A Prospective Randomized Study Comparing the Safety of Percutaneous and Open Brachial Access in the Endovascular Treatment of Peripheral Arterial Lesion (BRAVO)
Endovascular treatment tends to replace open surgery in the management of peripheral arterial disease. Access via the common femoral artery remains the primary approach for peripheral arterial interventions. Brachial artery access has emerged as a valid alternative when femoral access is not feasible. Brachial access can be achieved either percutaneously or through an open surgical approach at the elbow.
A limited number of studies have reported complication rates associated with open and percutaneous brachial access in the treatment of peripheral arterial disease. These studies have shown higher complication rates for percutaneous access (ranging from 6% to 9%) compared with open brachial access (ranging from 1% to 2%). However, no direct comparison between the two approaches has been reported to date.
This study is the first to provide a direct, prospective, randomized comparison between open brachial access and percutaneous brachial access
研究概览
地位
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:Bahaa Nasr
- 电话号码:+33 02 98 34 74 28
- 邮箱:bahaa.nasr@chu-brest.fr
学习地点
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Angers、法国、49100
- CHU d'Angers
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接触:
- jean Picqet
- 电话号码:02 41 35 38 37
- 邮箱:jean.picquet@chu-angers.fr
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Bordeaux、法国、33000
- CHU Bordeaux
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接触:
- Eric Ducasse
- 电话号码:+33 02 41 49 60 00
- 邮箱:eric.ducasse@chubordeaux.fr
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Brest、法国、29200
- CHU Brest
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接触:
- Bahaa Nasr
- 电话号码:+33 02 98 34 74 28
- 邮箱:bahaa.nasr@chu-brest.fr
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Cholet、法国、49309
- CH de Cholet
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接触:
- Laurent Muller
- 电话号码:+33 02 41 49 80 45
- 邮箱:laurent.muller@ch-cholet.fr
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La Roche-sur-Yon、法国、85000
- CHD La Roche-sur- Yon
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接触:
- Pierre Alexandre Vent
- 电话号码:+33 02 51 44 641 8
- 邮箱:Pierrealexandre.vent@ght85.fr
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Lorient、法国、56100
- Clinique mutualiste porte de Lorient
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接触:
- Jean Baptiste Bocquel
- 电话号码:+ 33 02 97 64 81 61
- 邮箱:jbbocquel@orange.fr
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Nantes、法国、44008
- CHU Nantes
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接触:
- Blandine Maurel
- 电话号码:+33 240 165 372
- 邮箱:blandine.maurel@chunantes.fr
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Paris、法国、75014
- Hôpital Paris Saint Joseph
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接触:
- Yann Goueffic
- 电话号码:+33 (0)1 44 12 75 91
- 邮箱:ygoueffic@ghpsj.fr
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Plérin、法国、22190
- Hôpital Privé Des Côtes d'Armor
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接触:
- Olivier Creton
- 电话号码:+33 02 57 24 02 67
- 邮箱:Olivier.creton@gmail.com
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Rennes、法国、35000
- CHU de Rennes
-
接触:
- Adrien Kaladji
- 电话号码:33 (0)2.99.28.95.71
- 邮箱:adrien.kaladji@churennes.fr
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Saint-Brieuc、法国、22000
- CH de Saint Brieuc
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接触:
- Christophe Robin
- 电话号码:+33 02.96.01.70.55
- 邮箱:christophe.robin@chstbrieuc.fr
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
Inclusion Criteria:
- Age ≥ 18 years
- Endovascular diagnostic or therapeutic procedure via the brachial approach compatible with a 5F to 7F introducer
- Patient affiliated with a social security scheme
Exclusion Criteria:
- Adult patient under legal guardianship or curatorship
- Contraindication to endovascular treatment
- History of brachial artery puncture within the past 1 month
- History of open surgical approach at the elbow
- Presence of a stent at the puncture site
- Acute upper limb ischemia
- Life expectancy of less than one month
- Patient refusal to participate in the study
- Allergy to aspirin or clopidogrel
- Pregnant woman
- Patients not speaking the French language, refusing or unable to comply with the follow-up proposed in the study
- Requirement for another endovascular procedure or open surgery within 30 days following the BRAVO study procedure
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的:Brachial artery access
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Endovascular procedure for peripheral arterial lesions via brachial access
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有源比较器:Femoral artery access
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Endovascular procedure for peripheral arterial lesions via femoral access
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
Occurrence of at least one complication (yes/no) at the access site
大体时间:Day 30
|
Day 30
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次要结果测量
结果测量 |
大体时间 |
|---|---|
|
Occurrence of at least one major systemic complication (yes/no)
大体时间:Day 30
|
Day 30
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Measure of Quality of Life with the EQ5D-5L questionnary
大体时间:Day 30
|
Day 30
|
|
Procedure time
大体时间:Day 1
|
Day 1
|
|
Length of hospital stay.
大体时间:up to 2 years
|
up to 2 years
|
合作者和调查者
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
其他研究编号
- 29BRC24.0397
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
IPD 计划说明
IPD 共享时间框架
IPD 共享访问标准
IPD 共享支持信息类型
- 研究方案
药物和器械信息、研究文件
研究美国 FDA 监管的药品
研究美国 FDA 监管的设备产品
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