Trial to Evaluate the Safety & Efficacy of the Absolute Pro™ Peripheral Self-Expanding Stent System in Subjects With Atherosclerotic de Novo or Restenotic Lesions in the Native Common Iliac Artery and/or Native External Iliac Artery.

Peripheral Vascular Disease Clinical Trial

— MOBILITY AP  

Official title:

A Prospective, Non-randomized, 2 Arm (AP Arm & Omni-Link Elite [OE] Arm-separately Posted as: NCT01396525), Multi-center Clinical Trial to Evaluate the Safety and Efficacy of the Absolute Pro™ Peripheral Self-Expanding Stent System and the Omnilink Elite™ Peripheral Balloon-Expandable Stent System in Subjects With Atherosclerotic de Novo or Restenotic Lesions in the Native Common Iliac Artery and/or Native External Iliac Artery. CAUTION: The Omnilink Elite™ Peripheral Balloon-expandable Stent System is an Investigational Device. Limited by Federal (U.S.) Law to Investigational Use Only.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00844532
• Other study ID #: 08-107 Absolute Pro Arm (AP)
• Secondary ID: 08-107 OE
• Status: Completed
• Phase: Phase 3
• First received: February 12, 2009
• Last updated: May 14, 2015
• Start date: March 2009
• Est. completion date: June 2014

Study information

• Verified date: May 2015
• Source: Abbott Vascular
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Food and Drug Administration
• Study type: Interventional

Clinical Trial Summary

To determine the safety and efficacy of the Absolute Pro™ Peripheral Self-Expanding Stent System in subjects with atherosclerotic de novo or restenotic lesions in the native common iliac artery and/or native external iliac artery.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 151
• Est. completion date: June 2014
• Est. primary completion date: March 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 89 Years

Eligibility

Clinical Inclusion Criteria:

1. Subject must be at least 18 and < 90 years of age.

2. Subject has been informed of the nature of the trial, agrees to its provisions, and has signed the informed consent form.

3. Subject must agree to undergo all protocol-required follow-up examinations and requirements at the investigational site.

4. History of symptomatic claudication (Rutherford Becker Clinical Category 2-3) or ischemic rest pain (Rutherford Becker Clinical Category 4).

5. Female subjects of childbearing potential must have had a negative pregnancy test before treatment, and must not be nursing at the time of treatment, and agree at time of consent to use birth control during participation in this trial up to and including the follow-up at 9 months.

Angiographic Inclusion Criteria

1. Up to two bilateral de novo or restenotic lesions of the native common iliac artery and/or native external iliac artery may be treated(one per side).

2. Common iliac artery lesion visually estimated to be =50% stenosis and =100% stenosis (total occlusion)

3. External iliac artery lesion visually estimated to be =50% stenosis and =99% stenosis

4. Lesion length for stenosis of the common or external iliac artery visually estimated to be = 10 mm and = 110 mm (Absolute Pro)

5. Lesion length for total occlusion of the common iliac artery visually estimated to be =40 mm

6. Target vessel reference diameter visually estimated to be =3.6 mm and =9.1 mm (Absolute Pro)

7. On the treatment side(s), patent superficial femoral and popliteal arteries and at least one patent distal outflow artery with in-line distal vessel flow to the foot as confirmed by arteriography. Patent is defined as < 50% stenosis.

8. Lesion length for stenosis of the common or external iliac artery visually estimated to be = 10 mm and = 50 mm (Omnilink Elite).

9. Target vessel reference diameter visually estimated to be = 5.0 mm and = 11.0 mm (Omnilink Elite).

Clinical Exclusion Criteria

1. Subject is unable to walk.

2. Subject has had recent major surgery (last 3 months) e.g., abdominal surgery, coronary artery bypass graft surgery, thoracic surgery.

3. Subject has received, or is on the waiting list for a major organ transplant (heart, lung, kidney, liver).

4. Subject is diagnosed as Rutherford Becker Clinical Category 0, 1, 5, or 6.

5. Subject has ulcers or lesions on the lower extremity(ies) of the target lesion side(s).

6. Subject has elevated serum creatinine > 2.0 mg/dl.

7. Subject has uncontrolled diabetes mellitus (DM) (serum glucose > 400 mg/dl).

8. Subject has had a myocardial infarction(MI)(Q-wave or NQWMI) within the previous 30 days.

9. Subject has had a stroke within the previous 30 days and/or has deficits from a prior stroke that limits the subjects ability to walk.

10. Subject has unstable angina defined as rest angina with ECG changes.

11. Subject has a groin infection, or an acute systemic infection that is currently under treatment.

12. Subject has acute thrombophlebitis or deep vein thrombosis in either extremity.

13. Subject requires any planned procedure within 30 days after the index procedure that would necessitate the discontinuation of aspirin, clopidogrel or ticlopidine following the procedure.

14. Subject has other medical illnesses (e.g., cancer or congestive heart failure) that may cause the subject to be non-compliant with protocol requirements, confound the data interpretation, or is associated with limited life-expectancy (i.e., less than 2 years).

15. Subject is currently participating in an investigational drug or device trial that has not completed the primary endpoint follow-up or that clinically interferes with the current trial endpoints.

16. Subject is unable to understand or unwilling to cooperate with trial procedures or is unwilling or unable to return to the treatment center for follow-up visits.

17. If intended stent is Absolute Pro, subject has known hypersensitivity or contraindication to nickel, titanium or platinum; subject has known hypersensitivity or contraindication to standard intraprocedure anticoagulant(s); subject has sensitivity to contrast which cannot be adequately pre-treated with medication.

18. Subject has known allergy or contraindication to aspirin or clopidogrel (Plavix®); if allergy or contraindication is to clopidogrel, subject is unable to tolerate ticlopidine (Ticlid®).

19. Subject has known bleeding disorder or hypercoagulable disorder, or will refuse blood transfusions.

20. Subject has suffered a gastrointestinal (GI) bleed within 30 days before the index procedure that would interfere with antiplatelet therapy.

21. If intended stent is Omnilink Elite, subject has known hypersensitivity or contraindication to cobalt chromium; subject has known hypersensitivity or contraindication to standard intraprocedure anticoagulant(s); subject has sensitivity to contrast which cannot be adequately pre-treated with medication.

22. Requirement of general anesthesia or spinal block for the procedure.

23. Presence of contralateral limb amputation that was performed to treat any non-traumatic disease in that limb, e.g. atherosclerotic, vascular, neuropathic.

24. Presence of bypass conduit in any outflow vessel, i.e. SFA, popliteal, anterior tibial, posterior tibial, peroneal, ipsilateral to the target lesion.

25. Subject requires a concomitant percutaneous endovascular procedure in another vessel, e.g. coronary.

26. Target lesion is in an iliac artery that has been previously stented.

Angiographic Exclusion Criteria

1. Subject has a totally occluded (100% stenosis) external iliac artery ipsilateral to the target lesion.

2. Subject has a totally occluded (100% stenosis) outflow artery (SFA) ipsilateral to the target lesion

3. Target lesion is within or adjacent to an aneurysm.

4. Lesion is located within or beyond a vessel that contains a bypass graft.

5. Lesion(s) requires atherectomy (or ablative devices) to facilitate stent delivery.

6. Subject has a history of aortic revascularization or has an abdominal aortic aneurysm > 3cm.

7. Lesion extends beyond the inguinal ligament.

8. Subject has angiographic evidence of thrombus in the target disease segment or vessel that is unresponsive to anti-thrombotic therapies.

9. Subject has multilevel disease in the target extremity that requires other staged procedures within 30 days before or after the procedure.

10. On the treatment side(s), subject is without patent superficial femoral and popliteal arteries and at least one patent distal outflow artery with in-line distal vessel flow to the foot as confirmed by arteriography. Patent is defined as < 50% stenosis.

11. Requirement for > 1 stent to treat full length of lesion.

Study Design

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Peripheral Arterial Disease
• Peripheral Vascular Disease
• Peripheral Vascular Diseases
• Vascular Diseases

Intervention

Device:
• Absolute Pro™ Peripheral Self-Expanding Stent System
Absolute Pro™ Peripheral Self-Expanding Stent System: Devices include both Absolute Pro™ and Absolute Pro™ LL Peripheral Self-Expanding Stent Systems. It is indicated for the treatment of a maximum of two bilateral de novo or restenotic atherosclerotic lesions in the native common iliac artery and/or native external iliac artery (one lesion per side).

Locations

Country	Name	City	State
United States	Abbott Vascular	Santa Clara	California

Sponsors (1)

Lead Sponsor	Collaborator
Abbott Vascular

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Major Adverse Event (MAE) Rate	Defined as death, myocardial infarction (MI), clinically-driven target lesion revascularization, and limb loss (major amputation only) on the treated side(s).	9 months	Yes
Secondary	Device Success	On a per device basis, the achievement of successful delivery and deployment of the trial device(s) at the intended location(s) and successful withdrawal of the delivery catheter(s).	acute: from beginning of index procedure to end of index procedure.	No
Secondary	Technical Success	Technical success is defined, on per target lesion basis, device success and attainment of a final in-stent residual stenosis of < 30% by QA or as reported by the investigator, if QA is not available.	acute: from beginning of index procedure to end of index procedure.	No
Secondary	Procedure Success	Procedure success is defined, per patient basis, as technical success without any of the following complications; death due to all causes, myocardial infarction (MI), major amputation of the treated limb(s), stent thrombosis and target lesion revascularization (TLR) within two (2) days after the index procedure or at hospital discharge, whichever is sooner.	Beginning of index procedure to 2 days post-index procedure or discharge, whichever is sooner	No
Secondary	Thigh Brachial Index (TBI) for the Treated Limb(s)	The thigh brachial index is the ratio of the resting ipsilateral thigh systolic blood pressure as compared to the highest resting brachial systolic blood pressure. A normal range is 0.9 to 1.3.	Pre-procedure	No
Secondary	Thigh Brachial Index (TBI) for the Treated Limb(s)	The thigh brachial index is the ratio of the resting ipsilateral thigh systolic blood pressure as compared to the highest resting brachial systolic blood pressure. A normal range is 0.9 to 1.3.	Post-procedure	No
Secondary	Thigh Brachial Index (TBI) for the Treated Limb(s)	The thigh brachial index is the ratio of the resting ipsilateral thigh systolic blood pressure as compared to the highest resting brachial systolic blood pressure. A normal range is 0.9 to 1.3.	1 month	No
Secondary	Thigh Brachial Index (TBI) for the Treated Limb(s)	The thigh brachial index is the ratio of the resting ipsilateral thigh systolic blood pressure as compared to the highest resting brachial systolic blood pressure. A normal range is 0.9 to 1.3.	9 months	No
Secondary	Thigh Brachial Index (TBI) for the Treated Limb(s)	The thigh brachial index is the ratio of the resting ipsilateral thigh systolic blood pressure as compared to the highest resting brachial systolic blood pressure. A normal range is 0.9 to 1.3.	2 years	No
Secondary	Thigh Brachial Index (TBI) for the Treated Limb(s)	The thigh brachial index is the ratio of the resting ipsilateral thigh systolic blood pressure as compared to the highest resting brachial systolic blood pressure. A normal range is 0.9 to 1.3.	3 years	No
Secondary	Changes in Thigh Brachial Index (TBI) for the Treated Limb(s)	The changes in thigh brachial index is the ratio of change between the pre-procedure measure and the stated timepoint measure.	Post-procedure	No
Secondary	Changes in Thigh Brachial Index (TBI) for the Treated Limb(s)	The changes in thigh brachial index is the ratio of change between the pre-procedure measure and the stated timepoint measure.	1 month	No
Secondary	Changes in Thigh Brachial Index (TBI) for the Treated Limb(s)	The changes in thigh brachial index is the ratio of change between the pre-procedure measure and the stated timepoint measure.	9 months	No
Secondary	Changes in Thigh Brachial Index (TBI) for the Treated Limb(s)	The changes in thigh brachial index is the ratio of change between the pre-procedure measure and the stated timepoint measure.	2 years	No
Secondary	Changes in Thigh Brachial Index (TBI) for the Treated Limb(s)	The changes in thigh brachial index is the ratio of change between the pre-procedure measure and the stated timepoint measure.	3 years	No
Secondary	Walking Impairment Questionaire Scores	Measured by the Walking Impairment Questionnaire (WIQ), a disease-specific instrument utilized to characterize walking ability through a questionnaire as an alternative to treadmill testing. It is a measure of subject-perceived walking performance for subjects with Peripheral Artery Disease (PAD) and/or intermittent claudication. The WIQ quantifies patient-reported walking speed, walking distance, and stair-climbing ability, respectively, on a scale of 0 (= worst) to 100 (= best).	Pre-procedure	No
Secondary	Walking Impairment Questionaire Scores	Measured by the Walking Impairment Questionnaire (WIQ), a disease-specific instrument utilized to characterize walking ability through a questionnaire as an alternative to treadmill testing. It is a measure of subject-perceived walking performance for subjects with Peripheral Artery Disease (PAD) and/or intermittent claudication. The WIQ quantifies patient-reported walking speed, walking distance, and stair-climbing ability, respectively, on a scale of 0 (= worst) to 100 (= best).	1 month	No
Secondary	Walking Impairment Questionaire Scores	Measured by the Walking Impairment Questionnaire (WIQ), a disease-specific instrument utilized to characterize walking ability through a questionnaire as an alternative to treadmill testing. It is a measure of subject-perceived walking performance for subjects with Peripheral Artery Disease (PAD) and/or intermittent claudication. The WIQ quantifies patient-reported walking speed, walking distance, and stair-climbing ability, respectively, on a scale of 0 (= worst) to 100 (= best).	9 months	No
Secondary	Walking Impairment Questionaire Scores	Measured by the Walking Impairment Questionnaire (WIQ)	2 years	No
Secondary	Walking Impairment Questionaire Scores	Measured by the Walking Impairment Questionnaire (WIQ)	3 years	No
Secondary	Rutherford Becker Clinical Category for the Treated Limb(s)	The Rutherford Becker clinical category is a scale to measure chronic limb ischemia.; Category and Clinical Description: 0 = Asymptomatic, no hemodynamically significant occlusive disease, 1 = Mild claudication, 2 = Moderate claudication, 3 = Severe claudication, 4 = Ischemic rest pain, 5 = tissue loss, non-healing ulcer, or focal gangrene with diffuse pedal ischemia, 6 = Major tissue loss, extending above transmetatarsal level, functional foot no longer salvageable	Pre-Procedure	No
Secondary	Rutherford Becker Clinical Category for the Treated Limb(s)	The Rutherford Becker clinical category is a scale to measure chronic limb ischemia.; Category and Clinical Description: 0 = Asymptomatic, no hemodynamically significant occlusive disease, 1 = Mild claudication, 2 = Moderate claudication, 3 = Severe claudication, 4 = Ischemic rest pain, 5 = tissue loss, non-healing ulcer, or focal gangrene with diffuse pedal ischemia, 6 = Major tissue loss, extending above transmetatarsal level, functional foot no longer salvageable	1 month	No
Secondary	Rutherford Becker Clinical Category for the Treated Limb(s)	The Rutherford Becker clinical category is a scale to measure chronic limb ischemia.; Category and Clinical Description: 0 = Asymptomatic, no hemodynamically significant occlusive disease, 1 = Mild claudication, 2 = Moderate claudication, 3 = Severe claudication, 4 = Ischemic rest pain, 5 = tissue loss, non-healing ulcer, or focal gangrene with diffuse pedal ischemia, 6 = Major tissue loss, extending above transmetatarsal level, functional foot no longer salvageable	9 months	No
Secondary	Rutherford Becker Clinical Category for the Treated Limb(s)	The Rutherford Becker clinical category is a scale to measure chronic limb ischemia.; Category and Clinical Description: 0 = Asymptomatic, no hemodynamically significant occlusive disease, 1 = Mild claudication, 2 = Moderate claudication, 3 = Severe claudication, 4 = Ischemic rest pain, 5 = tissue loss, non-healing ulcer, or focal gangrene with diffuse pedal ischemia, 6 = Major tissue loss, extending above transmetatarsal level, functional foot no longer salvageable	2 years	No
Secondary	Rutherford Becker Clinical Category for the Treated Limb(s)	The Rutherford Becker clinical category is a scale to measure chronic limb ischemia.; Category and Clinical Description: 0 = Asymptomatic, no hemodynamically significant occlusive disease, 1 = Mild claudication, 2 = Moderate claudication, 3 = Severe claudication, 4 = Ischemic rest pain, 5 = tissue loss, non-healing ulcer, or focal gangrene with diffuse pedal ischemia, 6 = Major tissue loss, extending above transmetatarsal level, functional foot no longer salvageable	3 years	No
Secondary	Changes From Baseline in Rutherford Becker Clinical Category for the Treated Limb(s)	Change in Rutherford Becker Clinical Category: Worsening Rutherford Becker Clinical Category: Deterioration (an increase) in the Rutherford Becker Clinical Category by at least two categories from baseline and subsequently from the earliest post-procedural measurement or to a category 5 or 6.; Improved Rutherford Becker Clinical Category: An improvement (a decrease) in the Rutherford Becker Clinical Category of at least one category from baseline and subsequently from the earliest post-procedural measurement.	Between baseline and 1 month	No
Secondary	Changes From Baseline in Rutherford Becker Clinical Category for the Treated Limb(s)	Change in Rutherford Becker Clinical Category: Worsening Rutherford Becker Clinical Category: Deterioration (an increase) in the Rutherford Becker Clinical Category by at least two categories from baseline and subsequently from the earliest post-procedural measurement or to a category 5 or 6.; Improved Rutherford Becker Clinical Category: An improvement (a decrease) in the Rutherford Becker Clinical Category of at least one category from baseline and subsequently from the earliest post-procedural measurement.	Between baseline and 9 months	No
Secondary	Changes From Baseline in Rutherford Becker Clinical Category for the Treated Limb(s)	Change in Rutherford Becker Clinical Category: Worsening Rutherford Becker Clinical Category: Deterioration (an increase) in the Rutherford Becker Clinical Category by at least two categories from baseline and subsequently from the earliest post-procedural measurement or to a category 5 or 6.; Improved Rutherford Becker Clinical Category: An improvement (a decrease) in the Rutherford Becker Clinical Category of at least one category from baseline and subsequently from the earliest post-procedural measurement.	Between baseline and 2 years	No
Secondary	Changes From Baseline in Rutherford Becker Clinical Category for the Treated Limb(s)	Change in Rutherford Becker Clinical Category: Worsening Rutherford Becker Clinical Category: Deterioration (an increase) in the Rutherford Becker Clinical Category by at least two categories from baseline and subsequently from the earliest post-procedural measurement or to a category 5 or 6.; Improved Rutherford Becker Clinical Category: An improvement (a decrease) in the Rutherford Becker Clinical Category of at least one category from baseline and subsequently from the earliest post-procedural measurement.	Between baseline and 3 years	No
Secondary	Kaplan-Meier Estimate of Freedom From Target Lesion Revascularization (TLR)	Target lesion revascularization was defined as any revascularization at the target lesion with or without evidence of target lesion diameter stenosis = 50% determined by duplex ultrasonography (DUS) or arteriography, with or without new distal ischemic sign (worsening Rutherford Becker Clinical Category that is clearly referable to the target lesion).	1 month and 9 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Target Lesion Revascularization (TLR)	Target lesion revascularization was defined as any revascularization at the target lesion with or without evidence of target lesion diameter stenosis = 50% determined by DUS or arteriography, with or without new distal ischemic sign (worsening Rutherford Becker Clinical Category that is clearly referable to the target lesion).	18 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Target Lesion Revascularization (TLR)	Target lesion revascularization was defined as any revascularization at the target lesion with or without evidence of target lesion diameter stenosis = 50% determined by DUS or arteriography, with or without new distal ischemic sign (worsening Rutherford Becker Clinical Category that is clearly referable to the target lesion).	2 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Target Lesion Revascularization (TLR)	Target lesion revascularization was defined as any revascularization at the target lesion with or without evidence of target lesion diameter stenosis = 50% determined by DUS or arteriography, with or without new distal ischemic sign (worsening Rutherford Becker Clinical Category that is clearly referable to the target lesion).	3 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Clinically-driven Target Lesion Revascularization (CD-TLR)	Outcome measure analysed at 1, 9 and 18 months, 2 and 3 years. Clinically-driven is defined as: Revascularization of the stent with evidence of new distal ischemic signs (worsening Rutherford Becker Clinical Category that is clearly referable to the target lesion, and target lesion diameter stenosis = 50% determined by duplex ultrasound or arteriography.) (Note: This does not include coincidental overlap of a percutaneous transluminal angioplasty (PTA) balloon or stent into a study stent, that has <50% stenosis, while treating a non-target lesion in the target vessel).	1 month and 9 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Clinically-driven Target Lesion Revascularization (CD-TLR)	Outcome measure analysed at 1, 9 and 18 months, 2 and 3 years. Clinically-driven is defined as: Revascularization of the stent with evidence of new distal ischemic signs (worsening Rutherford Becker Clinical Category that is clearly referable to the target lesion, and target lesion diameter stenosis = 50% determined by duplex ultrasound or arteriography.) (Note: This does not include coincidental overlap of a PTA balloon or stent into a study stent, that has <50% stenosis, while treating a non-target lesion in the target vessel).	18 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Clinically-driven Target Lesion Revascularization (CD-TLR)	Outcome measure analysed at 1, 9 and 18 months, 2 and 3 years. Clinically-driven is defined as: Revascularization of the stent with evidence of new distal ischemic signs (worsening Rutherford Becker Clinical Category that is clearly referable to the target lesion, and target lesion diameter stenosis = 50% determined by duplex ultrasound or arteriography.) (Note: This does not include coincidental overlap of a PTA balloon or stent into a study stent, that has <50% stenosis, while treating a non-target lesion in the target vessel).	2 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Clinically-driven Target Lesion Revascularization (CD-TLR)	Outcome measure analysed at 1, 9 and 18 months, 2 and 3 years. Clinically-driven is defined as: Revascularization of the stent with evidence of new distal ischemic signs (worsening Rutherford Becker Clinical Category that is clearly referable to the target lesion, and target lesion diameter stenosis = 50% determined by duplex ultrasound or arteriography.) (Note: This does not include coincidental overlap of a PTA balloon or stent into a study stent, that has <50% stenosis, while treating a non-target lesion in the target vessel).	3 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Target Vessel Revascularization (TVR) for the Treated Limb(s)	Outcome measure analysed at 1, 9 and 18 months, 2 and 3 years. Target Vessel Revascularization (TVR) defined: Any revascularization of the target vessel, outside of the target lesion, with or without evidence of diameter stenosis = 50% determined by DUS or arteriography, with or without new distal ischemic sign (worsening Rutherford Becker Clinical Category that is clearly referable to the target vessel.)	1 month and 9 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Target Vessel Revascularization (TVR) for the Treated Limb(s)	Outcome measure analysed at 1, 9 and 18 months, 2 and 3 years. Target Vessel Revascularization (TVR) defined: Any revascularization of the target vessel, outside of the target lesion, with or without evidence of diameter stenosis = 50% determined by DUS or arteriography, with or without new distal ischemic sign (worsening Rutherford Becker Clinical Category that is clearly referable to the target vessel.)	18 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Target Vessel Revascularization (TVR) for the Treated Limb(s)	Outcome measure analysed at 1, 9 and 18 months, 2 and 3 years. Target Vessel Revascularization (TVR) defined: Any revascularization of the target vessel, outside of the target lesion, with or without evidence of diameter stenosis = 50% determined by DUS or arteriography, with or without new distal ischemic sign (worsening Rutherford Becker Clinical Category that is clearly referable to the target vessel.)	2 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Target Vessel Revascularization (TVR) for the Treated Limb(s)	Outcome measure analysed at 1, 9 and 18 months, 2 and 3 years. Target Vessel Revascularization (TVR) defined: Any revascularization of the target vessel, outside of the target lesion, with or without evidence of diameter stenosis = 50% determined by DUS or arteriography, with or without new distal ischemic sign (worsening Rutherford Becker Clinical Category that is clearly referable to the target vessel.)	3 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Clinically-driven Target Vessel Revascularization (CD-TVR) for the Treated Limb(s)	Revascularization of the target vessel (outside the target lesion) with evidence of new distal ischemic signs (worsening Rutherford Becker clinical category that is clearly referable to the target vessel, and diameter stenosis = 50% determined by DUS or arteriography).	1 month and 9 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Clinically-driven Target Vessel Revascularization (CD-TVR) for the Treated Limb(s)	Revascularization of the target vessel (outside the target lesion) with evidence of new distal ischemic signs (worsening Rutherford Becker clinical category that is clearly referable to the target vessel, and diameter stenosis = 50% determined by DUS or arteriography).	18 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Clinically-driven Target Vessel Revascularization (CD-TVR) for the Treated Limb(s)	Revascularization of the target vessel (outside the target lesion) with evidence of new distal ischemic signs (worsening Rutherford Becker clinical category that is clearly referable to the target vessel, and diameter stenosis = 50% determined by DUS or arteriography).	2 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Clinically-driven Target Vessel Revascularization (CD-TVR) for the Treated Limb(s)	Revascularization of the target vessel (outside the target lesion) with evidence of new distal ischemic signs (worsening Rutherford Becker clinical category that is clearly referable to the target vessel, and diameter stenosis = 50% determined by DUS or arteriography).	3 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Target Extremity Revascularization (TER) for the Treated Limb(s)	Any revascularization of a target extremity vessel (distal to the superior border of the inguinal ligament on the ipsilateral side) with or without evidence of vessel diameter stenosis = 50% determined by DUS or arteriography, and with or without new distal ischemic sign (worsening Rutherford Becker Clinical Category).	1 month and 9 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Target Extremity Revascularization (TER) for the Treated Limb(s)	Any revascularization of a target extremity vessel (distal to the superior border of the inguinal ligament on the ipsilateral side) with or without evidence of vessel diameter stenosis = 50% determined by DUS or arteriography, and with or without new distal ischemic sign (worsening Rutherford Becker Clinical Category).	18 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Target Extremity Revascularization (TER) for the Treated Limb(s)	Any revascularization of a target extremity vessel (distal to the superior border of the inguinal ligament on the ipsilateral side) with or without evidence of vessel diameter stenosis = 50% determined by DUS or arteriography, and with or without new distal ischemic sign (worsening Rutherford Becker Clinical Category).	2 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Target Extremity Revascularization (TER) for the Treated Limb(s)	Any revascularization of a target extremity vessel (distal to the superior border of the inguinal ligament on the ipsilateral side) with or without evidence of vessel diameter stenosis = 50% determined by DUS or arteriography, and with or without new distal ischemic sign (worsening Rutherford Becker Clinical Category).	3 years	Yes
Secondary	Primary Stent Patency	Absence of in-stent restenosis of the target lesion (=50%) as determined by duplex ultrasound or angiogram and without interval reintervention since the initial study procedure.	1 month	Yes
Secondary	Primary Stent Patency	Absence of in-stent restenosis of the target lesion (=50%) as determined by duplex ultrasound or angiogram and without interval reintervention since the initial study procedure.	9 months	Yes
Secondary	Primary Stent Patency	Absence of in-stent restenosis of the target lesion (=50%) as determined by duplex ultrasound or angiogram and without interval reintervention since the initial study procedure.	2 years	Yes
Secondary	Primary Stent Patency	Absence of in-stent restenosis of the target lesion (=50%) as determined by duplex ultrasound or angiogram and without interval reintervention since the initial study procedure.	3 years	Yes
Secondary	Restenosis	Defined as = 50% stenosis at follow-up.	9 months	Yes
Secondary	Restenosis	Defined as = 50% stenosis at follow-up.	2 years	Yes
Secondary	Restenosis	Defined as = 50% stenosis at follow-up.	3 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Death (All Cause)	Outcome measure analysed at 1, 9 and 18 months, 2 and 3 years	1 month and 9 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Death (All Cause)	Outcome measure analysed at 1, 9 and 18 months, 2 and 3 years	18 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Death (All Cause)	Outcome measure analysed at 1, 9 and 18 months, 2 and 3 years	2 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Death (All Cause)	Outcome measure analysed at 1, 9 and 18 months, 2 and 3 years	3 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Myocardial Infarction (MI)	The term myocardial infarction should be used when there is evidence of myocardial necrosis in a clinical setting consistent with myocardial ischemia.	1 month and 9 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Myocardial Infarction (MI)	The term myocardial infarction should be used when there is evidence of myocardial necrosis in a clinical setting consistent with myocardial ischemia.	18 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Myocardial Infarction (MI)	The term myocardial infarction should be used when there is evidence of myocardial necrosis in a clinical setting consistent with myocardial ischemia.	2 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Myocardial Infarction (MI)	The term myocardial infarction should be used when there is evidence of myocardial necrosis in a clinical setting consistent with myocardial ischemia.	3 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Amputations (Major) of the Treated Limb(s)	Amputation is defined as the removal of a body extremity by surgery. For this study, the definition of amputation will only include amputations of the limb(s) that was/were treated. A minor amputation will be defined as below the ankle; a major amputation will be defined as at or above the ankle.	1 month and 9 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Amputations (Major) of the Treated Limb(s)	Amputation is defined as the removal of a body extremity by surgery. For this study, the definition of amputation will only include amputations of the limb(s) that was/were treated. A minor amputation will be defined as below the ankle; a major amputation will be defined as at or above the ankle.	18 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Amputations (Major) of the Treated Limb(s)	Amputation is defined as the removal of a body extremity by surgery. For this study, the definition of amputation will only include amputations of the limb(s) that was/were treated. A minor amputation will be defined as below the ankle; a major amputation will be defined as at or above the ankle.	2 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Amputations (Major) of the Treated Limb(s)	Amputation is defined as the removal of a body extremity by surgery. For this study, the definition of amputation will only include amputations of the limb(s) that was/were treated. A minor amputation will be defined as below the ankle; a major amputation will be defined as at or above the ankle.	3 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Embolic Events	Embolism is the formation of a thrombus within the target lesion or stent with migration or atherosclerotic emboli migration to a distal artery.	1 month and 9 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Embolic Events	Embolism is the formation of a thrombus within the target lesion or stent with migration or atherosclerotic emboli migration to a distal artery	18 months	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Embolic Events	Embolism is the formation of a thrombus within the target lesion or stent with migration or atherosclerotic emboli migration to a distal artery	2 years	Yes
Secondary	Kaplan-Meier Estimate of Freedom From Embolic Events	Embolism is the formation of a thrombus within the target lesion or stent with migration or atherosclerotic emboli migration to a distal artery	3 years	Yes
Secondary	Stent Thrombosis	Stent thrombosis is defined as a total occlusion documented by DUS and/or arteriography at the stent site with or without symptoms that occurs = 30 days post index procedure.	1 month	Yes
Secondary	Changes in Quality of Life Measures: Physical Component Summary	This measure indicates the absolute change between two timepoints represented by the mean.; SF-12® Health Survey is validated measure using 12 questions to measure functional health and well-being from the patient's point of view. Scores on the scale are 0% (indicating poor perceived health status) to 100% (indicating excellent perceived health status) possible.	Baseline and 1 month	No
Secondary	Changes in Quality of Life Measures: Physical Component Summary	This measure indicates the absolute change between two timepoints represented by the mean.; SF-12® Health Survey is validated measure using 12 questions to measure functional health and well-being from the patient's point of view. Scores on the scale are 0% (indicating poor perceived health status) to 100% (indicating excellent perceived health status) possible.	Baseline and 9 months	No
Secondary	Changes in Quality of Life Measures: Physical Component Summary	This measure indicates the absolute change between two timepoints represented by the mean.; SF-12® Health Survey is validated measure using 12 questions to measure functional health and well-being from the patient's point of view. Scores on the scale are 0% (indicating poor perceived health status) to 100% (indicating excellent perceived health status) possible.	Baseline and 2 years	No
Secondary	Changes in Quality of Life Measures: Physical Component Summary	This measure indicates the absolute change between two timepoints represented by the mean.; SF-12® Health Survey is validated measure using 12 questions to measure functional health and well-being from the patient's point of view. Scores on the scale are 0% (indicating poor perceived health status) to 100% (indicating excellent perceived health status) possible.	Baseline and 3 years	No
Secondary	Changes in Quality of Life Measures: Mental Component Summary	This measure indicates the absolute change between two timepoints represented by the mean.; SF-12® Health Survey is validated measure using 12 questions to measure functional health and well-being from the patient's point of view. Scores on the scale are 0% (indicating poor perceived health status) to 100% (indicating excellent perceived health status) possible.	Baseline and 1 month	No
Secondary	Changes in Quality of Life Measures: Mental Component Summary	This measure indicates the absolute change between two timepoints represented by the mean.; SF-12® Health Survey is validated measure using 12 questions to measure functional health and well-being from the patient's point of view. Scores on the scale are 0% (indicating poor perceived health status) to 100% (indicating excellent perceived health status) possible.	Baseline and 9 months	No
Secondary	Changes in Quality of Life Measures: Mental Component Summary	This measure indicates the absolute change between two timepoints represented by the mean.; SF-12® Health Survey is validated measure using 12 questions to measure functional health and well-being from the patient's point of view. Scores on the scale are 0% (indicating poor perceived health status) to 100% (indicating excellent perceived health status) possible.	Baseline and 2 years	No
Secondary	Changes in Quality of Life Measures: Mental Component Summary	This measure indicates the absolute change between two timepoints represented by the mean.; SF-12® Health Survey is validated measure using 12 questions to measure functional health and well-being from the patient's point of view. Scores on the scale are 0% (indicating poor perceived health status) to 100% (indicating excellent perceived health status) possible.	Baseline and 3 years	No