New 'Fast-Track' aneurysm repair could get you home in under 48 hours
NCT ID NCT07431047
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a 'Fast-Track' approach for repairing abdominal aortic aneurysms using local anesthesia, small incisions, and avoiding the ICU. The goal is to see if patients can safely go home in less than 48 hours, reducing hospital costs and freeing up beds. About 50 people with certain types of aortic aneurysms will take part.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Feb 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population consists of adult patients diagnosed with infrarenal Abdominal Aortic Aneurysm (AAA) or Penetrating Aortic Ulcer (PAU) referred to the Vascular Surgery Unit of Policlinico Sant'Orsola (a tertiary academic medical center). Participants are selected from the standard waiting list for elective repair based on anatomical suitability for a percutaneous approach (Green/Yellow patterns) and social eligibility for the fast-track early discharge protocol.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria * Patient diagnosed with infrarenal Abdominal Aortic Aneurysm (AAA) indicated for elective endovascular repair. * Patient diagnosed with Penetrating Aortic Ulcer (PAU) indicated for elective endovascular repair. * Patient resident in the Bologna metropolitan area OR able to remain within the area for at least 7 days post-procedure. * Patient with a cohabitant or caregiver available (cannot live alone) to ensure safety during the early post-discharge phase. * Signed informed consent specifically for local/locoregional anesthesia, the procedure and the specific fast-track pathway. * Common femoral arteries diameter \> 7 mm * Common femoral arteries free of severe calcification (\< 50% of vessel circumference), suitable for percutaneous closure device * Proximal aortic neck length \> 15 mm * Proximal aortic neck diameter \< 30 mm * Proximal aortic neck without severe angulation (\<60°) or circumferential thrombus \<50% Exclusion Criteria: * Patient resident outside the Bologna metropolitan area or unable to remain within the area for at least 7 days post-procedure. * Patient without a cohabitant or caregiver available * Common femoral arteries diameter \<7 mm * Common femoral arteries with severe calcification (\> 50% of vessel circumference), unsuitable for percutaneous closure device * Proximal aortic neck length \< 15 mm * Proximal aortic neck diameter \> 30 mm * Proximal aortic neck with severe angulation (\>60°) or circumferential thrombus \>50% * General anesthesia * Open conversion * Medical contraindication to local/locoregional anesthesia or patient refusal/inability to cooperate during the procedure. * Severe Chronic Kidney Disease (glomerular filtration rate \> 30 ml/min) requiring exclusively CO2 angiography * Ruptured or symptomatic aneurysms requiring emergency repair. * Clinical condition requiring intensive invasive monitoring (e.g., CVC, urinary catheter) prior to the procedure.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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