Status:

UNKNOWN

EndovaScular Versus mediCaL mAnagement of Uncomplicated Type B Intramural heMatoma Trial (ESCLAIM)

Lead Sponsor:

Guangdong Provincial People's Hospital

Collaborating Sponsors:

First Affiliated Hospital of Xinjiang Medical University

The First Affiliated Hospital of Guangzhou Medical University

Conditions:

Intramural Hematoma

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This trial is a multicenter, open-label and prospective randomized controlled study to compare 1-year outcomes of uncomplicated type B intramural hematoma (IMH) patients undergoing thoracic endovascul...

Detailed Description

Intervention group (TEVAR plus OMT): patients will undergo TEVAR besides strict control of blood pressure and heart rate and pain management as mentioned above. According to the preoperative imaging, ...

Eligibility Criteria

Inclusion

  • Age \>18 years;
  • Be confirmed as Stanford type B IMH by aorta computed tomography;
  • From onset to first clinical attach \<90 days;
  • The subject or legal guardian understands the nature of the study and agrees to its;
  • provisions on a written informed consent form;
  • Availability for the appropriate follow-up visits during the follow-up period;
  • Capability to follow all study requirements.

Exclusion

  • Persistent or recurrent pain despite full medication,;
  • Hemodynamic instability;
  • Signs of rupture (periaortic hemorrhage);
  • Depth of ULP \> 10 mm;
  • Aortic diameter \> 55 mm;
  • ULP around with calcification;
  • Previous history of aortic-related procedures;
  • Blunt thoracic aortic injury;
  • Iatrogenic aortic injury;
  • Inherited diseases: Turner syndrome, Marfan syndrome, Ehlers-Danlos syndrome, Loeys Dietz syndrome etc.;
  • Aortitis: Giant cell arteritis, Takayasu arteritis etc.;
  • Patients with malignant tumor whose life expectancy is less than 1 year;
  • Intolerance to endotracheal intubation and general anesthesia;
  • Pregnant women.

Key Trial Info

Start Date :

March 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2024

Estimated Enrollment :

154 Patients enrolled

Trial Details

Trial ID

NCT04808661

Start Date

March 1 2021

End Date

March 1 2024

Last Update

June 3 2021

Active Locations (1)

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#106 Dongchuan Second Road, Yuexiu District

Guangzhou, Guangdong, China, 510000