Evidence map›Paper›PMID 39009453›Full record

ArticleBMJ open2024

Aortic aneurysm sac filling with AneuFix injectable polymer during endovascular aneurysm repair: feasibility and safety trial study protocol.

Stefan P M Smorenburg, Rutger J Lely, Michael J Jacobs, Arjan W J Hoksbergen

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04307992 (Feasibility Assessment of the Prophylactic Use of AneuFix at the Time of EVAR Implantation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04307992 naunknown statusnot on this map

Feasibility Assessment of the Prophylactic Use of AneuFix at the Time of EVAR Implantation

TypeinterventionalSponsorTripleMed B.V.Ran2022 to 2025Enrolled5ConditionsAbdominal Aortic Aneurysm, EndoleakArmsProphylactic sac filling with AneuFix
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Stefan P M SmorenburgDepartment of Surgery, Amsterdam UMC location Vrije Universiteit, Amsterdam, The Netherlands.ORCID 0000-0002-4754-3016
Rutger J LelyAmsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.
Michael J JacobsDepartment of Vascular Surgery, European Vascular Centre Maastricht-Aachen, Maastricht University Medical Centre, Maastricht, The Netherlands.
Arjan W J HoksbergenDepartment of Surgery, Amsterdam UMC location Vrije Universiteit, Amsterdam, The Netherlands a.hoksbergen@amsterdamumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionType II endoleaks (T2ELs) following endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA) can lead to aneurysm growth, compromising the stent graft seal and risking rupture. Preventing these endoleaks during EVAR involves filling the AAA sac around the stent graft to exclude the aneurysm and block any arteries causing the endoleak. This study investigates the feasibility and safety of using AneuFix, a biocompatible injectable polymer developed by TripleMed (Geleen, the Netherlands), for aneurysmal sac filling during EVAR in high-risk T2EL patients. METHODS AND ANALYSIS: A feasibility, single-arm, single-centre clinical trial will initially include five patients with infrarenal AAA, eligible for EVAR, and at high risk for T2EL based on the number of patent lumbar arteries and the cross-sectional area of the aortic lumen at the level of the inferior mesenteric artery. Postevaluation by the Data Safety and Monitoring Board, the study cohort will extend to 25 patients. During EVAR and after stent graft deployment, the aneurysm sac is filled with AneuFix polymer using a filling sheath positioned parallel to the contralateral limb with the tip inside the aneurysm sac. Primary outcome is technical success (successful AAA sac filling). The secondary outcomes include clinical success at 6 and 12 months (occurrence of T2ELs and AAA growth assessed with CT angiography), intraoperative and perioperative complications, all endoleaks, adverse events, re-interventions, aneurysm rupture and patient survival. ETHICS AND DISSEMINATION: This trial was approved by the Dutch Authorities (Central Committee on Research Involving Human Subjects, IGJ), Amsterdam University Medical Centre Ethical Commission, and adheres to the Declaration of Helsinki and European Medical Device Regulation. Results will be shared at (inter)national conferences and in peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT04307992.

Indexed as

Aortic Aneurysm, AbdominalEndoleakEndovascular ProceduresFeasibility StudiesPolymersBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationEndovascular Aneurysm RepairFemaleHumansMaleNetherlandsStentsPolymersClinical trialsFeasibility StudiesInterventional radiologyVascular surgery

Identifiers

PMID39009453
PMCPMC11253768

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.