Status:
TERMINATED
EXCimEr Laser for Long lENgTh Lesions in Below-The-Knee Arteries Study
Lead Sponsor:
Flanders Medical Research Program
Collaborating Sponsors:
Spectranetics Corporation
Conditions:
Peripheral Arterial Occlusive Disease
Eligibility:
All Genders
18+ years
Phase:
PHASE2
PHASE3
Brief Summary
This investigation is designed to assess the immediate and long-term angiographic patency outcomes of excimer laser recanalisation followed by PTA in the treatment of long (\>50 mm) infrapopliteal les...
Eligibility Criteria
Inclusion
- The treatment vessel is DeNovo
- Stenotic (\>50%) or occlusive atherosclerotic disease of infrapopliteal artery(s)
- Length of target lesion is \> 50 mm
- Reference target vessel diameter between 2-4.0 mm by visual assessment
- Documented Rutherford Class 4 or 5 symptomatic critical limb ischemia
- The patient must be \>18 years of age
- Life-expectancy of more than 12 months
- The patient has no child bearing potential or negative serum pregnancy test within 7 days of the index procedure
- The patient must be willing and able to return to the appropriate follow-up times for the duration of the study
- The patient must provide written patient informed consent that is approved by the ethics committee
- Anatomic Inclusion Criteria
- All inflow lesions successfully (\<30 residual stenosis) treated prior to target lesion treatment during same procedure or according standard of care without unresolved complications
- At least one angiographically visible target at the ankle for establishment of straight line flow.
Exclusion
- Patient refusing treatment
- The target vessel segment diameter is not suitable for available catheter design.
- Unsuccessfully treated endovascular or bypass( \>30% residual stenosis) proximal ( iliac, SFA, popliteal) inflow limiting arterial/graft stenosis
- Lesion lies within or adjacent to an aneurysm
- The patient has a known allergy to heparin, Aspirin or other antiaggregant therapies or a bleeding diatheses or is unable, or unwilling, to tolerate such therapies.
- The patient has a history of prior life-threatening contrast media reaction.
- The patient is currently enrolled in another investigational device or drug trial.
- The patient is currently breast-feeding, pregnant or intends to become pregnant.
- The patient is unable to provide informed consent
- The patient has end stage renal disease (currently on any form of dialysis)
- Known Left Ventricular Ejection Fraction \< 35%
- The patient has had an MI within 30 days prior to enrollment
- The patient has had a CVA within 90 days prior to enrollment
- Serum Creatinine \> 150 µmol
- The patient has a previous bypass in the target limb
- The patient has a current systemic infection
Key Trial Info
Start Date :
July 1 2008
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 1 2009
Estimated Enrollment :
14 Patients enrolled
Trial Details
Trial ID
NCT00718991
Start Date
July 1 2008
End Date
July 1 2009
Last Update
March 9 2015
Active Locations (2)
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1
Imelda Hospital
Bonheiden, Belgium, 2820
2
AZ St-Blasius
Dendermonde, Belgium, 9200