EndoAVF Creation: Subjects will have an endoAVF created using the WavelinQ EndoAVF System
Study summary
A prospective, single-arm, multi-center post-market surveillance study of the BD® WavelinQ™ EndoAVF System for the Creation of Arteriovenous (AV) Fistula in Patients Requiring Dialysis.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
1. Subject must be either male or non-pregnant female ≥ 18 years of age with an expected lifespan sufficient to allow for completion of all study procedures.
2. Subject must voluntarily sign and date the Informed Consent Form (ICF) prior to collection of study data or performance of study procedures.
3. Subject must be willing to comply with the protocol requirements, including clinical follow-up.
4. Subjects who have established, non-reversible kidney failure, who are currently on dialysis at screening or are in immediate need (within 6 months of endoAVF creation) of dialysis.
5. Target treatment vein diameter(s) for endoAVF creation ≥ 2.0 mm as measured via Duplex Ultrasound (DUS) or Venography.
6. Target treatment artery diameter ≥ 2.0 mm as measured via Duplex Ultrasound (DUS) or Arteriogram.
7. Subject has adequate collateral circulation to the hand, in the opinion of the Investigator.
8. At least one superficial outflow vein diameter ≥ 2.5 mm and in communication with the target creation site via a proximal forearm perforating vein.
Exclusion Criteria:
1. The subject is in a hypercoagulable state.
2. The subject has known bleeding diathesis.
3. The subject has insufficient cardiac output to support a native fistula in the opinion of the Investigator.
4. Known history of active intravenous drug abuse.
5. "Planned" major surgical procedure within 6 months following index procedure or major surgery within 30 days prior to index procedure.
6. The subject has a known allergy or hypersensitivity to contrast media which cannot be adequately pre-medicated.
7. The subject has known adverse effects to sedation and/or anesthesia which cannot be adequately pre-medicated.
8. Evidence of active infection on the day of the index procedure (temperature of ≥ 38.0° Celsius and/ or WBC of ≥ 12,000 cells/ μL, if collected).
9. 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.
10. 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.
11. The subject has central venous stenosis or central vein narrowing \> 50% based on imaging on the same side as the planned endoAVF creation.
12. Absence of a proximal forearm perforating vein feeding the target cannulation vein(s) from the target creation site via Duplex Ultrasound (DUS) or Venography.
13. Occlusion or stenosis \> 50% of target cannulation vein(s) such as cephalic, median cubital, basilic, etc. assessed via Duplex Ultrasound (DUS) or Venography.
14. Significantly compromised venous or arterial flow in the treatment arm as determined by Investigator and Duplex Ultrasound (DUS) or Venography.
15. Presence of significant calcification at the target endoAVF location that could potentially impact the effectiveness of endoAVF creation as determined by the Investigator.
Primary outcome measure(s)
Functional Cannulation Success — 6-months post index procedure The percentage of subjects dialyzed using successful 2-needle access of the endoAVF for at least 75% of dialysis sessions over a continuous 28-day period
Primary Patency — 6-months post index procedure Subjects maintaining primary patency of the endoAVF
Device- and procedure-related serious adverse events (SAE) — 30-days post index procedure Freedom from device-related or procedure-related SAEs
Trial sites (17)
Facility
City
Region
Status
California Institute of Renal Research
La Jolla
California
Recruiting
San Francisco Vein & Vascular
San Francisco
California
Recruiting
First Coast Cardiovascular Institute Pa
Jacksonville
Florida
Recruiting
Radiology and Imaging Specialists
Lakeland
Florida
Recruiting
Vascular and Spine Institute Inc
Miami
Florida
Active Not Recruiting
Kidney Care and Transplant Services of NE
Springfield
Massachusetts
Recruiting
Kidney Care & Transplant Services of New England
West Springfield
Massachusetts
Recruiting
UMass Chan School of Medicine
Worcester
Massachusetts
Recruiting
Albany Medical Center
Albany
New York
Recruiting
NC Nephrology
Raleigh
North Carolina
Completed
ProMedica Toledo Hospital
Toledo
Ohio
Recruiting
Butler Memorial Hospital
Butler
Pennsylvania
Recruiting
Vascular Institute of Chattanooga
Chattanooga
Tennessee
Recruiting
Bluff City Vascular
Memphis
Tennessee
Recruiting
University of Texas Southwestern Medical Center
Dallas
Texas
Recruiting
Houston Methodist
Houston
Texas
Recruiting
Southern Adelaide Local Health Network
Bedford Park
South Australia
Recruiting
Official registry record
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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