The Jetstream (JET) Post-market Registry (JET)
Jetstream NAVITUS™ System Endovascular Therapy Post-market Registry (JET)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
- To observe the treatment effects of the Jetstream NAVITUS System in long, occluded, diffuse, thrombotic or calcified lesions in peripheral arterial disease of the common femoral, superficial femoral, or popliteal arteries.
- To assess and quantify vessel patency 1 year post atherectomy treatment.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
District of Columbia
-
Washington DC, District of Columbia, United States, 20010
- Nelson Bernardo MD
-
-
Florida
-
Miami, Florida, United States, 33141
- Robert Beasley, MD
-
-
Iowa
-
Davenport, Iowa, United States, 52803
- Nicolas Shammas, MD
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02135
- Lawrence Garcia, MD
-
-
Mississippi
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Laurel, Mississippi, United States, 39440
- Vinay Kumar
-
-
New Jersey
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Flemington, New Jersey, United States, 08822
- Andrey Espinoza, MD
-
-
New York
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Huntington, New York, United States, 11734
- Sotir Polena, MD
-
-
Pennsylvania
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Harrisburg, Pennsylvania, United States, 17110
- Rajesh Dave, MD
-
West Reading, Pennsylvania, United States, 19611
- Ali Amin, MD
-
-
South Carolina
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Columbia, South Carolina, United States, 29204
- Lee Butterfield, MD
-
-
Tennessee
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Kingsport, Tennessee, United States, 37660
- Chris Metzger, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient is ≥ 18 years of age.
- The target de novo or restenotic Percutaneous Transluminal Angioplasty (PTA) lesion(s) is/are located in the common femoral, superficial femoral or popliteal arteries.
- The reference vessel lumen (proximal to target lesion) is ≥ 4.0mm.
- Evidence of ≥ 70% stenosis or occlusion confirmed by angiography.
- Guidewire must cross lesion(s) within the true lumen, without a sub-intimal course before the patient is considered as entered into the study.
- Patient is an acceptable candidate for percutaneous intervention using the Jetstream NAVITUS System in accordance with its labeled indications and instructions for use.
- Lesion length ≥ 4cm.
- Patient has a Rutherford category score of 1-3.
- Patient has signed approved informed consent.
- Patient is willing to comply with the follow-up evaluations at specified times.
Exclusion Criteria:
- Patient has an uncontrollable allergy to nitinol, stainless steel or other stent materials or to contrast agent.
- Patient is unable to take appropriate anti-platelet therapy.
- Patient has no patent distal runoff vessels.
- Patient has critical limb ischemia (i.e., Rutherford class 4-6)
- Limited vascular access that precludes safe advancement of the Jetstream NAVITUS System to the target lesion(s).
- Interventional treatment is intended for in-stent restenosis.
- Patient has target vessel with moderate or severe angulation (e.g., >30 degrees) or tortuosity at the treatment segment.
- Patient has a history of coagulopathy or hypercoagulable bleeding disorder.
- Patient is receiving hemodialysis or has significantly impaired renal function (creatinine is > 2.5 mg/dl) at the time of treatment.
- Patient has evidence of intracranial or gastrointestinal bleeding within the past 3 months.
- Patient has had severe trauma, fracture, major surgery or biopsy of a parenchymal organ within the past 14 days.
- Patient has had surgical or endovascular procedure in the same vascular territory within 30 days prior to the index procedure.
- Patient has any planned surgical intervention or endovascular procedure within 30 days after the index procedure.
- Use of another debulking device during the index procedure prior to the Jetstream NAVITUS System will exclude the patient.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Jetstream Atherectomy System
Patients with symptomatic peripheral vascular disease undergoing percutaneous intervention including Atherectomy utilizing the Jetstream Atherectomy System with or without adjunctive therapy.
|
Atherectomy
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Binary Restenosis
Time Frame: 12 months
|
Percentage of patients with binary restenosis at 12 months as defined by duplex ultrasound derived systolic velocity ratio >2.5.
Binary restenosis will be measured by duplex ultrasound technology.
|
12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Procedural Success
Time Frame: Index Procedure
|
Percentage of patients with successful revascularization of target vessel defined as ≤ 30% residual diameter stenosis following atherectomy +/- adjunctive therapy
|
Index Procedure
|
|
Ankle-Brachial Index (ABI)
Time Frame: 30 days
|
Improvement in Ankle-Brachial Index (ABI) by ≥0.10 from the pre-procedure value.
ABI is a quick, non-invasive test that compares your blood pressure measured at your ankle with your blood pressure measured at your arm.
|
30 days
|
|
Ankle-Brachial Index (ABI)
Time Frame: 6 months
|
Improvement in Ankle-Brachial Index (ABI) by ≥0.10 from the pre-procedure value.
ABI is a quick, non-invasive test that compares your blood pressure measured at your ankle with your blood pressure measured at your arm.
|
6 months
|
|
Ankle-Brachial Index (ABI)
Time Frame: 12 months
|
Improvement in Ankle-Brachial Index (ABI) by ≥0.10 from the pre-procedure value.
ABI is a quick, non-invasive test that compares your blood pressure measured at your ankle with your blood pressure measured at your arm.
|
12 months
|
|
Major Adverse Events (MAE)
Time Frame: 30 days
|
Number of Major Adverse Events as defined by amputation, death, Target Lesion Revascularization, Target Vessel Revascularization, Myocardial Infarction or angiographic distal embolization that requires a separate intervention or hospitalization through 30 days
|
30 days
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- D1465
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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