ClinicalTrials.gg
RecruitingNCT07089576ARTIZENUpdated Oct 15, 2026

Clinical Study to Evaluate the Safety and Effectiveness of Arcevo LSA

An interventional study of Arcevo™ LSA Hybrid Stent Graft System in Aortic Arch Aneurysm, Aortic Arch Dissection and Chronic Aortic Dissection, sponsored by Artivion Inc.. Recruiting at 26 sites in 3 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-10-15.

Sponsored by Artivion Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2025; still recruiting 1 year later.
Updated Oct 15, 2026First sites in Germany and Italy5 sites addedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
132
Allocation
Non-randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn if the Arcevo LSA stent graft can safely and effectively treat patients that have an acute or chronic aortic dissection and/or aneurysm that involves the aortic arch and the descending thoracic aorta, with or without the involvement of the ascending aorta.

02

Conditions studied

  • Aortic Arch Aneurysm
  • Aortic Arch Dissection
  • Chronic Aortic Dissection
  • Acute Aortic Dissection

Keywords

  • total arch replacement
  • frozen elephant trunk
  • aortic arch aneurysm
  • aortic arch dissection
03

In context

Aneurysm, Aortic Arch

27 studies on the registry are indexed under Aneurysm, Aortic Arch; 14 are open to participants now.

This study's planned enrollment of 132 is above the median of 115 across 19 interventional studies indexed under Aneurysm, Aortic Arch.

Browse Aneurysm, Aortic Arch studies →

Lead sponsor

Artivion Inc. is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

General Inclusion Criteria

  1. ≥18 years of age or ≤80 years of age (male or female) at time of surgery
  2. Patient has one of the following indications for open surgery based on computed tomography angiography (CTA) completed within 90 days of :

    • Acute, subacute, or chronic dissection that involves the aortic arch and the descending thoracic aorta, with or without involvement of the ascending aorta
    • Aneurysm that involves the aortic arch and the descending thoracic aorta, with or without involvement of the ascending aorta
  3. Patient, or patient's legally authorized representative (LAR; in the secondary arm only), provides written informed consent prior to any study procedures
  4. Patient's surgery occurs within 90 days of informed consent

    Anatomical Inclusion Criteria

  5. Aortic diameter at the intended Arcevo™ LSA anastomosis site is ≥ 21 mm
  6. For Aneurysm with distal sealing (i.e., single stage procedure), aortic diameter at the intended distal sealing zone is between 20-36 mm
  7. For Dissection with distal sealing, aortic diameter at the intended distal sealing zone is between 22-40 mm
  8. LSA branch does not require additional stenting further into the LSA (beyond the Arcevo™ LSA)
  9. The intended LSA sealing zone has a diameter between 8.5 mm and 14.0 mm with a length of at least 10 mm
  10. Absence of dissection, aneurysm, or stenosis in the intended LSA sealing zone
  11. The intended LSA branch position does not interrupt flow to any branch vessel (e.g., left vertebral artery)
  12. Patient does not have computed tomography (CT) evidence of extreme arch or LSA angulation precluding safe passage of the Arcevo™ LSA and delivery system
  13. LSA take-off angle between 15° and 90°
  14. For patients requiring planned extension, there is a ≥ 2 cm distal seal zone for the TEVAR device without a severely angulated descending aorta
  15. For patients requiring planned extension, patient has suitable iliac artery anatomy for safe passage of the TEVAR delivery system

General Exclusion Criteria

  1. Patient is pregnant, or planning to become pregnant during the course of the study; individuals of must agree to use acceptable methods of during the study
  2. Patient has another medical condition (aside from the arch disease) that, in the opinion of the investigator, reduces the patient's to \< 2 years
  3. Patient has an existing aortic stent graft device in the descending aorta that would interact with Arcevo™ LSA
  4. Patient has a medical, social, or psychological problem that, in the opinion of the investigator, could impede the patient's ability to return for follow-up
  5. Patient is unwilling or unable to comply with the follow-up schedule
  6. Patient is institutionalized due to administrative or judicial order
  7. Patient is unwilling to accept blood transfusion or blood product
  8. Patient is currently participating in another interventional clinical study which includes treatment with another product (e.g., device, pharmaceutical or biologic)

    Medical Exclusion Criteria

  9. Patient is unfit for open surgical repair involving circulatory arrest
  10. Patient is in extreme hemodynamic compromise requiring cardiopulmonary resuscitation (CPR) or substantial inotropic support prior to surgery
  11. Patient has an active systemic infection
  12. Patient has endocarditis or active infection of the aorta
  13. Patient has a freely ruptured aorta
  14. Patient has a history of a bleeding disorder (e.g., hemophilia)
  15. Patient has current end-stage renal disease (e.g., \<30 mL/min)
  16. Patient has a known allergy to Arcevo™ LSA components and TEVAR device components (if required) (nitinol, polyester, platinum-iridium, or polyethylene)
  17. Patient has uncontrollable anaphylaxis to iodinated contrast or other inability to obtain CT angiograms during follow-up
  18. Patient has acute coronary malperfusion
  19. Patient has symptomatic visceral malperfusion
Terms in these criteria, in plain language(6)

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
132 participants (estimated)

Study arms

  • Experimental
    Arcevo LSA

    The Primary study arm will consist of patients with an aortic aneurysm or chronic aortic dissection (n=117). The Secondary study arm will include patients with acute or subacute aortic dissections (n=15).

    Device: Arcevo™ LSA Hybrid Stent Graft System

Interventions

  • DeviceArcevo™ LSA Hybrid Stent Graft System

    The Arcevo LSA Hybrid Stent Graft System is an implantable aortic stent graft with LSA branch which is preloaded onto a delivery system and implanted during an open surgical procedure, or more specifically a total arch replacement procedure. The device is intended for use with a proximal surgical graft (not supplied). If additional coverage is needed, a protocol specified thoracic endovascular aortic repair (TEVAR) device may be used.

06

What researchers measure

Primary outcomes

  1. Composite Rate of Patients Free From ≥1 Major Adverse Event

    The major adverse events included in the composite are: * All-cause mortality * New permanent disabling stroke * New permanent paraplegia and/or paraparesis * Unanticipated aortic reoperation in the treated segment * LSA occlusion

    Time frame: 1 year post-index procedure of LSA stent graft implant

Secondary outcomes

  1. Rate of Mortality

    All-cause, Cardiovascular-related, Aorta-related, Procedure-related, Device-related

    Time frame: Follow-up at 30 days, 6, 12, 24, 36, 48, and 60 months of the index procedure

  2. Rate of Patients with ≥1 Additional Aortic Procedure

    All unplanned aortic procedures (endovascular, percutaneous, and open), Unanticipated aortic reoperations in the treated segment, Unanticipated device-related reoperations, Arcevo LSA explant

    Time frame: Follow-up at 30 days, 6, 12, 24, 36, 48, and 60 months of the index procedure

  3. Rate of Patients with ≥1 Device-Related Event

    Device migration, Distal stent-induced new entry (d-SINE), Failed stent patency in the main body, Failed stent patency in the LSA, Stent-graft integrity issue compromising flow (i.e., stent fracture, narrowing, kink, or twist)

    Time frame: Follow-up at 30 days, 6, 12, 24, 36, 48, and 60 months of the index procedure

  4. Rate of Patients with Major Adverse Events

    New permanent paraplegia, New permanent paraparesis, New temporary paraplegia, New disabling stroke, New non-disabling stroke, New transient ischemic attack, Aortic rupture, Bowel ischemia, Hypersensitivity, Myocardial infarction, New onset renal failure requiring temporary dialysis, New onset renal failure requiring permanent dialysis, Pseudoaneurysm, Recurrent laryngeal or phrenic nerve injury, Respiratory failure (need for reintubation or ventilator dependence \>48 hours), Severe heart failure requiring mechanical circulatory support, Thromboembolic adverse events

    Time frame: Follow-up at 30 days, 6, 12, 24, 36, 48, and 60 months of the index procedure

  5. Rate of Patients with Radiographic Events (determined by Core Lab)

    Anastomotic Leak between Arcevo™ LSA and surgical graft (i.e., Type Ia Endoleak or Distal anastomotic new entry \[DANE\]), Type Ic Endoleak (i.e. at the end of the LSA stent component), LSA occlusion, New LSA dissection, Maximal total aortic diameter growth \>1 cm in the treated segment (Zones 2-4) compared to first post-operative CTA, Maximal total aortic diameter growth \>1 cm at 1 cm beyond the distal end of Arcevo™ LSA, compared annually. Dissection Only: True lumen (TL) reduction compared to baseline \> 5.0 mm at maximal total aortic diameter (Zones 2-4), False lumen (FL) growth compared to baseline \> 5.0 mm at maximal total aortic diameter (Zones 2-4), FL thrombosis in the treated segment (LSA, Zones 2-4), FL thrombosis in the untreated segment (Zone 5).

    Time frame: Follow-up at 30 days, 6, 12, 24, 36, 48, and 60 months of the index procedure

  6. Rate of Patients Requiring a Thoracic Extension Procedure who Experience Device-Extension Failure

    Any failure of device-extension integrity (e.g., wear or tear in the fabric or wire breakage) resulting in a compromised seal and blood leakage or movement of the device

    Time frame: Follow-up at 30 days, 6, 12, 24, 36, 48, and 60 months of the index procedure

  7. Rate of Patient Requiring a Thoracic Extension Procedure with Evidence of Type IIIa Endoleak

    Type IIIa Endoleak

    Time frame: Follow-up at 30 days, 6, 12, 24, 36, 48, and 60 months of index procedure

  8. Rate of Patients Requiring Thoracic Extension Procedure with Failed Patency

    Failed patency of the device-extension overlap

    Time frame: Follow-up at 30 days, 6, 12, 24, 36, 48, and 60 months of the index procedure

  9. Rate of Patients Requiring Thoracic Extension Procedure with ≥1 Primary Major Adverse Events

    All-cause mortality, new permanent disabling stroke, new permanent paraplegia and/or paraparesis, unanticipated aortic reoperation in the treated segment, LSA occlusion

    Time frame: 30 days post-extension procedure

  10. Rate of Patients Requiring Thoracic Extension Procedure Requiring ≥1 Secondary Procedure Related to Extension

    Secondary procedures related to the extension

    Time frame: 30 days post-extension procedure

Other outcomes

  1. Rate of Patients with Technical Success

    Successful delivery and accurate placement of the device in the intended implantation site, as well as retrieval of the device delivery system, AND Patency of the device, including LSA, at conclusion of the procedure, AND No need for unanticipated or emergency surgery to correct a device malfunction or device-related complication

    Time frame: At exit from operating room

  2. Rate of Patients with Procedural Success

    Technical success with the absence of the following: Death, Major adverse ischemic events, including the following: New disabling stroke, New paraplegia, New paraparesis, New device-related ischemia (i.e., not evident at time of index procedure), Distal procedure-related thromboembolic adverse event. General procedure-related complications: New onset renal failure requiring dialysis, Bowel or limb ischemia requiring surgery or intervention, Additional unplanned surgical or interventional procedures related to the device, since completion of the index procedure

    Time frame: At hospital discharge or at 30 days, whichever is longer at time of event

  3. Rate of Patients with Treatment Success

    Technical success with the absence of the following: Aorta-related mortality. Major adverse ischemic events, including the following: New disabling stroke, New permanent paraplegia, New permanent paraparesis, Increase in total aortic diameter \> 1.0 cm between scheduled post-operative imaging (performed per schedule of activities) in the treated region of the aorta (Zones 2-4), Aortic rupture, Fistula formation (i.e., aortobronchial or aortoenteric), Device-related occlusion of the aortic arch (Zones 2-4), Loss of device integrity (e.g., stent fracture that could affect fixation or seal, graft fabric hole or tear, collapse), New Type Ic endoleak.

    Time frame: Follow-up at 30 days, 6, 12, 24, 36, 48, and 60 months of the index procedure

07

Study locations

26 of 26 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

3 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2025 (actual). Primary completion is estimated for Apr 2028, 29 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 17, 2025
First posted
Jul 28, 2025
StartActual
Nov 4, 2025
Primary completionEst.
Apr 2028
CompletionEst.
Jul 2032
Last update
Oct 15, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
5 sites added — first sites in Germany and Italy
Show 5 added (3 Germany, 1 United States, 1 Italy)
  • University of Pittsburgh Medical Center · Pittsburgh, United States
  • Deutsches Herzzentrum der Charité · Berlin, Germany
  • Universitätsklinikum Freiburg · Freiburg im Breisgau, Germany
  • Herzzentrum Leipzig GmbH, Universitätsklinik für Herzchirurgie · Leipzig, Germany
  • IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico di Sant'Orsola-Malpighi · Bologna, Italy
across 3 updates, Sep 28, 2026 – Oct 15, 2026
Show all 3 updates
  1. Oct 15, 2026
    3 sites added — first site in Italy
    Show 3 added (2 Germany, 1 Italy)
    • Universitätsklinikum Freiburg · Freiburg im Breisgau, Germany
    • Herzzentrum Leipzig GmbH, Universitätsklinik für Herzchirurgie · Leipzig, Germany
    • IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico di Sant'Orsola-Malpighi · Bologna, Italy
    + 1 other change: verification date
  2. Sep 30, 2026
    1 site added — first site in Germany
    Show site
    • Deutsches Herzzentrum der Charité · Berlin, Germany
  3. Sep 28, 2026
    1 site added
    Show site
    • University of Pittsburgh Medical Center · Pittsburgh, United States
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07089576
Lead sponsor
Artivion Inc.
Collaborators
Bright Research Partners
Responsible party
Sponsor
First posted
Jul 28, 2025
Start date
Nov 4, 2025
Primary completion
Apr 2028 (estimated)
Completion
Jul 2032 (estimated)
Last update
Oct 15, 2026

Study contacts

Erin M Adams, MSPH
Contact
ARTIZEN@artivion.com
800-438-8285

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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