Aortic repair breakthrough: which blood flow restore method works best?
NCT ID NCT07697820
First seen Jul 13, 2026 · Last updated Jul 14, 2026 · Updated 1 time
Summary
This study looks at different methods to restore blood flow to the left subclavian artery when it must be covered during aortic repair. Covering this artery can raise the risk of stroke and arm problems. The trial compares surgical bypass with newer endovascular techniques to see which is safer and more effective. It includes adults with aortic aneurysms or dissections who need this type of repair.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Carotid-subclavian bypass (surgical procedure)
- What this could lead to
- If successful, this study could help doctors choose the safest revascularization method for patients needing aortic repair, reducing the risk of stroke and arm complications.
- What could go wrong
- This is a small, single-center study with only 50 participants, so results may not apply to all patients. Surgical and endovascular techniques each carry their own risks, such as infection or endoleaks.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- 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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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
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.
- 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: Patients ≥18 years Undergoing TEVAR with proximal landing in zone 2 whether acute or chronic type B aortic dissection (TBAD), thoraco-abdominal aortic aneurysm (TAAA), penetrating aortic ulcer (PAU) or intramural hematoma (IMH). • Treatment with one of the following: * Single-branched stent grafts * In-situ fenestration (e.g. ISLF ± stent) * Chimney/periscope graft techniques * Physician-modified endografts (PMEGs) * Carotid-subclavian bypass, carotid-axillary bypass, or subclavian transposition Exclusion Criteria: * • Non revascularized left subclavian artery. * Zone 0 or 1 procedures * Multi-vessel arch debranching * Blunt traumatic aortic injury (BTAI) * Incomplete imaging or follow-up data
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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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