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ABRE clinical study 36-month data

Abre™ Venous Self-expanding Stent System
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The ABRE study difference: complex and diverse set of patients

  • 47.5% categorized as PTS patients.
  • 35.8% of PTS patients presented with complete vein occlusion.
  • 44% of patients with stents extending below inguinal ligament.*
  • 112.4 mm average lesion length.
Graphic showing clinical presentation of ABRE study patients

Quality of life and venous functional scores: EQ5D, VEINES, Villalta, VCSS

EQ5D index score

Chart showing EQ5D score through 36 months in ABRE clinical study

VEINES-QoL

Chart showing VEINES-QoL score through 36 months in ABRE clinical study

Villalta§

Chart showing Villalta score through 36 months in ABRE clinical study

VCSS||

Chart showing VCSS score through 36 months in ABRE clinical study

Primary patency

36-month patency

81.6%
overall

NIVL 97.1%
aDVT 76.5%
PTS 70.4%

24-month patency

86.2%
overall

NIVL 98.6%
aDVT 83.3%
PTS 76.8%

12-month patency

93.2%
overall

NIVL 98.6%
aDVT 100%
PTS 86.4%

Primary safety end point

98.0% freedom from MAEs at 30 days.#

Columns

TLR**

16.3% (32)

MAE**

10.2% (20)

    All-cause death occurring post-procedure

1.5% (3)

    Clinically significant pulmonary embolism 2.1% (4)
    Major bleeding complication (post-procedure) 0.5% (1)
    Stent thrombosis 6.1% (12)
    Stent migration 0.0% (0)

Major bleeding related to index procedure**

0.0% (0)

Secondary end points

  • 83.7% freedom from TLR at 36 months.††
  • 0.0% stent fracture at 36 months.‡‡
  • 0.0% delayed stent migration at 36 months.§§

ABRE clinical study design

Columns

    Purpose

    Evaluate the safety and effectiveness of the AbreTM Venous Self-expanding Stent System, intended for the treatment of symptomatic iliofemoral venous outflow obstruction

    Sample size

    200 subjects

    Initial clinical presentation

    Acute DVT (aDVT), post-thrombotic syndrome (PTS), and nonthrombotic iliac vein lesion (NIVL)

    Follow-up

    1, 6, 12, 24, and 36 months

    Study design

      • Prospective, multicenter, single-arm
      • Designed to meet literature-based performance goals:
        • 12-month primary effectiveness end pointllll
        • 30-day primary safety end point¶¶

    Baseline demographics

    Columns
    Age (years) (mean ± SD)

    51.5 ± 15.9 

    Age (< 50 years) 41.5% (83/200)
    Female

    66.5% (133/200)

    BMI (kg/m²) (mean ± SD)

    29.5 ± 7.1 

    Baseline medical history

    Columns

    Previous history of venous thromboembolism

    52.0% (104/200)

    Hypertension

    31.0% (62/200)

    Venous claudication

    30.0% (60/200)

    Known family history of DVT

    22.0% (44/200)

    Pulmonary embolism

    17.0% (34/200)

    Smoking (active)

    12.0% (24/200)

    Hypercoagulable condition

    11.5% (23/200)

    Cancer (ongoing or remission)

    11.0% (22/200)

    IVC filter present

    5.0% (10/200)

    Procedural data

    Columns

    Target limb — left

    92% (184/200)

    Reference vessel diameter (mm) (mean ± SD)

    15.0 ± 2.7

    % area stenosis (mean ± SD)##

    74.9 ± 16.8

    % diameter stenosis (mean ± SD)

    63.0 ± 28.6

    Subjects with occluded lesions

    25.6% (50/195)

    Lesion length (mm) (mean ± SD)  

    112.4 ± 66.1

    Total stented length (mm) (mean ± SD)

    134.3 ± 58.0

    Number of AbreTM Stents implanted per subject

    1.5 ± 0.6 

    Stented vein location*

     

        Common iliac vein

    96.0% (192/200)

        External iliac vein

    80.5% (161/200)

        Common femoral vein

    44.0% (88/200)

    Additional resources

    Contact us

    Receive updates and information on our products and therapies.

    Learn more about the Abre™ Stent
     

    *

    Site and core lab data were used.

    EQ5D is a generic quality of life (QoL) questionnaire that assesses the subjects’ health status on that day on a range of 0–1 (worst health to best health).

    VEnous INsufficiency Epidemiological and Economic Study (VEINES) is a disease-specific QoL instrument for use in venous diseases of the leg.

    §

    Villalta score categorizes the severity of PTS (score > 5 diagnoses PTS; score > 14 categorizes severe PTS). Symptoms of PTS assessed by Villalta include pain, heaviness, clinical signs such as skin induration and redness, and presence of venous ulcers.

    ||

    Venous clinical severity score (VCSS) measures venous disease severity over time and in response to treatment. VCSS scores range from 0, indicating no disease, to 30, indicating severe disease.

    Primary patency was defined as meeting all of the following criteria: freedom from occlusion of the stented segment of the target lesion, freedom from restenosis ≥ 50% of the stented segment of the target lesion, and freedom from clinically driven target lesion revascularization.

    #

    MAEs included all-cause death, clinically significant pulmonary embolism, post-procedural major bleeding complication, stent thrombosis, and stent migration. MAEs were adjudicated by a clinical events committee, except stent thrombosis and stent migration, which were assessed by an imaging core laboratory.

    **

    Safety end points (MAE and its component events, TLR and Major Bleeding): % is cumulative incidence based on Kaplan-Meier (number of subjects with an event).

    ††

    TLR was defined as any reintervention of the stented segment of the target lesion.

    ‡‡

    Fracture or breakage of any portion of the stent verified by core lab via X-ray.

    §§

    Position change of a venous stent > 1 cm from its original location at the conclusion of the index procedure, as determined with regard to a reference anatomic structure, as verified by core labs.

    ||||

    Primary effectiveness end point was primary patency at 12 months post-procedure, defined as meeting all of the following: freedom from occlusion and ≥ 50% restenosis of the stented segment of the target lesion and freedom from clinically driven target lesion revascularization.

    ¶¶

    Primary safety end point was MAEs within 30 days post-procedure, including all-cause death, clinically significant pulmonary embolism, major procedural bleeding complication, stent thrombosis, and stent migration. MAEs were adjudicated by a Clinical Events Committee, except stent thrombosis and stent migration, which were assessed by an imaging core laboratory.

    ##

    Data from IVUS.

    Reference

    1

    Source: AbreTM Stent Instructions for Use.