Status:

RECRUITING

Leg Ischaemia Management Collaboration

Lead Sponsor:

University of Leicester

Collaborating Sponsors:

University Hospitals, Leicester

National Institute for Health Research, United Kingdom

Conditions:

Peripheral Arterial Disease

Critical Limb Ischemia

Eligibility:

All Genders

18-110 years

Brief Summary

Single-centre prospective cohort study of patients presenting with severe limb ischaemia (SLI). The primary outcome measure will be 12 month major amputation rate. A historical cohort of patients iden...

Detailed Description

Severe limb ischaemia (SLI) is the end-stage of peripheral arterial occlusive disease (PAOD) whereby the viability of the limb is threatened due to the degree of arterial disease and subsequent ischae...

Eligibility Criteria

Inclusion

  • PRIMARY COHORT
  • All patients presenting to the Leicester Vascular Institute with SLI

Exclusion

  • SLI not caused by PAOD
  • Patients undergoing intervention during their index presentation prior to recruitment
  • Patients lacking capacity to consent with no accompanying next of kin, relative, partner or friend who can act as a personal consulted
  • Patients who cannot read, write or understand English
  • Any significant disease or disorder which may either put the patient at risk because of participation in the study, or may influence the results of the study or the patient's ability to participate in the study
  • FRAILTY \& COGNITIVE ADDITIONAL ASSESSMENTS
  • Inclusion criteria:
  • Patients recruited to the primary cohort in whom a decision has been made to undergo an intervention for SLI
  • Patients aged ≥65 years
  • Exclusion criteria:
  • Nil additional
  • CARDIAC MRI ADDITIONAL ASSESSMENTS
  • Inclusion criteria:
  • Patients recruited to the primary cohort in whom a decision has been made to undergo an intervention
  • Exclusion criteria:
  • Absolute contraindications to cardiac MRI (Pregnancy, Non-MR safe permanent pacemaker, implanted cardiac defibrillator, intra-auricular implant or intra-cranial clips, severe claustrophobia, unstable angina)
  • Contraindication to gadolinium contrast agent (Known adverse reaction, chronic renal failure (eGFR \<30mL/min/1.73m\^2))
  • Patients lacking capacity to consent for cardiac MRI
  • BIOMARKERS ADDITIONAL ASSESSMENTS
  • Patients recruited to the primary cohort in whom a decision has been made to undergo an intervention
  • Exclusion criteria:
  • Nil additional

Key Trial Info

Start Date :

May 10 2019

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

May 9 2031

Estimated Enrollment :

420 Patients enrolled

Trial Details

Trial ID

NCT04027244

Start Date

May 10 2019

End Date

May 9 2031

Last Update

November 4 2020

Active Locations (1)

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Glenfield Hospital Leicester

Leicester, Leicestershire, United Kingdom, LE3 9QP