Atherosclerosis of the Peripheral Arteries Clinical Trial
Official title:
Pilot Randomized Clinical Study of the Iliac Arteries and Common Femoral Artery With Stenting Supera and the Iliac Arteries With Stenting and Plasty of the Common Femoral Artery Effectiveness in Patients With the Iliac and CFA Segment Occlusive or Stenosis Disease (TASC C, D)
According to the recommendations of the Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II) statement and the Russian guidelines for limb ischemia treatment (2010), reconstructive surgery is preferred for type D lesions.
According to the recommendations of the Inter-Society Consensus for the Management of
Peripheral Arterial Disease (TASC II) statement and the Russian guidelines for limb ischemia
treatment (2010), reconstructive surgery is preferred for type D lesions. Patients with type
C lesions can be managed by either stenting or bypass surgery. Despite the fact that
aorta-femoral reconstructions long-term results are better than the diffuse aorta-iliac
lesions endovascular treatment results, the surgery risk is significantly higher than the
endovascular surgery risk regarding criteria of mortality, complications, and return to
normal activity.
All reports of iliac arteries stenosis percutaneous angioplasty indicate that the primary
technical and clinical success rate exceeds 90%. The figure reaches 100% in the case of local
lesions. The technical success of iliac arteries long occlusions recanalization reaches
80-85%. Improvement of endovascular equipment designed for the total occlusions treatment
increases technical success of recanalization. The TASC II materials summarize the several
large studies results which present the data on the operated segment artery patency at the
level of 70-81% within 5-8 years of follow up. A large number of authors note the actuality
of aortic-iliac type C and D segment lesions endovascular treatment recommendations revision
according to the TASC II.
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| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT02580084 -
Clinical Study of the Aorta-femoral Bypass and Hybrid Intervention and the Iliac Arteries With Stenting and Plasty of the Common Femoral Artery Effectiveness in Patients With the Iliac Segment and Femoral Artery Occlusive Disease (TASC C, D)
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N/A |