- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02948166
Remote Endarterectomy and Endovascular Treatments in Patients With the Femoral Artery Occlusive Disease
May 3, 2017 updated by: Meshalkin Research Institute of Pathology of Circulation
Prospective Randomized Clinical Trial of the Remote Endarterectomy and the Femoral Arteries Endovascular Treatments in Patients With the Femoral Artery Occlusive Disease (TASC C, D)
Comparison of two methods for revascularization of the superficial femoral artery: remote endarterectomy vs. stenting of the superficial femoral artery cin patients with steno-occlusive lesion of the femoro-popliteal segment of TASC C, D
Study Overview
Status
Unknown
Intervention / Treatment
Detailed Description
Reported local percutaneous angioplasty and stenosis of femoral popliteal arteries indicate that the primary technical and clinical success above 95%.
The technical success of recanalization of long occlusions femoral arteries less than 80%.
Improvement of endovascular equipment designed for the treatment of total occlusions, increases the technical success of recanalization.
The materials of the TASC II summarizes the results of several large studies that presented data on the operated segment artery patency at 56-73,7% within 2 years of observation.
An alternative method of revascularization own femoral artery is remote endarterectomy.
The two-year primary patency at remote endarterectomy is 86% (Moll F.L., Iio G.H. Closed superficial femoral artery endarterectomy: a 2-year follow up.
Cardiovasc Surg.
1997; 5: 398-400).
Primary assisted patency for 33 months 88% (Rosenthal D, Martin JD, Schubart PJ, Wellons ED.
Remote.
superficial femoral artery endarterectomy.
J Cardiovasc Surg.
(Torino) 2004; 45: 185-192).
The length of the occlusion is not a limitation to the use of remote endarterectomy.
Primary patency at 31 months was 60%.
Study Type
Interventional
Enrollment (Anticipated)
174
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Novosibirsk, Russian Federation, 630055
- Recruiting
- Federal State Institution Academician E.N.Meshalkin Novosibirsk State Research Institute Of Circulation Pathology Rusmedtechnology
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
45 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients with occlusive lesions of C and D type femoral artery and with chronic lower limb ischemia (II-IV degree by Fontaine, 4-6 degree by Rutherford)
- Patients who consented to participate in this study.
Exclusion Criteria:
- Chronic heart failure of III-IV functional class by NYHA classification.
- Decompensated chronic "pulmonary" heart
- Severe hepatic or renal failure (bilirubin> 35 mmol / l, glomerular filtration rate <60 mL / min);
- Polyvalent drug allergy
- Cancer in the terminal stage with a life expectancy less than 6 months;
- Acute ischemic
- Expressed aortic calcification tolerant to angioplasty
- Patients with significant common femoral artery lesion
- Patient refusal to participate or continue to participate in the study
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Stenting of the femoral artery
A standard endovascular treatment of the steno-occlusive lesion in femoro-popliteal arterial segment.
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A standard endovascular exposure is carried out under local anesthesia and a lesioned arterial segment is visualized.
Stenosis or artery occlusion is passed by the hydrophilic guide.
During the occlusion transluminal or subintimal artery recanalization (most frequently mixed) is conduced.
Then balloon angioplasty of stenosis or occlusion are carried out.
After the angiographic control if necessary stent (balloon expandable or self-expanding) of all the extension is mounted.
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Experimental: Open surgery
Performed open endarterectomy of the common, deep, initial of superficial femoral artery.
Delamination factory complex into the lumen of the loop.
After that, the translational and rotational motions loops under fluoroscopic guidance, continuing detachment of plaque in the antegrade direction to the distal end of plaque.
Plastic arteriotomnyh wounds performed patches of ksenoperikard treated with epoxy compounds.
Control patency of the arterial bed is performed intraoperatively by X-ray angiography.
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Performed open endarterectomy of the common, deep, initial of superficial femoral artery.
Proximal plaque exfoliate as far as possible in the superficial femoral artery.
After that, the translational and rotational motions loops under fluoroscopic guidance, continuing detachment of plaque in the antegrade direction to the distal end of plaque.
Plastic of arteriotomy wounds performed patches of ksenoperikard treated with epoxy compounds.
Control patency of the arterial vessel is performed intraoperatively by X-ray angiography.
When rendering residual stenosis or intimal dissection, limiting blood flow, complemented by endovascular intervention plasticity.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
the change of lumen in target vessel
Time Frame: Baseline, 3 days after the operation, 6 month, 12 month, 2, 3 years
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Baseline, 3 days after the operation, 6 month, 12 month, 2, 3 years
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Number of participants with a successful procedure of revascularization.
Time Frame: During the operation.
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During the operation.
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Number of participants with complications during the operation.
Time Frame: During the operation.
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During the operation.
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Number of participants with limb salvage
Time Frame: Baseline, 3 days after the operation, 6 month, 12 month, 2, 3 years
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Baseline, 3 days after the operation, 6 month, 12 month, 2, 3 years
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
January 1, 2016
Primary Completion (Anticipated)
January 1, 2018
Study Completion (Anticipated)
January 1, 2019
Study Registration Dates
First Submitted
September 25, 2016
First Submitted That Met QC Criteria
October 27, 2016
First Posted (Estimate)
October 28, 2016
Study Record Updates
Last Update Posted (Actual)
May 5, 2017
Last Update Submitted That Met QC Criteria
May 3, 2017
Last Verified
May 1, 2017
More Information
Terms related to this study
Other Study ID Numbers
- N-RICP-468
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Steno-occlusive Desease of Femoro-popliteal Arterial Segment
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BayerCompletedPeripheral Arterial Disease | Atherosclerosis | Stenotic Femoro-popliteal Arteries | Occluded Femoro-popliteal ArteriesGermany
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Meshalkin Research Institute of Pathology of CirculationTerminatedСhronic Ischemia of the Lower Extremities | Atherosclerosis of the Tibial Arteries | Lesion no More Than Two Tibial Arteries | Steno-occlusive Lesion of the Tibial ArteriesRussian Federation
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MedtronicActive, not recruitingAtherosclerosis of Femoral Artery | Obstructive Disease | Atherosclerosis of Popliteal ArteryFrance
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Rebecka HultgrenKarolinska University Hospital; Karolinska Institutet; Sahlgrenska University... and other collaboratorsRecruitingQuality of Life | Peripheral Arterial Disease | Popliteal Artery AneurysmSweden
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CHU de ReimsRecruitingOut of Hospital Cardiac Arrest Without ST-segment ElevationFrance
-
KU LeuvenHasselt University; Jessa HospitalCompletedMyocardial Infarction | Coronary Artery Disease (CAD) (E.G., Angina, Myocardial Infarction, and Atherosclerotic Heart Disease (ASHD)) | Percutaneous Transluminal Cutting Balloon Angioplasty of Popliteal Vein Using Fluoroscopic GuidanceBelgium
Clinical Trials on Angioplasty with stenting of the femoral artery
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University Hospital, EssenUnknownPeripheral Arterial Disease | Claudication, IntermittentGermany
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Meshalkin Research Institute of Pathology of CirculationUnknownAtherosclerosis of the Peripheral ArteryRussian Federation
-
IRCCS Policlinico S. DonatoActive, not recruitingAtherosclerosis | Stent ComplicationItaly
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University of Maryland, BaltimoreNational Heart, Lung, and Blood Institute (NHLBI)CompletedMyocardial Infarction | Heart Diseases | Cardiovascular Diseases | Coronary Disease | Arrhythmia | Ventricular FibrillationUnited States
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Meshalkin Research Institute of Pathology of CirculationRecruitingAtherosclerosis | Ischemia Limb | Superficial Femoral Artery Occlusion | Popliteal Artery Occlusion | Stent ComplicationRussian Federation
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Rutgers, The State University of New JerseyUniversity of Alabama at Birmingham; National Institute of Neurological Disorders...CompletedMyocardial Infarction | Stroke | Atherosclerosis | Carotid Stenosis | Cerebral InfarctionUnited States, Canada
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Texas Vascular AssociatesW.L.Gore & AssociatesCompletedAtherosclerosis | Claudication | Lower Extremity Ischemia | Rest PainUnited States
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Netherlands Heart FoundationBristol-Myers Squibb; Eli Lilly and Company; Boehringer Ingelheim; The Interuniversity...UnknownMyocardial Infarction | Coronary Artery DiseaseNetherlands
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Xuanwu Hospital, BeijingUnknown
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Universität des SaarlandesUnknownCarotid Artery StenosisGermany