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A Novel Approach for Transjugular Intrahepatic Portocaval Shunt Creation Using Real-time Three Dimensional Roadmap

Primary Purpose

Portal Hypertension

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
3d roadmap guidance
conventional TIPS procedure
Sponsored by
West China Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Portal Hypertension

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

cirrhosis complications of portal hypertension requiring TIPS

Exclusion Criteria:

non-cirrhotic portal hypertension complete occlusion of intrahepatic portal vein gastro-renal shunt presence of liver tumor pregnancy other contradictions of TIPS

Sites / Locations

  • West China Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

3D roadmap

conventional TIPS

Arm Description

TIPS was established using 3d roadmap guidance

conventional TIPS procedure using wedged hepatic venography

Outcomes

Primary Outcome Measures

Technical success rate
number of patients who have received TIPS creation technically successfully
number of punctures
number of intrahepatic punctures for TIPS creation

Secondary Outcome Measures

radiographic fluoroscopy time for portal vein entry
duration of radiographic fluoroscopy for portal vein entry
radiographic fluoroscopy time for the whole procedure
duration of radiographic fluoroscopy for the whole procedure
procedural time
procedural time

Full Information

First Posted
January 21, 2017
Last Updated
January 7, 2019
Sponsor
West China Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT03031366
Brief Title
A Novel Approach for Transjugular Intrahepatic Portocaval Shunt Creation Using Real-time Three Dimensional Roadmap
Official Title
A Novel Approach for Transjugular Intrahepatic Portocaval Shunt Creation Using Real-time Three Dimensional Roadmap
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Completed
Study Start Date
February 13, 2017 (Actual)
Primary Completion Date
May 30, 2017 (Actual)
Study Completion Date
May 30, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
West China Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
TIPS creation has been widely used to treat the complications associated with portal hypertension. In association with increased operator experience and the ongoing development of imaging modalities, the rate of major complications associated with TIPS has decreased significantly in the past decades. However, the passage of a curved needle from the hepatic vein into the portal vein still remains a challenging and time-consuming part of the procedure and is associated with puncture-related complications that are potentially fatal.Three-dimensional roadmap guidance has been widely applied in various interventions. The aim of the present study is to prospectively assess the feasibility and efficacy of real-time 3D roadmap guidance during TIPS creation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Portal Hypertension

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
TIPS creation using real-time 3D roadmap
Masking
None (Open Label)
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
3D roadmap
Arm Type
Experimental
Arm Description
TIPS was established using 3d roadmap guidance
Arm Title
conventional TIPS
Arm Type
Active Comparator
Arm Description
conventional TIPS procedure using wedged hepatic venography
Intervention Type
Other
Intervention Name(s)
3d roadmap guidance
Intervention Description
TIPS was established using 3d roadmap
Intervention Type
Other
Intervention Name(s)
conventional TIPS procedure
Intervention Description
conventional TIPS procedure using wedged hepatic venography
Primary Outcome Measure Information:
Title
Technical success rate
Description
number of patients who have received TIPS creation technically successfully
Time Frame
1 month
Title
number of punctures
Description
number of intrahepatic punctures for TIPS creation
Time Frame
1 month
Secondary Outcome Measure Information:
Title
radiographic fluoroscopy time for portal vein entry
Description
duration of radiographic fluoroscopy for portal vein entry
Time Frame
1 month
Title
radiographic fluoroscopy time for the whole procedure
Description
duration of radiographic fluoroscopy for the whole procedure
Time Frame
1 month
Title
procedural time
Description
procedural time
Time Frame
1 month

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: cirrhosis complications of portal hypertension requiring TIPS Exclusion Criteria: non-cirrhotic portal hypertension complete occlusion of intrahepatic portal vein gastro-renal shunt presence of liver tumor pregnancy other contradictions of TIPS
Facility Information:
Facility Name
West China Hospital
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610041
Country
China

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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A Novel Approach for Transjugular Intrahepatic Portocaval Shunt Creation Using Real-time Three Dimensional Roadmap

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