Peripheral Arterial Disease Clinical Trial
— BELONGOfficial title:
BEnefit of Arterial Preparation by LONGitudinal Scoring Before Paclitaxel Eluting Balloon Angioplasty of the Superficial Femoral and Popliteal Artery
The purpose of the artery preparation concept is to perform regular longitudinal micro-incisions on the inner side of the artery ("scoring") and therefore promote a regular expansion of atheroma by balloon inflation.
Status | Recruiting |
Enrollment | 150 |
Est. completion date | December 2021 |
Est. primary completion date | December 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Patients = 18-year-old, with symptomatic lower extremity occlusive arterial disease - Rutherford class of symptom 2 to 5 - Atheromatous = 70 % stenosis or occlusion of SFA and/or PA - Absence of > 50% residual stenosis of the run-in vessels at the end of procedure - Presence of at least one patent (no = 50 % stenosis) run-off tibial or fibular vessel to the foot at the end of procedure - De novo or restenotic lesions, including in-stent restenosis - Willingness to participate in the study and signature of informed consent Exclusion Criteria: - Renal failure with glomerular filtration rate (GFR) 30 ml/min or below, estimated by the Cockroft-Gault equation. - Women who are pregnant, lactating, or planning to become pregnant during the duration of the study - Recent artery thrombosis, at risk of distal embolization during percutaneous procedure - Previous use of a PCB in the lesion during last 15 months - Extremely calcified lesions, defined by calcification involving ³ 270° of the artery circumference over ³ 15 cm. - Sub-intimal recanalization - Tortuous contra-lateral femoral access with difficult cross-over - Previous or planned surgery of the target lesion - High risk of bleeding - Contra-indication to dual antiplatelet therapy for one month, and/or to single antiplatelet therapy for 1 year - Allergy to aspirin, clopidogrel or heparin - Life expectancy less than one year |
Country | Name | City | State |
---|---|---|---|
Switzerland | Hôpital Cantonal de Fribourg | Fribourg |
Lead Sponsor | Collaborator |
---|---|
VentureMed Group Inc. |
Switzerland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Absence of clinically driven target lesion revascularization (CDTLR) at 12 months | 12 months | ||
Primary | Occurrence of death from cardiovascular origin | 12 months | ||
Primary | Occurrence of major amputation of target limb | 12 months | ||
Secondary | Primary patency of the treated lesion (defined by PSVR = 2.5 at duplex scan) | 3 and 12 months | ||
Secondary | Absence of CDTLR | 3 months | ||
Secondary | Absence of major amputation | 3 and 12 months | ||
Secondary | Change in ankle brachial index (ABI) | 3 and 12 months | ||
Secondary | Change in Rutherford class of symptom | 3 and 12 Months | ||
Secondary | Technical success of the scoring procedure | Average of 2 hours | ||
Secondary | Proportion of luminal gain | Average of 2 hours | ||
Secondary | Occurrence of dissection | Average of 2 hours | ||
Secondary | Proportion of stent implantation | Average of 2 hours |
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