Healthcare Professionals

Talent

Thoracic on Captivia

Clinical Outcomes

In over 20,000 Talent Thoracic Stent Graft implants worldwide, there were no reported collapses in the first 6 years.

Summary

Talent Thoracic Stent Graft

A Decade of Worldwide Experience

  • No reported collapses in more than 20,000 implants worldwide in the first 6 years of experience1

The Talent Thoracic Stent Graft has been commercially distributed worldwide for over ten years and has been sold within the United States since its approval on June 5, 2008. Worldwide over 33,700 Talent Thoracic Stent Grafts have been distributed to physicians and patients.

This device is intended to treat fusiform aneurysms and saccular aneurysms/penetrating ulcers of the descending thoracic aorta. The current clinical data results from the THRIVE study continue to support the safety and effectiveness of the Talent thoracic stent graft system when used for endovascular repair of fusiform aneurysms and saccular aneurysms / penetrating ulcers of the descending thoracic aorta in patients having appropriate anatomy. As of March 8, 2013, freedom from Aneurysm-Related Mortality for the combined THRIVE cohort was 95.3% through 365 days and 93.6% through five years, with five conversions and five ruptures observed.

endo-angiogram-preop2                                endo-angiogram-postop

Pre-operative Angiogram                               Post-Operative Angiogram

Images courtesy of Ronald Fairman, MD, Professor and Chief, Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania

Talent Thoracic Stent: Pivotal Clinical Data 3,4,*
Effectiveness
Successful aneurysm treatment 89.2%
Successful vessel access and deployment 99.5%
Patency 100%
Safety
All-cause mortality 16.1%
Aneurysm-related mortality 3.1%
Aneurysm rupture 0.5%

Important Safety Information

The Talent Thoracic Stent Graft has been shown effective through 10 years of clinical use. Longer term data is required to examine the rate of adverse events including surgical conversion, aneurysm-related death, migration, and endoleak beyond this timeframe.


*

The Vascular Talent Thoracic Stent Graft System for the Treatment of Thoracic Aortic Aneurysms (VALOR) is a prospective, nonrandomized, 3-armed, multicenter study conducted to evaluate the safety and effectiveness of the Talent Thoracic Stent Graft System when used in low-to-moderate risk patients with thoracic aortic disease (test arm n=195). The primary effectiveness endpoint is successful aneurysm treatment at 12 months. The primary safety endpoint is all-cause mortality at 12 months. Data in this chart is 12-month data unless otherwise noted.

Successful aneurysm treatment is defined as no aneurysm growth >5 mm at 12-month follow-up when compared to 1-month follow-up visit and absence of a Type I endoleak for which a secondary procedure was performed before, at, or as a result of the 12-month follow-up visit. Of the 14 subjects with a primary effectiveness failure at 12 months, 10 patients had aneurysm growth > 5 mm, 3 patients had a Type I endoleak requiring reintervention, and 1 patient had both aneurysm growth > 5 mm and a Type I endoleak requiring reintervention. 

Successful deployment and delivery of the stent graft at implantation equaled 99.5%. This secondary endpoint is a 30-day endpoint.


References

1

Medtronic Field Assurance Worldwide Complaints for Talent Thoracic on CoilTrac. January 2002-April 15, 2008 inclusive.

2

Data on file. Medtronic Vascular; Santa Rosa, CA; 2008.

3

Summary of Safety and Effectiveness Data – Talent Thoracic Stent Graft System.

4

Kwolek CJ, Fairman R. Update on thoracic aortic endovascular grafting using the Medtronic Talent device. Semin Vasc Surg. 2006;19(1):25-31.