New device aims to seal artery punctures faster and safer
NCT ID NCT03756558
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested a device called Cross-Seal that helps close large holes in the main leg artery after heart procedures. It involved 147 adults who needed artery access with large sheaths. The goal was to see if the device could stop bleeding quickly and safely without major complications.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cross-Seal System (a suture-mediated vascular closure device)
- What this could lead to
- If successful, this device could provide a faster, safer way to close large artery punctures after heart procedures, reducing complications and recovery time.
- What could go wrong
- This is a single-arm study with no comparison group, and the device may still cause bleeding, infection, or other complications. Results may not apply to all patients or settings.
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
-
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
-
147 people
The number who actually took part.
- Started
-
Aug 2019
- Finished
-
Mar 2021
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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. Subject is ≥ 18 years old 2. Subject is scheduled for elective or planned (i.e., not emergent or urgent) percutaneous transcatheter interventional procedures involving access through the femoral artery using 8-18 French introducer sheaths 3. Subject is able to undergo emergent vascular surgery if a complication related to the vascular closure necessitates such surgery 4. Subject is willing and able to complete follow-up requirements 5. Subject, or authorized representative signs a written Informed Consent form prior participating in the study Exclusion Criteria: General Exclusion Criteria 1. Prior intra-aortic balloon pump at access site 2. Subjects with severe inflow disease (iliac artery diameter stenosis \> 50%) and/or severe peripheral arterial disease (Rutherford Classification 5 or 6), as confirmed with prior standard of care Computed Tomography Imaging, duplex ultrasound, and/or intra-procedural fluoroscopy 3. Common femoral artery lumen diameter is \< 5 mm 4. In opinion of the investigator, significant scarring of the target access site which would preclude use of the device in accordance with the IFU 5. Prior target artery closure with any closure device \< 90 days, or closure with manual compression ≤ 30 days prior to index procedure 6. Prior vascular surgery, vascular graft, or stent in region of access site 7. Subjects receiving glycoprotein IIb/IIIa inhibitors before, during, or after the catheterization procedure 8. Subjects with significant anemia 9. Subject with known bleeding disorder including thrombocytopenia (platelet count \< 100,000), thrombasthenia, hemophilia or Von Willebrand's disease 10. Subject with renal insufficiency, on dialysis therapy, or with renal transplant 11. Known severe allergy to contrast reagent that cannot be managed with premedication 12. Inability to tolerate aspirin and/or other anticoagulation/antiplatelet treatment 13. Planned anticoagulation therapy post-procedure such that the Activated Clotting Time (ACT) is expected to be elevated above 350 seconds for more than 24 hours after the procedure 14. Connective tissue disease (e.g., Marfan's Syndrome) 15. Thrombolytics (e.g., streptokinase, urokinase), Angiomax (bivalirudin) or other thrombin-specific anticoagulants ≤ 24 hours prior to the procedure 16. Recent (within 8 weeks) cerebrovascular accident or Q-wave myocardial infarction 17. Subjects who are morbidly obese 18. Planned major intervention or surgery, including planned endovascular procedure in the target leg, within 30 days following the interventional procedure 19. Subject unable to ambulate at baseline (i.e., confined to wheelchair or bed) 20. Currently participating in a clinical study of an investigational device or drug that has not completed its primary study endpoint 21. Known allergy to any device component 22. Subject is known or suspected to be pregnant or lactating 23. Evidence of active systemic or local groin infection 24. Subject has other medical, social or psychological problem that in the opinion of the investigator precludes them from participating 25. Subject is mentally incompetent or a prisoner 26. New York Heart Association (NYHA) Class IV heart failure that is uncontrolled and requires treatment in the Intensive Care Unit within 24 hours prior to the index procedure 27. Left Ventricular Ejection Fraction (LVEF) \< 20% 28. Unilateral or bilateral lower extremity amputation 29. Known existing nerve damage in the target leg 30. Subjects who have already participated in this study Intra-Procedure Exclusion Criteria 31. Access site above the most inferior border of the inferior epigastric artery (IEA) and/or above the inguinal ligament based upon bony landmarks 32. Access site in the profunda femoris or superficial femoral arteries, or the bifurcation of these vessels 33. Ipsilateral femoral venous sheath during the catheterization procedure 34. Common femoral artery calcium, which is visible with prior Computed Tomography Imaging and/or duplex ultrasound 35. Subject in which there is difficulty inserting the introducer sheath or need for greater than 2 ipsilateral arterial punctures at the start of the catheterization procedure 36. Difficulty in obtaining vascular access resulting in multiple arterial punctures and/or posterior arterial puncture 37. Evidence of a pre-existing hematoma (\> 1.5 cm in diameter), arteriovenous fistula, pseudoaneurysm, or intraluminal thrombosis at the access site 38. Marked tortuosity (at the investigator's discretion) of the femoral or external iliac artery in the target leg based on prior Computed Tomography imaging, fluoroscopy, and/or duplex ultrasound 39. Angiographic evidence of arterial laceration, dissection, or stenosis in the femoral artery that would preclude use of the investigational device 40. Target arteriotomy \>18 French sheath
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Vascular closure are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
-
Cardiothoracic and Vascular Surgeons
Austin, Texas, 78756, United States
-
Cleveland Clinic
Cleveland, Ohio, 44195, United States
-
Good Samaritan Hospital
Cincinnati, Ohio, 45220, United States
-
Holston Valley Medical Center
Kingsport, Tennessee, 37660, United States
-
INTEGRIS Cardiovascular Physicians
Oklahoma City, Oklahoma, 73112, United States
-
Lankenau Institute for Medical Research
Wynnewood, Pennsylvania, 19096, United States
-
Mt Sinai Medical Center
New York, New York, 10029, United States
-
North Central Heart
Sioux Falls, South Dakota, 57108, United States
-
River City Clinical Research
Jacksonville, Florida, 32207, United States
-
Rutgers, The State University of New Jersey
Piscataway, New Jersey, 08854, United States
-
Sentara Medical Group
Norfolk, Virginia, 23502, United States
-
St. David's Heart and Vascular dba Austin heart
Austin, Texas, 78756, United States
-
Swedish Medical Center
Seattle, Washington, 98122, United States
-
Texas Heart Institute and Baylor St. Luke's Medical Center
Houston, Texas, 77030, United States
-
The Trustees of Columbia University in the City of New York
New York, New York, 10032, United States
-
University of Iowa Hospital
Iowa City, Iowa, 52242, United States
-
University of Rochester
Rochester, New York, 14642, United States
-
University of South Florida
Tampa, Florida, 33620, United States
-
Vascular Institute of the Rockies
Denver, Colorado, 80218, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.