Status:

UNKNOWN

ShorT Stay Aneurysm Repair Study

Lead Sponsor:

Imperial College London

Collaborating Sponsors:

W.L.Gore & Associates

Medtronic

Conditions:

Abdominal Aortic Aneurysm Without Rupture

Eligibility:

All Genders

55+ years

Brief Summary

A prospective observational cohort study to assess the eligibility, uptake, viability, acceptability, safety, and cost of a ShorT stay (23-hour) Aneurysm Repair (STAR) pathway. Outcomes will be collec...

Detailed Description

The STAR study is a prospective multicentre observational cohort study to assess the eligibility, uptake, viability, acceptability, safety, and cost of a short stay (23-hour) aneurysm pathway for infr...

Eligibility Criteria

Inclusion

  • They have been assessed as suitable for standard infrarenal EVAR within the manufacturer's "Instructions for Use" for the chosen endograft.
  • Age over 55 (effectively excluding connective tissue disease)
  • Fully independent at home or adequate provision for home care after discharge which would enable patients to perform basic activities of daily living including mobility, eating, drinking, and bathing
  • Living with a partner or family member or having similar help available for the first 24-hours after discharge from the hospital
  • Transport to attend the hospital in which they were treated within 1 hour for the first 24-hours after discharge. Should an ambulance not be readily available to attend the hospital within this timeframe, patients must be made aware and agree to make their own transport arrangements.
  • Capable of complying with Protocol requirements, including follow-up
  • An Informed Consent Form signed by the participant or legal representative

Exclusion

  • Significant cardiac disease, defined as one or more major predictors of increased perioperative cardiovascular risk according to the American College of Cardiology Cardiac Risk Classification, which remains untreated at the time of surgery
  • Significant renal failure (pre-operative creatinine level of over 150 μmol/L or GFR less than 30mL/min/1.73m2 indicating severe chronic kidney disease (stage IV)
  • Significant respiratory disease needing increased post-operative care not available in the home environment (e.g., nebulisers or oxygen therapy which is not set up at home)
  • Any other condition, which in the opinion of the multidisciplinary team makes discharge within 23-hours unsafe
  • Patients who lack capacity to consent to 23-hour EVAR will be excluded from the study
  • There is concurrent enrolment in another drug or medical device study or have recently been involved in any research prior to recruitment

Key Trial Info

Start Date :

November 1 2022

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

April 1 2024

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT05279274

Start Date

November 1 2022

End Date

April 1 2024

Last Update

August 5 2022

Active Locations (1)

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1

Imperial College London

London, United Kingdom, W2 1NY