Progel Vascular Sealant

Overview

About this study

This study is being conducted to evaluate the safety and effectiveness of the Progel Vascular Sealant for use in vascular reconstructions to achieve adjunctive hemostasis by mechanically sealing areas of leakage.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  1. Subject must be ≥ 18 years of age.
  2. Subject is scheduled for elective, primary thoracic surgery involving the aortic valve, ascending aorta, or aortic arch on cardiopulmonary bypass.
  3. Subject has an expected life expectancy> 6 months.
  4. Subject is willing and able to comply with all aspects of the study including follow-up schedule.
  5. Subject or authorized representative, has the ability to provide voluntary written informed consent.

Intra-operative Inclusion Criteria:

  1. Subject is able to undergo an antegrade cardioplegia injection for evaluation of a leak at the aortic anastomotic site(s) during the procedure.
  2. Following this injection, subject has a leaking site where a topical sealant/hemostatic agent may be used to control bleeding.

Exclusion Criteria:

  1. Subject has Type A or other acute thoracic aortic dissection.
  2. Subject has undergone prior thoracic surgery (open thoracotomy not including interventional cardiology procedures).
  3. Subject is undergoing a planned concomitant procedure other than coronary artery bypass graft (CABG).
  4. Subject has a previous organ transplant.
  5. Subject has known or suspected preoperative coagulation disorder.
  6. Subject is allergic to human thrombin or has a history of allergic reactions after application of human thrombin.
  7. Subject is allergic to protamine.
  8. Subject has a Left Ventricular Assist Device (LVAD) or planned to receive an LVAD.
  9. Subject is undergoing emergency surgery.
  10. Subject is in chronic renal failure.
  11. Subject has a hematocrit < 21% pre-operatively.
  12. Subject has a serum creatinine ≥2.5 mg/dl at baseline or is currently on dialysis.
  13. Subject has a cardiac ejection fraction <25%.
  14. Subject is scheduled for another cardiac surgery within 30 days of enrollment.
  15. Subject has an active or latent infection which is systemic or at the intended surgery site.
  16. Subject is immuno-compromised such as that resulting from chronic oral steroid use, chemotherapeutic agents, or immune deficiency disorders.
  17. Subject is pregnant by a positive pregnancy test or has plans to become pregnant during the study period or is currently breast-feeding.
  18. Subject is unwilling to receive blood products.
  19. Subject has participated in another investigational research study within 30 days of enrollment.
  20. In the opinion of the investigator, the subject has a clinical condition that would preclude the use of the study device, preclude the subject from completing the follow-up requirements, or would complicate the evaluation of this study.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status

Rochester, Minn.

Mayo Clinic principal investigator

Alberto Pochettino, M.D.

Closed for enrollment

More information

Publications

Publications are currently not available

Additional contact information

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Phone: 800-664-4542 (toll-free)

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