team

2017-01-09

Who can join

Age: 21 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patient must voluntarily sign and date the Informed Consent Form (ICF) prior to collection of study data or performance of study procedures.
• Patient must be either a male or non-pregnant female ≥ 21 years of age with an expected lifespan sufficient to allow for completion of all study procedures.
• Patient must be willing to comply with the protocol requirements, including the follow-up procedures, and be contacted by telephone.
• Patient must have an AV access graft (implanted for ≥ 30 days) or mature fistula located in an arm, and must have undergone at least one successful dialysis session prior to the index procedure.
• Patient must have a previously-placed bare metal stent located in the venous outflow of the AV access circuit in which a ≥ 50% stenosis originates.
• The entire target lesion must be located in the restenosed bare metal stent and extend to no more than 3 cm outside of the bare metal stent.
• The target lesion must be ≤ 10 cm in length.
• After angiography, the operator must judge that the lesion is amenable to angioplasty.
• The reference vessel diameter at the restenosed bare metal stent must be between 5.0 mm and 12.0 mm.
• Additional stenotic lesions (≥ 50%) in the venous outflow that are > 3cm from the edge of the target lesion must be successfully treated (defined as < 30% residual stenosis) prior to the index procedure.

You may not qualify if…

• The target lesion has had a corresponding thrombosis treated within 7 days prior to the index procedure.
• The target lesion has a reference vessel diameter that is larger than 12.0 mm.
• The patient has an infected AV access graft/fistula or uncontrolled systemic infection.
• A pseudoaneurysm is present within the target lesion.
• The location of the target lesion would require that the FLUENCY® PLUS Endovascular Stent Graft be deployed across the elbow joint.
• The location of the target lesion would require that the FLUENCY® PLUS Endovascular Stent Graft be deployed at or across the segment of graft or fistula utilized for dialysis needle puncture (i.e., "cannulation zone").
• The location of the target lesion would require that the FLUENCY® PLUS Endovascular Stent Graft cross the cephalic arch (perpendicular portion of the cephalic vein in the region of the deltopectoral groove before its junction with the axillary vein).
• The location of the target lesion would require that the FLUENCY® PLUS Endovascular Stent Graft be placed in the Superior Vena Cava.
• The location of the target lesion would require that the FLUENCY® PLUS Endovascular Stent Graft is placed across an angle that is greater than 90 degrees.
• The restenosed bare metal stent is fractured, as verified by angiography per institution's standard of care.
• The patient has a known uncontrolled blood coagulation disorder.
• The patient has a known allergy or sensitivity to contrast media which cannot be adequately pre-medicated.
• The patient has a known hypersensitivity to nickel-titanium.
• The subject has another medical condition, which, in the opinion of the Investigator, may cause him/her to be non-compliant with the protocol, confound the data interpretation, or is associated with a life expectancy insufficient to allow for the completion of study procedures and follow-up.
• The patient is currently participating in an investigational drug or another device study that has not completed the study treatment or that clinically interferes with the study endpoints. Note: Studies requiring extended follow-up visits for products that were investigational, but have since become commercially available, are not considered investigational studies.

Where it is running

• University of Alabama Radiology Dept — Birmingham, Alabama, United States
• Southwest Kidney Institute Inc — Phoenix, Arizona, United States
• Arizona Kidney Disease & Hypertension Center-Surgery Center — Phoenix, Arizona, United States
• Capital Nephrology Access Center — Sacramento, Arizona, United States
• Angiocare LLC w/Renal Care Associates PC — Tucson, Arizona, United States
• Greater Long Beach Vascular Access Center — Bellflower, California, United States
• Ladenheim Dialysis Access Centers — Fresno, California, United States
• American Access Care Connecticut Image Guided Surgery — Fairfield, Connecticut, United States
• Yale University — New Haven, Connecticut, United States
• First Coast Cardiovascular Institute — Jacksonville, Florida, United States
• Vascular & Interventional Care Center — Augusta, Georgia, United States
• Savannah Vascular Surgery — Savannah, Georgia, United States
• MakrisMD, LLC, d/b/a Chicago Access Care — Hinsdale, Illinois, United States
• The Vascular Access Center — West Springfield, Massachusetts, United States
• ProHEALTH Care Associates LLP — Lake Success, New York, United States
• Capital Access Center — Raleigh, North Carolina, United States
• Cleveland Clinic Foundation — Cleveland, Ohio, United States
• Providence Access Care — Providence, Rhode Island, United States
• Premeire Vascular Access and Imaging Center — Knoxsville, Tennessee, United States
• Renal Associates, P.A. Research Division — San Antonio, Texas, United States
• American Access Care of Richmond — Richmond, Virginia, United States
• University of Wisconsin School of Medicine & Public Health — Madison, Wisconsin, United States
• Midwest Nephrology Associates Vascular Access Center — Milwaukee, Wisconsin, United States

Full record on ClinicalTrials.gov

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