Severity of acute kidney injury is associated with decreased survival after fenestrated and branched endovascular aortic aneurysm repair.
Eric J Finnesgard, Adam W Beck, Matthew J Eagleton...
https://pubmed.ncbi.nlm.nih.gov/37330702/Actively Recruiting
Led by Baptist Health South Florida · Updated on 2026-06-15
235
Participants Needed
1
Research Sites
4 weeks
Total Duration
Researchers are evaluating the Cook Zenith t-Branch endovascular stent-graft system and the Terumo Arch Branch endograft for treating aortic aneurysms, including thoracoabdominal and aortic arch aneurysms. This study aims to collect information on these devices use in patients with specific aortic pathologies not treatable by conventional methods. The trial includes two groups one receiving the Zenith t-Branch device and another receiving the Terumo Arch Branch device, both investigational and designed for different aortic regions. Participants in the Zenith t-Branch cohort receive an endovascular graft designed with branches to maintain blood flow to visceral arteries, with some custom-made versions for unique vessel conditions. The Terumo Arch Branch cohort receives a custom-made endograft based on the Relay thoracic stent graft platform, intended for placement in the ascending aorta and arch, constructed to provide stability and attachment to the aortic wall. Both devices are implanted through endovascular techniques. During the study, participants undergo monitoring for early mortality and stroke within 30 days after device implantation. Further assessments include rates of neurological complications and branch vessel patency up to five years post-implant. Researchers collect detailed follow-up data to evaluate safety and device performance. Participation involves regular clinical evaluations and imaging to track outcomes throughout the study duration, which extends until January 2032.
CONDITIONS
Evaluation of Branch Endografts in the Treatment of Aortic Aneurysms
L
Lisamarie Kernicky, RN;BSN;CCRC
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Baptist Health South Florida
Lead Sponsor
William Cook Australia
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Zenith t-Branch Endograft | Terumo Arch Branch Endograft |
|---|---|---|
| What it is | A modular endovascular stent graft system designed with four branches to connect to major abdominal arteries, used to repair thoracoabdominal aortic aneurysms or chronic dissections through a minimally invasive approach. | A custom-made endograft built on the Relay platform with multiple branches intended for complex aortic arch or proximal descending aorta aneurysms or dissections, deployed via minimally invasive endovascular access. |
| Role in trial | Trial cohort receiving the Zenith t-Branch endograft for aneurysm or dissection repair. | Trial cohort receiving the Terumo Arch Branch endograft for aneurysm or dissection repair. |
| Primary use | Repair of thoracoabdominal, suprarenal, and juxtarenal aortic aneurysms, some chronic type B dissections, and penetrating ulcers unsuitable for standard open surgery. | Endovascular repair of the ascending aorta, aortic arch, or proximal descending aorta aneurysms or chronic dissections in high-risk patients not eligible for open surgery. |
| How it is given or performed | Delivered to the aorta through the femoral arteries under general anesthesia. The branches are connected to key abdominal arteries using additional stents for complex repair. | Introduced via iliofemoral access and deployed in the aortic arch or adjacent regions. Branches are established to preserve blood flow to vital arteries using custom sizing and endovascular techniques. |
| Evidence status | Clinical evidence for complex aneurysm and dissection repair with fenestrated and branched endografts has emerged, but the registry-based trial is ongoing and specific device results are not yet established. | Broader evidence indicates fenestrated and branched endovascular repairs offer a minimally invasive option for difficult aortic anatomy, but published results for this specific device and trial remain pending. |
| Important limitations | The device is custom-fit and technically demanding, requiring precise anatomical compatibility. Patient selection is limited by vessel anatomy and procedural expertise. Early studies highlight perioperative complications, including risk for organ ischemia and kidney injury. | Requires specialized centers and custom-manufacture; anatomy not matching device constraints may be excluded. Complications seen in similar procedures include endoleaks, neurologic events, and renal complications. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Varies by participant
Participants receive implantation of the investigational Zenith t-Branch or Terumo Arch Branch endovascular graft depending on their diagnosis and suitability.
Duration - Up to 5 years
Participants are monitored for early mortality, stroke, neurological complications, and branch vessel patency up to five years after device implantation.
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
2
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Eric J Finnesgard, Adam W Beck, Matthew J Eagleton...
https://pubmed.ncbi.nlm.nih.gov/37330702/Baptist Health South Florida
Lead Sponsor
William Cook Australia
Collaborating Sponsor