Peripheral Arterial Disease Clinical Trial
Official title:
Impact of Ticagrelor and Aspirin Versus Clopidogrel and Aspirin in Patients With Claudication and Peripheral Arterial Disease (PAD): Thrombus Burden Assessed by Optical Coherence Tomography
This is an interventional study assessing the effectiveness of Ticagrelor on the reduction of thrombus burden using optical coherence tomography in patients undergoing peripheral artery stenting.
Prospective, randomized study, comparing ticagrelor + aspirin vs. aspirin monotherapy
following the 4-week post-procedural combination of Ticagrelor or Plavix with low dose
aspirin. The investigators will enroll a minimum of 40 patients. Patients will be enrolled if
they have either claudication and/or critical limb ischemia, and angiographically identified
superficial femoral artery (SFA) disease requiring intervention, with either total occlusion
or a significant SFA stenosis with the presence of Optical Coherence Tomography (OCT) defined
clot following stent placement.
Participants will be evaluated at baseline, 1 month, 4 months, 6 and 7 months following SFA
intervention. At baseline demographic data will be collected, and anthropomorphic and
physiological variables (body mass index, waist circumference, blood pressure). Baseline and
6-month ankle brachial index (ABI) will be performed. A 6-min walk test will be performed at
baseline and 6-month follow-up. At 6 month time point patients in both treatment groups will
return for a peripheral angiogram and repeat OCT imaging of the SFA segments of interest.
Subject will have a final follow up clinic visit at 7 months.
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