RecruitingNot ApplicableNCT06001827

SAVE-FistulaS: the SelfWrap-Assisted ArterioVEnous Fistulas Study


Sponsor

VenoStent

Enrollment

600 participants

Start Date

Jan 3, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This is a prospective, randomized, multi-center clinical trial for chronic kidney disease (CKD) patients referred for creation of a new arteriovenous fistula (AVF) in order to assess the safety and effectiveness of SelfWrap, a bioabsorbable perivascular wrap.


Eligibility

Min Age: 18 Years

Inclusion Criteria3

  • Age of at least 18 years
  • Referred for creation of a new AVF
  • Willing and able to comply with study requirements, communicate with the study team, and attend follow up visits over a period of 36 months

Exclusion Criteria18

  • Planned index procedure to revise or repair an existing fistula
  • Target artery inner diameter \< 2.0 mm, as measured by ultrasound while the target arm is under tourniquet pressure and anesthesia
  • Target vein inner diameter \< 2.0 mm, as measured by ultrasound while the target arm is under tourniquet pressure and anesthesia
  • Significant (at least 50%) stenosis at the target vein on the side of surgery (between the planned anastomosis site and the axillary vein), as diagnosed by preoperative ultrasound
  • Known central venous stenosis of at least 50% on the side of surgery
  • Presence of a stent or a stent graft within the access circuit
  • Known or suspected coagulation disorder that, in the opinion of the Investigator, puts too much risk on the patient for AVF creation
  • Known or suspected active infection at the time of surgery
  • Congestive heart failure NYHA class 4
  • Prior steal on the side of surgery;
  • Enrolled in another investigational drug, device, or biological study, or was previously enrolled in this study
  • Life expectancy less than 12 months
  • Expected to undergo kidney transplant surgery within 6 months of enrollment
  • Expected to undergo home hemodialysis
  • Females of childbearing potential (premenopausal and not surgically sterile) without documented current negative pregnancy test at screening
  • Presence of a comorbid condition that, in the opinion of the Investigator, may significantly confound the collection of safety and efficacy data in this study
  • Unwillingness or inability to give consent and/or comply with the study follow up schedule
  • Any health condition, which in the opinion of the Investigator, would interfere with the safety of the participant or the participant's ability to comply with the study.

Interventions

DEVICESelfWrap Bioabsorbable Perivascular Wrap

SelfWrap is applied during arteriovenous fistula (AVF) creation surgery. It provides mechanical support to improve maturation and patency of AVFs.

PROCEDUREUntreated AVF Control

AVF creation surgery without any intervention


Locations(28)

AKDHC Bullhead City

Bullhead City, Arizona, United States

AKDHC Marana Surgery Center

Marana, Arizona, United States

Arizona Kidney Disease & Hypertension Centers (AKDHC) Phoenix Surgery Center

Phoenix, Arizona, United States

Banner University Medical Center

Tucson, Arizona, United States

Orange County Vascular Access Center

Garden Grove, California, United States

Tallahassee Research Institute

Tallahassee, Florida, United States

Lutheran Medical Group

Fort Wayne, Indiana, United States

Surgical Associates of Lexington

Lexington, Kentucky, United States

Brigham and Women's Hospital

Boston, Massachusetts, United States

Mayo Clinic

Rochester, Minnesota, United States

University of Missouri

Columbia, Missouri, United States

Saint Louis University

St Louis, Missouri, United States

Washington University School of Medicine

St Louis, Missouri, United States

Northwell Health

Lake Success, New York, United States

Surgical Specialists of Charlotte, P.A.

Charlotte, North Carolina, United States

WakeMed

Raleigh, North Carolina, United States

MUSC Charleston

Charleston, South Carolina, United States

Vascular Care of South Carolina

Columbia, South Carolina, United States

MUSC Black River

Florence, South Carolina, United States

Prisma Health

Greenville, South Carolina, United States

Medical University of South Carolina (MUSC) Orangeburg / Dialysis Access Institute

Orangeburg, South Carolina, United States

Spartanburg Regional Medical Center

Spartanburg, South Carolina, United States

James Eric Gardner, MD, PC

Memphis, Tennessee, United States

Saint David's HealthCare Partnership, L.P., LLP

Austin, Texas, United States

A&V Doctors PLLC

El Paso, Texas, United States

Houston Methodist Research Institute

Houston, Texas, United States

Upper Valley Dialysis Access Center, LLC

Mission, Texas, United States

Houston Methodist Research Institute (Sugar Land)

Sugar Land, Texas, United States

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NCT06001827


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