An interventional study of Merit WRAPSODY Endovascular Stent Graft and PTA in Venous Stenosis and Venous Occlusion, sponsored by Merit Medical Systems, Inc.. Completed at 43 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-10.
Sponsored by Merit Medical Systems, Inc. · Not applicable, Interventional, and Treatment
The purpose of the study is to demonstrate the safety and efficacy of the Merit WRAPSODY Endovascular Stent Graft for treatment of stenosis or occlusion within the dialysis access outflow circuit
247 studies on the registry are indexed under Arteriovenous Fistula; 44 are open to participants now.
This study's enrollment of 357 is above the median of 64 across 166 interventional studies indexed under Arteriovenous Fistula.
Browse Arteriovenous Fistula studies →Merit Medical Systems, Inc. is the lead sponsor of 29 studies on the registry; 4 are open to participants now.
Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Life expectancy
The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Subjects randomised to treatment with the WRAPSODY Endovascular Stent Graft
Device: Merit WRAPSODY Endovascular Stent Graft
Subjects randomised to treatment with standard percutaneous transluminal angioplasty (PTA)
Device: PTA
All subjects in this single arm cohort will receive treatment with the WRAPSODY Endovascular Stent Graft
Device: Merit WRAPSODY Endovascular Stent Graft
Target lesion treated with stent graft placement
Target lesion treated with standard percutaneous transluminal angioplasty (PTA)
Subjects Without Any Localized or Systemic Safety Events (Primary Safety Endpoint)
Percentage of subjects without any localized or systemic safety events through 30 days post-index procedure that affect the access or venous outflow circuit and resulted in reintervention, hospitalization, or death (not including stenosis or thrombosis). Endovascular procedures performed to treat safety events after the index study procedure will be considered surgeries.
Time frame: 30 days
Subjects With Target Lesion Primary Patency (TLPP) (Primary Effectiveness Endpoint:)
Percentage of subjects with Target Lesion Primary Patency (TLPP) at 6 Months. TLPP is defined as freedom from clinically-driven target lesion revascularization (CD-TLR) or target lesion thrombosis measured through 6 months post-procedure, which is the time interval of uninterrupted patency after study procedure to the next intervention performed on the target lesion or uncorrectable target lesion occlusion.
Time frame: 6 months
Subjects With Target Lesion Primary Patency
Percentage of subjects with Target Lesion Primary Patency (TLPP) at 12 Months. TLPP is defined as freedom from clinically-driven target lesion revascularization (CD-TLR) or target lesion thrombosis measured through 6 months post-procedure, which is the time interval of uninterrupted patency after study procedure to the next intervention performed on the target lesion or uncorrectable target lesion occlusion.
Time frame: 12 months
Subjects With Target Lesion Primary Patency
Percentage of subjects with Target Lesion Primary Patency (TLPP) at 24 Months. TLPP is defined as freedom from clinically-driven target lesion revascularization (CD-TLR) or target lesion thrombosis measured through 6 months post-procedure, which is the time interval of uninterrupted patency after study procedure to the next intervention performed on the target lesion or uncorrectable target lesion occlusion.
Time frame: 24 months
Subjects With Assisted Target Lesion Primary Patency (aTLPP)
Kaplan Meier Estimate Percent Probability of Assisted Target Lesion Primary Patency at 6 months. aTLPP was defined as time to loss of Assisted Primary Patency of the target lesion, which is the time from post-procedure until uncorrectable target lesion occlusion. Participants who did not experience loss of aTLPP were censored at the time of last available follow-up.
Time frame: 6 months
Subjects With Assisted Target Lesion Primary Patency (aTLPP)
Kaplan Meier Estimate Percent Probability of Assisted Target Lesion Primary Patency at 12 months. aTLPP was defined as time to loss of Assisted Primary Patency of the target lesion, which is the time from post-procedure until uncorrectable target lesion occlusion. Participants who did not experience loss of aTLPP were censored at the time of last available follow-up.
Time frame: 12 months
Subjects With Assisted Target Lesion Primary Patency (aTLPP)
Kaplan Meier Estimate Percent Probability of Assisted Target Lesion Primary Patency at 24 months. aTLPP was defined as time to loss of Assisted Primary Patency of the target lesion, which is the time from post-procedure until uncorrectable target lesion occlusion. Participants who did not experience loss of aTLPP were censored at the time of last available follow-up.
Time frame: 24 months
Subjects With Access Circuit Primary Patency (ACPP)
Time frame: 6 months
Subjects With Access Circuit Primary Patency (ACPP)
Time frame: 12 months
Subjects With Access Circuit Primary Patency (ACPP)
Time frame: 24 months
Subjects With Post-Procedure Secondary Patency
Kaplan Meier Estimate Percent Probability of Post-Procedure Secondary Patency at 6 months. Post-Procedure Secondary Patency was defined as the interval post-procedure until access circuit abandonment. Participants who did not experience loss of Post-Procedure Secondary Patency were censored at the time of last available follow-up.
Time frame: 6 months
Subjects With Post-Procedure Secondary Patency
Kaplan Meier Estimate Percent Probability of Post-Procedure Secondary Patency at 12 months. Post-Procedure Secondary Patency was defined as the interval post-procedure until access circuit abandonment. Participants who did not experience loss of Post-Procedure Secondary Patency were censored at the time of last available follow-up.
Time frame: 12 months
Subjects With Post-Procedure Secondary Patency
Kaplan Meier Estimate Percent Probability of Post-Procedure Secondary Patency at 24 months. Post-Procedure Secondary Patency was defined as the interval post-procedure until access circuit abandonment. Participants who did not experience loss of Post-Procedure Secondary Patency were censored at the time of last available follow-up.
Time frame: 24 months
Rates of Procedure-related Adverse Events Involving the Access Circuit
Rates of procedure-related adverse events involving the access circuit at index procedure
Time frame: Index procedure
Rates of Device-related Adverse Events Involving the Access Circuit
Rates of device-related adverse events involving the access circuit at index procedure
Time frame: Index procedure
Rates of Procedure-related Adverse Events Involving the Access Circuit
Rates of procedure-related adverse events involving the access circuit at 30 days
Time frame: 30 days
Rates of Device-related Adverse Events Involving the Access Circuit
Rates of device-related adverse events involving the access circuit at 30 days
Time frame: 30 days
Rates of Procedure-related Adverse Events Involving the Access Circuit
Rates of procedure-related adverse events involving the access circuit at 6 months
Time frame: 6 months
Rates of Device-related Adverse Events Involving the Access Circuit
Rates of device-related adverse events involving the access circuit at 6 months
Time frame: 6 months
Rates of Procedure-related Adverse Events Involving the Access Circuit
Rates of procedure-related adverse events involving the access circuit at 12 months
Time frame: 12 Months
Rates of Device-related Adverse Events Involving the Access Circuit
Rates of device-related adverse events involving the access circuit at 12 months
Time frame: 12 Months
Rates of Procedure-related Adverse Events Involving the Access Circuit
Rates of procedure-related adverse events involving the access circuit at 24 months
Time frame: 24 Months
Rates of Device-related Adverse Events Involving the Access Circuit
Rates of device-related adverse events involving the access circuit at 24 months
Time frame: 24 Months
| Milestone | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Started | 122 | 123 | 112 |
| Completed | 81 | 70 | 54 |
| Not completed | 41 | 53 | 58 |
| Withdrew: Death | 24 | 25 | 21 |
| Withdrew: Withdrawal by subject | 3 | 2 | 6 |
| Withdrew: Early termination | 11 | 24 | 28 |
| Withdrew: Lost to follow-up | 3 | 1 | 3 |
| Withdrew: Discharge safety follow-up only | 0 | 1 | 0 |
Percentage of subjects without any localized or systemic safety events through 30 days post-index procedure that affect the access or venous outflow circuit and resulted in reintervention, hospitalization, or death (not including stenosis or thrombosis). Endovascular procedures performed to treat safety events after the index study procedure will be considered surgeries.
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Subjects Without Any Localized or Systemic Safety Events (Primary Safety Endpoint) | 115 | 115 | 104 |
Percentage of subjects with Target Lesion Primary Patency (TLPP) at 6 Months. TLPP is defined as freedom from clinically-driven target lesion revascularization (CD-TLR) or target lesion thrombosis measured through 6 months post-procedure, which is the time interval of uninterrupted patency after study procedure to the next intervention performed on the target lesion or uncorrectable target lesion occlusion.
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Subjects With Target Lesion Primary Patency (TLPP) (Primary Effectiveness Endpoint:) | 103 | 71 | 79 |
Percentage of subjects with Target Lesion Primary Patency (TLPP) at 12 Months. TLPP is defined as freedom from clinically-driven target lesion revascularization (CD-TLR) or target lesion thrombosis measured through 6 months post-procedure, which is the time interval of uninterrupted patency after study procedure to the next intervention performed on the target lesion or uncorrectable target lesion occlusion.
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Subjects With Target Lesion Primary Patency | 76 | 40 | 51 |
Percentage of subjects with Target Lesion Primary Patency (TLPP) at 24 Months. TLPP is defined as freedom from clinically-driven target lesion revascularization (CD-TLR) or target lesion thrombosis measured through 6 months post-procedure, which is the time interval of uninterrupted patency after study procedure to the next intervention performed on the target lesion or uncorrectable target lesion occlusion.
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Subjects With Target Lesion Primary Patency | 42 | 21 | 26 |
Kaplan Meier Estimate Percent Probability of Assisted Target Lesion Primary Patency at 6 months. aTLPP was defined as time to loss of Assisted Primary Patency of the target lesion, which is the time from post-procedure until uncorrectable target lesion occlusion. Participants who did not experience loss of aTLPP were censored at the time of last available follow-up.
| KM estimate (%) | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Subjects With Assisted Target Lesion Primary Patency (aTLPP) | 99.1 | 99.1 | 97.1 |
Kaplan Meier Estimate Percent Probability of Assisted Target Lesion Primary Patency at 12 months. aTLPP was defined as time to loss of Assisted Primary Patency of the target lesion, which is the time from post-procedure until uncorrectable target lesion occlusion. Participants who did not experience loss of aTLPP were censored at the time of last available follow-up.
| KM estimate (%) | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Subjects With Assisted Target Lesion Primary Patency (aTLPP) | 99.1 | 99.1 | 93.4 |
Kaplan Meier Estimate Percent Probability of Assisted Target Lesion Primary Patency at 24 months. aTLPP was defined as time to loss of Assisted Primary Patency of the target lesion, which is the time from post-procedure until uncorrectable target lesion occlusion. Participants who did not experience loss of aTLPP were censored at the time of last available follow-up.
| KM estimate (%) | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Subjects With Assisted Target Lesion Primary Patency (aTLPP) | 97.9 | 99.1 | 92.0 |
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Subjects With Access Circuit Primary Patency (ACPP) | 83 | 65 | 68 |
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Subjects With Access Circuit Primary Patency (ACPP) | 62 | 33 | 31 |
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Subjects With Access Circuit Primary Patency (ACPP) | 27 | 15 | 17 |
Kaplan Meier Estimate Percent Probability of Post-Procedure Secondary Patency at 6 months. Post-Procedure Secondary Patency was defined as the interval post-procedure until access circuit abandonment. Participants who did not experience loss of Post-Procedure Secondary Patency were censored at the time of last available follow-up.
| KM estimate (%) | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Subjects With Post-Procedure Secondary Patency | 100 | 100 | 95.1 |
Kaplan Meier Estimate Percent Probability of Post-Procedure Secondary Patency at 12 months. Post-Procedure Secondary Patency was defined as the interval post-procedure until access circuit abandonment. Participants who did not experience loss of Post-Procedure Secondary Patency were censored at the time of last available follow-up.
| KM estimate (%) | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Subjects With Post-Procedure Secondary Patency | 100 | 97.0 | 88.4 |
Kaplan Meier Estimate Percent Probability of Post-Procedure Secondary Patency at 24 months. Post-Procedure Secondary Patency was defined as the interval post-procedure until access circuit abandonment. Participants who did not experience loss of Post-Procedure Secondary Patency were censored at the time of last available follow-up.
| KM estimate (%) | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Subjects With Post-Procedure Secondary Patency | 97.3 | 93.2 | 80.2 |
Rates of procedure-related adverse events involving the access circuit at index procedure
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Rates of Procedure-related Adverse Events Involving the Access Circuit | 2 | 8 | 4 |
Rates of device-related adverse events involving the access circuit at index procedure
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Rates of Device-related Adverse Events Involving the Access Circuit | 0 | 6 | 1 |
Rates of procedure-related adverse events involving the access circuit at 30 days
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Rates of Procedure-related Adverse Events Involving the Access Circuit | 5 | 18 | 11 |
Rates of device-related adverse events involving the access circuit at 30 days
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Rates of Device-related Adverse Events Involving the Access Circuit | 1 | 9 | 6 |
Rates of procedure-related adverse events involving the access circuit at 6 months
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Rates of Procedure-related Adverse Events Involving the Access Circuit | 7 | 20 | 14 |
Rates of device-related adverse events involving the access circuit at 6 months
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Rates of Device-related Adverse Events Involving the Access Circuit | 3 | 9 | 8 |
Rates of procedure-related adverse events involving the access circuit at 12 months
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Rates of Procedure-related Adverse Events Involving the Access Circuit | 7 | 21 | 14 |
Rates of device-related adverse events involving the access circuit at 12 months
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Rates of Device-related Adverse Events Involving the Access Circuit | 3 | 9 | 8 |
Rates of procedure-related adverse events involving the access circuit at 24 months
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Rates of Procedure-related Adverse Events Involving the Access Circuit | 7 | 21 | 14 |
Rates of device-related adverse events involving the access circuit at 24 months
| Participants | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Rates of Device-related Adverse Events Involving the Access Circuit | 3 | 9 | 8 |
Collected over 24 months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| AVF Peripheral Study Treatment Group | 24/122 (19.7%) | 75/122 (61.5%) | 107/122 (87.7%) |
| AVF Peripheral Control Group | 25/123 (20.3%) | 85/123 (69.1%) | 121/123 (98.4%) |
| AVG Anastomosis | 21/112 (18.8%) | 82/112 (73.2%) | 104/112 (92.9%) |
| Event | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Restenosis of treated segment (target lesion)Vascular disorders | 12/122 | 22/123 | 7/112 |
| ThrombosisVascular disorders | 7/122 | 3/123 | 20/112 |
| Cardiac arrestCardiac disorders | 11/122 | 10/123 | 3/112 |
| Stenosis (non-target)Vascular disorders | 9/122 | 6/123 | 7/112 |
| Bacteremia or septicemiaInfections and infestations | 5/122 | 2/123 | 8/112 |
| Infection, localizedInfections and infestations | 4/122 | 5/123 | 8/112 |
| PainGeneral disorders | 4/122 | 4/123 | 8/112 |
| Sepsis or systemic infectionInfections and infestations | 8/122 | 7/123 | 6/112 |
| PneumoniaRespiratory, thoracic and mediastinal disorders | 6/122 | 8/123 | 6/112 |
| Restenosis (non-target lesion)Vascular disorders | 6/122 | 6/123 | 7/112 |
| Event | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis |
|---|---|---|---|
| Restenosis of treated segment (target lesion)Vascular disorders | 39/122 | 72/123 | 22/112 |
| Stenosis (non-target)Vascular disorders | 40/122 | 32/123 | 39/112 |
| Restenosis (non-target lesion)Vascular disorders | 32/122 | 31/123 | 33/112 |
| ThrombosisVascular disorders | 10/122 | 7/123 | 29/112 |
| PainGeneral disorders | 12/122 | 9/123 | 14/112 |
| Dialysis Access ComplicationsInjury, poisoning and procedural complications | 10/122 | 3/123 | 9/112 |
| Sepsis or systemic infectionInfections and infestations | 9/122 | 7/123 | 7/112 |
| PneumoniaRespiratory, thoracic and mediastinal disorders | 6/122 | 9/123 | 7/112 |
| Bacteremia or septicemiaInfections and infestations | 5/122 | 2/123 | 8/112 |
| Infection, localizedInfections and infestations | 5/122 | 7/123 | 8/112 |
| Age, Continuous(years) | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis | Total |
|---|---|---|---|---|
| Mean | 61.6 ± 13.9 | 60.1 ± 14.5 | 64.1 ± 13.3 | 61.8 ± 13.96 |
| Sex: Female, Male(Participants) | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis | Total |
|---|---|---|---|---|
| Female | 52 | 54 | 61 | 167 |
| Male | 70 | 69 | 51 | 190 |
| Ethnicity (NIH/OMB)(Participants) | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis | Total |
|---|---|---|---|---|
| Hispanic or Latino | 41 | 37 | 28 | 106 |
| Not Hispanic or Latino | 81 | 86 | 83 | 250 |
| Unknown or Not Reported | 0 | 0 | 1 | 1 |
| Race (NIH/OMB)(Participants) | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 2 | 0 | 1 | 3 |
| Asian | 3 | 6 | 3 | 12 |
| Native Hawaiian or Other Pacific Islander | 1 | 0 | 0 | 1 |
| Black or African American | 47 | 51 | 69 | 167 |
| White | 65 | 62 | 34 | 161 |
| More than one race | 4 | 4 | 5 | 13 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Region of Enrollment(participants) | AVF Peripheral Study Treatment Group | AVF Peripheral Control Group | AVG Anastomosis | Total |
|---|---|---|---|---|
| Canada | 1 | 0 | 3 | 4 |
| United States | 99 | 98 | 85 | 282 |
| Brazil | 17 | 18 | 17 | 52 |
| United Kingdom | 5 | 7 | 7 | 19 |
PDFs hosted by the registry, ClinicalTrials.gov.
Ran from Mar 2021 to primary completion in Feb 2024, 35 months.
Results were first posted in Jun 2026, 2 years 3 months after primary completion.
Of 84 interventional studies with no phase under Arteriovenous Fistula, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 43. This study's 35 months is above that.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.