Could a computer model forecast aortic repair outcomes?
NCT ID NCT07779291
First seen Aug 21, 2026 ยท Last updated Aug 21, 2026
Summary
This study looks at whether detailed imaging and blood-flow simulations can predict how the aorta remodels after a procedure called TEVAR, used to treat type B aortic dissection. Researchers will analyze CT scans from 1,000 patients who had the procedure, using advanced mapping to track changes in the aorta and computer models to simulate blood flow. The goal is to build a tool that helps identify patients at higher risk of complications, such as aneurysm growth or rupture, so doctors can tailor follow-up care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Thoracic endovascular aortic repair (TEVAR) with stent-graft, plus imaging-based analysis using vascular deformation mapping and computational fluid dynamics
- What this could lead to
- If successful, this could give doctors a way to predict which patients are at high risk of complications after TEVAR, enabling earlier and more personalized follow-up care.
- What could go wrong
- This is a retrospective analysis, not a controlled trial, so it can identify associations but not prove cause and effect. The predictive model may not be accurate enough for routine clinical use without further validation.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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1,000 people
The number who actually took part.
- Started
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Jan 2020
- Finished
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Feb 2026
- 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
This study population comprises patients diagnosed with acute uncomplicated Type B aortic dissection who underwent thoracic endovascular aortic repair (TEVAR) at a single center. Eligible patients were aged 18 to 85 years, male or non-pregnant female, and had at least one preoperative and three postoperative CTA examinations with adequate imaging coverage from the brachiocephalic trunk to the iliac arteries. Patients with traumatic or iatrogenic dissection, chronic or complicated dissection, penetrating aortic ulcer (PAU), intramural hematoma (IMH), localized dissection, connective tissue disorders (e.g., Marfan syndrome), prior cardiac or aortic surgery, insufficient imaging quality, or failed image registration for VDM analysis were excluded. A total of 1000 patients were enrolled and followed for up to 5 years post-TEVAR to assess adverse aortic remodeling outcomes.
- Ages
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18 to 85 years
- 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: (1) Age between 18 and 85 years, male or non-pregnant female. (2) CTA-confirmed diagnosis of Type B aortic dissection, classified as acute uncomplicated dissection. (3) Underwent TEVAR (thoracic endovascular aortic repair) procedure. (4) At least one preoperative and three postoperative CTA examinations available, with imaging coverage extending cranially to include the brachiocephalic trunk, left common carotid artery, and the origin of the left subclavian artery, and caudally to cover the origins of the internal and external iliac arteries. Exclusion Criteria: (1) Age \<18 or \>85 years. (2) Traumatic or iatrogenic dissection, or isolated aortic aneurysm. (3) Chronic or complicated dissection. (4) Penetrating aortic ulcer (PAU) or intramural hematoma (IMH), as well as localized dissection. (5) Connective tissue disorders, such as Marfan syndrome. (6) Prior history of cardiac or aortic surgery. (7) Absence of signed surgical informed consent. (8) Insufficient CTA examinations or inadequate imaging coverage/quality. (9) Failure of image registration precluding completion of the VDM analysis workflow.
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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.
Contacts and locations
Locations
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The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, 325000, China
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The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310009, China
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Zhongshan Hospital, Fudan University
Shanghai, Shanghai Municipality, 200032, China
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