Use of a novel immediate access dialysis graft designed to prevent needle-related complications: A first-in-man case report.
Shawn M Gage, Karl A Illig, John R Ross
https://pubmed.ncbi.nlm.nih.gov/32370648/Actively Recruiting
Led by W.L.Gore & Associates · Updated on 2025-12-22
133
Participants Needed
21
Research Sites
82 weeks
Total Duration
Researchers are evaluating the safety and effectiveness of the InnAVasc Arteriovenous Graft IG for patients with end-stage renal disease ESRD who require hemodialysis and need an arteriovenous graft for vascular access. The study aims to measure the proportion of patients maintaining secondary patency of the graft at 6 months and to monitor adverse events related to the device during this period. Participants will receive the InnAVasc Arteriovenous Graft surgically implanted in the forearm or upper arm using standard vascular surgical techniques. The graft can be placed in a straight configuration in the upper arm or in a looped configuration in the forearm or upper arm, avoiding placement across the elbow. Patients must be able to continue or start antiplatelet therapy after the implant. The study includes periodic follow-up visits and assessments for up to two years after implantation. During the study, participants will undergo assessments to monitor graft function, safety, and successful use for hemodialysis. Researchers will collect data on device patency, adverse events, and the ability to cannulate the graft within seven days of surgery. Follow-up evaluations will continue at multiple time points up to 24 months to assess sustained graft use and patient outcomes. Participants are expected to provide informed consent and attend all scheduled visits throughout the study duration.
CONDITIONS
A Study to Evaluate the Safety and Effectiveness of the InnAVasc Arteriovenous Graft for Hemodialysis Access in Patients With End-Stage Renal Disease
B
Bre Lester
M
Manali Joglekar
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W.L.Gore & Associates
Lead 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 | InnAVasc AVG implant (investigational) | Autogenous AV fistula (standard care) |
|---|---|---|
| What it is | A surgically implanted prosthetic arteriovenous graft designed to provide immediate vascular access for hemodialysis | A surgically created arteriovenous fistula using the patient's own vessels, recognized as the preferred standard access for hemodialysis |
| Role in the trial | Implanted in all enrolled participants as the investigational device | Not included in the study but represents typical access outside the trial |
| Primary use | To establish hemodialysis vascular access in patients with end-stage renal disease | To serve as long-term vascular access for hemodialysis using the patient’s own vein and artery |
| How it is given or performed | Surgical implantation of a synthetic graft in the upper or lower arm using standard vascular techniques | Surgical connection of an artery to a vein to create a native fistula for dialysis access |
| Evidence status | Evidence limited to this investigational study; outcomes like graft patency and safety are being evaluated | Supported by long-standing clinical guidelines and experience favoring fistula due to durability and lower complication rates |
| Important risks | Study will assess device‑related adverse events including thrombosis, infection, and access failure | Fistula creation carries risks such as failure to mature, thrombosis, and surgical complications |
| Important limitations | Evidence currently limited to a single‑group implant study without direct comparison to fistula outcomes | Not studied in this trial for patients whose fistula is no longer feasible; some patients lack suitable vessels for fistula creation |
| Patient impact | Patient outcomes such as patency and complication rates are currently under evaluation in this study | Long experience suggests fistula provides durable access, but some patients face failure or delay in maturation |
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.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 1 day
Participants undergo surgical implantation of the InnAVasc Arteriovenous Graft (IG) in the forearm or upper arm using standard vascular surgical techniques.
1 surgical implant visit
Duration - Up to 6 months
Participants are monitored for graft patency, successful cannulation, and adverse events through follow-up visits.
Multiple follow-up visits during the 6-month period
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Shawn M Gage, Karl A Illig, John R Ross
https://pubmed.ncbi.nlm.nih.gov/32370648/Shawn M Gage, Michael Lawson, Craig Nichols...
https://pubmed.ncbi.nlm.nih.gov/31526086/W.L.Gore & Associates
Lead Sponsor