Status:
COMPLETED
A Trial Comparing Routine Versus Selective Use of Completion Angiography After Surgical Thromboembolectomy in the Treatment of Acute Lower Limb Ischemia and Their Impacts on Limb Salvage Rates
Lead Sponsor:
Mansoura University
Conditions:
Acute Limb Ischemia
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
this randomized controlled trial will compare the impact of routine use of completion angiography versus using it on selective bases after thromboembolectomy in patients with acute lower limb ischemia...
Eligibility Criteria
Inclusion
- Grade I (1) (viable) acute ischemia which there is no immediate threat of limb loss; the patient is presented with neither sensory nor motor weakness and there are audible Doppler signals in both arteries and veins.
- Grade IIA (2 A) (marginally threatened) acute ischemia which needs proper treatment to save the limb; the patient is presented with a minimal sensory loss, no motor weakness, inaudible arterial Doppler signals but the venous Doppler signals are still audible.
- Grade IIB (2 B) (immediately threatened) acute ischemia which needs immediate revascularization to save the limb; the patient is presented with a sensory loss associated with rest pain, mild to moderate motor weakness, inaudible arterial Doppler signals but the venous Doppler signals are still audible.
Exclusion
- Traumatic or iatrogenic acute limb ischemia
- Grade III acute ischemia (irreversible) with major tissue loss and major amputation is inevitable; the patient presented with sensory and motor loss, inaudible arterial and venous Doppler signals.
- Patients With occluded bypass graft.
- Acute limb ischemia due to intra-arterial injection
- Patients with chronic renal impairment (serum creatinine \> 1.2) or with a history of contrast-induced nephropathy.
- Acute lower limb ischemia due to thrombosed aneurysms
Key Trial Info
Start Date :
March 2 2015
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
February 4 2018
Estimated Enrollment :
92 Patients enrolled
Trial Details
Trial ID
NCT03388021
Start Date
March 2 2015
End Date
February 4 2018
Last Update
March 23 2018
Active Locations (1)
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1
Mansoura University Hospitals
Al Mansurah, Al Dakhlia, Egypt, 35516