Plaque Removal Versus Open Bypass Surgery For Critical Limb Ischemia

NCT ID: NCT00504088

Last Updated: 2008-08-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2006-10-31

Brief Summary

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To compare the outcome of bypass surgery and plaque excision for treatment of critical limb ischemia in the lower limbs

Detailed Description

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Conditions

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Peripheral Vascular Diseases

Keywords

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CLI Critical Limb Ischemia PAD Peripheral Arterial Disease Artherosclerosis Leg Pain Cardiovascular Artherectomy Bypass Peripheral Bypass PROOF

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Bypass

Intervention Type PROCEDURE

Silverhawk Plaque Excision

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Ischemic rest pain for more than 2 weeks or ulceration or gangrene of the foot or toes (Rutherford Becker Category 4, 5 or 6)
* Willing and able, as evaluated by the PI, to provide Informed Consent
* Willing to undergo up to 5 years of clinical follow up visits as scheduled
* Angiographic pattern of infrainguinal disease that can be reasonably managed either by surgery or plaque excision in the first instance
* Reconstitution of at least one patent target tibial segment below the knee which provides run-off to the foot
* The patient must be \>18 years of age
* Target lesion(s) is located at or below the level of the superficial femoral artery
* Target lesion(s) is \>50% stenosed by quantitative vascular angiography
* Ability to take at least one of the following types of medications: anti- platelet or anti-thrombotic therapy

Exclusion Criteria

* Patient has cardiac or cardiovascular comorbidities that would make surgery inappropriate
* Patient has terminal or Stage 4 cancer
* Patient has extensive gangrene that requires both a Below-the-Knee amputation and a revascularization procedure
* Previous stent in the target lesion
* Active infection at planned incision site
* The patient is a pregnant woman
* The patient has significant suprainguinal or Common Femoral disease that can not be treated either prior to or during the index procedure
* Target Lesion is a Chronic Total Occlusion (CTO) that is greater than 15cm in length and has severe, continuous calcification
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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FoxHollow Technologies

INDUSTRY

Sponsor Role lead

Principal Investigators

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James F. McKinsey, M.D.

Role: PRINCIPAL_INVESTIGATOR

Columbia University

Locations

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University of Alabama, Birmingham

Birmingham, Alabama, United States

Site Status

Los Angeles Cardiology/Good Samaritan

Los Angeles, California, United States

Site Status

UC Davis Vascular Center

Sacramento, California, United States

Site Status

San Francisco VA Medical Center

San Francisco, California, United States

Site Status

Stanford University Medical Center/Palo Alto VA

Stanford, California, United States

Site Status

Heart & Vascular Clinic of Northern Colorado

Fort Collins, Colorado, United States

Site Status

Holmes Regional Medical Center

Melbourne, Florida, United States

Site Status

Sacred Heart Hospital

Pensacola, Florida, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

Advocate Christ Medical Center

Oak Lawn, Illinois, United States

Site Status

St. Vincent

Indianapolis, Indiana, United States

Site Status

Iowa Methodist Medical Center

Des Moines, Iowa, United States

Site Status

Vascular Surgery Associates

Baton Rouge, Louisiana, United States

Site Status

Beth Isreal (BIDMC)

Boston, Massachusetts, United States

Site Status

St. Vincent Hospital

Worchester, Massachusetts, United States

Site Status

William Beaumont/Southeast Surgical

Royal Oak, Michigan, United States

Site Status

Providence Hospital

Southfield, Michigan, United States

Site Status

University of Mississippi

Jackson, Mississippi, United States

Site Status

Alegent Health Research Center

Omaha, Nebraska, United States

Site Status

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

New Mexico Heart Institute, PA

Albuquerque, New Mexico, United States

Site Status

St. Vincent's Medical Center

New York, New York, United States

Site Status

NY Weill Cornell Medical Center

New York, New York, United States

Site Status

Columbia Presbyterian

New York, New York, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Cleveland VAMC

Cleveland, Ohio, United States

Site Status

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Sentara Heart Hospital

Norfolk, Virginia, United States

Site Status

Madigan Army Medical Center

Tacoma, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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FHT-P-06-003

Identifier Type: -

Identifier Source: org_study_id