New stent aims to unclog dialysis veins
NCT ID NCT04261686
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a special mesh tube called a stent graft in 100 people on dialysis whose arm veins (fistulas) had narrowed. The stent is placed to prop the vein open and improve blood flow. Researchers tracked how long the vein stayed open without needing another procedure, and checked for any safety issues within 30 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Covera Vascular Covered Stent (a mesh tube placed in the vein to keep it open)
- What this could lead to
- If it works, this stent could help people on dialysis maintain their access longer with fewer blockages and repeat procedures.
- What could go wrong
- This is a post-market study with no comparison group, so results may not prove the stent is better than other options. Risks include device-related complications like clotting or infection.
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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100 people
The number who actually took part.
- Started
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Jul 2020
- Finished
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Sep 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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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21 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.
Clinical Inclusion Criteria 1. Subject must voluntarily sign and date the Informed Consent Form (ICF) prior to collection of study data or performance of study procedures. 2. Subject must be either a male or non-pregnant female ≥ 21 years of age with an expected lifespan sufficient to allow for completion of all study procedures. 3. Subject must be willing to comply with the protocol requirements, including clinical and telephone follow-up. 4. Subject must have an upper extremity AV fistula that has undergone at least one successful dialysis session with two-needle cannulation, prior to the index procedure. 5. Subject must have angiographic evidence of a stenosis ≥ 50% (by visual estimation) located in the venous outflow of the AV access circuit and present with clinical or hemodynamic evidence of AV fistula dysfunction. 6. The target lesion must be ≤ 9cm in length. Note: multiple stenoses may exist within the target lesion. 7. The reference vessel diameter of the adjacent non-stenotic vein must be between 5.0 and 9.0mm. Exclusion Criteria: Clinical Exclusion Criteria 1. The subject is dialyzing with an AV graft. 2. The target lesion has had a corresponding thrombosis treated within 7 days prior to the index procedure. 3. The hemodialysis access is located in the lower extremity. 4. The subject has an infected AV fistula or uncontrolled systemic infection. 5. The subject has a known uncontrolled blood coagulation/bleeding disorder. 6. The subject has a known allergy or hypersensitivity to contrast media which cannot be adequately pre-medicated. 7. The subject has a known hypersensitivity to nickel-titanium (Nitinol) or tantalum. 8. The subject has another medical condition, which, in the opinion of the Investigator, may cause him/her to be non-compliant with the protocol, confound the data interpretation, or is associated with a life expectancy insufficient to allow for the completion of study procedures and follow-up. 9. The subject is currently participating in an investigational drug or another device study that has not completed the study treatment or that clinically interferes with the study endpoints. Note: Studies requiring extended follow-up visits for products that were investigational, but have since become commercially available, are not considered investigational studies. 10. Additional stenotic lesions (≥ 50%) in the venous outflow that are \> 3cm from the edge of the target lesion and are not successfully treated (defined as ≤ 30% residual stenosis) prior to treating the target lesion. 11. An aneurysm or pseudoaneurysm is present within the target lesion. 12. The location of the target lesion would require the COVERATM Vascular Covered Stent be deployed across the elbow joint. 13. The target lesion is located within a stent. 14. The location of the target lesion would require that the COVERA™ Vascular Covered Stent be deployed at or across the segment of fistula utilized for dialysis needle puncture (i.e., "cannulation zone"). 15. The location of the target lesion would require that the COVERA™ Vascular Covered Stent be placed in the central veins (subclavian, brachiocephalic, Superior Vena Cava (SVC)) or under the clavicle at the thoracic outlet. 16. There is incomplete expansion of an appropriately sized angioplasty balloon to its expected profile, in the operator's judgment, during primary angioplasty at the target lesion.
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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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Arizona Kidney Disease and Hypertension Center Medical Research Services
Phoenix, Arizona, 85012, United States
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Chicago Access Care
Westmont, Illinois, 60559, United States
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Dallas Renal Group
Dallas, Texas, 75208, United States
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Kidney Care & Transplant Services of New England
West Springfield, Massachusetts, 01089, United States
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Michigan Vascular Center
Flint, Michigan, 48507, United States
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Minnesota Vascular and Surgery Center
New Brighton, Minnesota, 55112, United States
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North Carolina Nephrology
Raleigh, North Carolina, 27610, United States
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Providence Access Care
Providence, Rhode Island, 02906, United States
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San Antonio Kidney and Disease Access Center
San Antonio, Texas, 78216, United States
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University of Minnesota Medical Center
Minneapolis, Minnesota, 55455, United States
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Yale University
New Haven, Connecticut, 06511, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Do kidney patients know why a fistula matters before dialysis?
- Could a little fat be the key to better dialysis access?
- Could a simple breathing pattern take the sting out of dialysis?
- Ice pack on hand may ease dialysis needle pain without drugs
- Dialysis access anesthesia study pulled before starting
- New implant aims to simplify dialysis fistula monitoring