Balloon Angioplasty vs. Cutting Balloon Angioplasty of Femoropopliteal Arteries- a Randomized Controlled Trial
Primary Purpose
Peripheral Vascular Disease, Intermittent Claudication, Atherosclerosis
Status
Terminated
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
angioplasty
Sponsored by
About this trial
This is an interventional treatment trial for Peripheral Vascular Disease focused on measuring peripheral vascular disease, percutaneous transluminal angioplasty, cutting balloon, balloon angioplasty, randomized controlled trial, restenosis, inflammation
Eligibility Criteria
Inclusion Criteria:
- Severe intermittent claucication (Fontaine stage IIb)or limb ischemia, femoropoliteal stenosis/occlusion up to 5 cm length
Exclusion Criteria:
- Previous bypass surgery at the site of treatment,
- Previous stent placement at or immediatly adjacent to target lesion,
- History of anti-platelet-therapy intolerance or adverse reaction to heparin,
- Bleeding diathesis,
- Creatinine > 2,5 mg/dL,
- Active bacterial infection,
- Allergy to contrast media
Sites / Locations
Outcomes
Primary Outcome Measures
course of postintervention inflammation as indicated by serum levels of C-reactive Protein (CRP+ us-CRP)
Secondary Outcome Measures
occurence of restenosis within 6 months after endovascular treatment
Full Information
NCT ID
NCT00437905
First Posted
February 20, 2007
Last Updated
February 20, 2007
Sponsor
Medical University of Vienna
1. Study Identification
Unique Protocol Identification Number
NCT00437905
Brief Title
Balloon Angioplasty vs. Cutting Balloon Angioplasty of Femoropopliteal Arteries- a Randomized Controlled Trial
Official Title
Balloon Angioplasty vs. Cutting Balloon Angioplasty of Femoropopliteal Arteries- a Randomized Controlled Trial
Study Type
Interventional
2. Study Status
Record Verification Date
February 2007
Overall Recruitment Status
Terminated
Study Start Date
June 2003 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
January 2007 (undefined)
3. Sponsor/Collaborators
Name of the Sponsor
Medical University of Vienna
4. Oversight
5. Study Description
Brief Summary
The purpose of this study to compare balloon angioplasty (PTA) vs. cutting balloon angioplasty (CB-PTA) in terms of patency and postintervention inflammation in peripheral artery disease.
Detailed Description
Balloon Angioplasty is a minimal invasive technique for treatment of superficial femoropoliteal artery obstructions. Despite high initial success rate and an acceptably low complication rate, long-term-results are disappointing as restenosis may frequently occur. One of the hypothesis for the differences in the reported patency rates is that the amount of vessel trauma correlates directly to the prognosis (restenosis) of the treated vessel wall segment.
With the introduction of cutting balloons the problems of elastic recoil and residual stenosis might be resolved, by reduction of vessel wall trauma, vessel wall inflammation and consequently reduced neointima formation.
The promising results especially in coronary arteries led us to initiate a RCT comparing primary PTA vs. CB-PTA for treatment of femoropoliteal obstructions in patients with intermittent claudication or critical limb ischemia.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Vascular Disease, Intermittent Claudication, Atherosclerosis, Angioplasty
Keywords
peripheral vascular disease, percutaneous transluminal angioplasty, cutting balloon, balloon angioplasty, randomized controlled trial, restenosis, inflammation
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
40 (false)
8. Arms, Groups, and Interventions
Intervention Type
Procedure
Intervention Name(s)
angioplasty
Primary Outcome Measure Information:
Title
course of postintervention inflammation as indicated by serum levels of C-reactive Protein (CRP+ us-CRP)
Secondary Outcome Measure Information:
Title
occurence of restenosis within 6 months after endovascular treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Severe intermittent claucication (Fontaine stage IIb)or limb ischemia, femoropoliteal stenosis/occlusion up to 5 cm length
Exclusion Criteria:
Previous bypass surgery at the site of treatment,
Previous stent placement at or immediatly adjacent to target lesion,
History of anti-platelet-therapy intolerance or adverse reaction to heparin,
Bleeding diathesis,
Creatinine > 2,5 mg/dL,
Active bacterial infection,
Allergy to contrast media
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jasmin Amighi, MD
Organizational Affiliation
Medical University of Vienna
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Martin Schillinger, MD
Organizational Affiliation
Medical University of Vienna
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Manfred Cejna, MD
Organizational Affiliation
Medical University of Vienna
Official's Role
Principal Investigator
12. IPD Sharing Statement
Citations:
PubMed Identifier
18270378
Citation
Amighi J, Schillinger M, Dick P, Schlager O, Sabeti S, Mlekusch W, Haumer M, Mathies R, Heinzle G, Schuster A, Loewe C, Koppensteiner R, Lammer J, Minar E, Cejna M. De novo superficial femoropopliteal artery lesions: peripheral cutting balloon angioplasty and restenosis rates--randomized controlled trial. Radiology. 2008 Apr;247(1):267-72. doi: 10.1148/radiol.2471070749. Epub 2008 Feb 12.
Results Reference
derived
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Balloon Angioplasty vs. Cutting Balloon Angioplasty of Femoropopliteal Arteries- a Randomized Controlled Trial
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