PTA vs. Primary Stenting of SFA Using Self-Expandable Nitinol Stents

NCT ID: NCT00715416

Last Updated: 2008-07-15

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-06-30

Study Completion Date

2008-02-29

Brief Summary

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The investigators evaluated whether primary implantation of a self-expanding nitinol stent yielded anatomical and clinical benefits superior to those afforded by percutaneous transluminal angioplasty with optional secondary stenting.

Detailed Description

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Conditions

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Peripheral Vascular Diseases Intermittent Claudication Angioplasty

Keywords

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peripheral vascular diseases Intermittent Claudication Angioplasty

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

primary nitinol stent placement of superficial femoral artery lesions

Group Type EXPERIMENTAL

Nitinol stent

Intervention Type DEVICE

Interventions are performed percutaneously from either an antegrade or an over-the-bifurcation approach. After insertion of an 6 French sheath, 5000 IU of heparin are administered intra-arterially. After passage of the stenosis/occlusion with the guide wire, patients are randomized to either PTA or primary stent implantation. For standardized documentation of the lesion morphology and comparability during follow-up, a ruler is fixed at the patients thigh with the distal end exactly overlapping at the upper edge of the patella. As a bail-out procedure in the PTA group, stent placement is performed in cases with a residual stenosis of more than 30% in the worst view angiogram.

Nitinol Stent Placement

Intervention Type PROCEDURE

Balloon angioplasty compared to primary stent implantation for long segment superficial femoral artery lesions

2

balloon angioplasty of superficial artery lesions with secondary stent placement in case of \>30% residual stenosis after the procedure

Group Type ACTIVE_COMPARATOR

Nitinol stent

Intervention Type DEVICE

Interventions are performed percutaneously from either an antegrade or an over-the-bifurcation approach. After insertion of an 6 French sheath, 5000 IU of heparin are administered intra-arterially. After passage of the stenosis/occlusion with the guide wire, patients are randomized to either PTA or primary stent implantation. For standardized documentation of the lesion morphology and comparability during follow-up, a ruler is fixed at the patients thigh with the distal end exactly overlapping at the upper edge of the patella. As a bail-out procedure in the PTA group, stent placement is performed in cases with a residual stenosis of more than 30% in the worst view angiogram.

Interventions

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Nitinol stent

Interventions are performed percutaneously from either an antegrade or an over-the-bifurcation approach. After insertion of an 6 French sheath, 5000 IU of heparin are administered intra-arterially. After passage of the stenosis/occlusion with the guide wire, patients are randomized to either PTA or primary stent implantation. For standardized documentation of the lesion morphology and comparability during follow-up, a ruler is fixed at the patients thigh with the distal end exactly overlapping at the upper edge of the patella. As a bail-out procedure in the PTA group, stent placement is performed in cases with a residual stenosis of more than 30% in the worst view angiogram.

Intervention Type DEVICE

Nitinol Stent Placement

Balloon angioplasty compared to primary stent implantation for long segment superficial femoral artery lesions

Intervention Type PROCEDURE

Other Intervention Names

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Product: peripheral stent system Type: ASTRON EC class: IIb Certificate number: G1 01 10 10275 193 EC number: 0123 Date of issue: 26.10.2001

Eligibility Criteria

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Inclusion Criteria

* symptomatic peripheral artery disease with severe intermittent claudication (Fontaine stage IIb)
* critical limb ischemia in patients with stenosis or occlusions originating in the SFA
* up to 25 cm length of stenosis/occlusion

Exclusion Criteria

* previous bypass surgery at the site of treatment
* history of intolerance of anti-platelet therapy
* adverse reaction to heparin
* bleeding diathesis
* creatinine \>2.5 mg/dL
* active bacterial infection
* allergy to contrast media
* previous stent placement at or immediately adjacent to the target lesion
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vienna General Hospital

OTHER

Sponsor Role lead

Responsible Party

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General Hospital of Vienna

Principal Investigators

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Martin Schilliger, Prof

Role: PRINCIPAL_INVESTIGATOR

General Hospital of Vienna, Department of Angiology

Martin Schillinger, Prof

Role: PRINCIPAL_INVESTIGATOR

General Hospital of Vienna

Locations

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University Hospital of Vienna

Vienna, Vienna, Austria

Site Status

Countries

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Austria

References

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Schillinger M, Sabeti S, Loewe C, Dick P, Amighi J, Mlekusch W, Schlager O, Cejna M, Lammer J, Minar E. Balloon angioplasty versus implantation of nitinol stents in the superficial femoral artery. N Engl J Med. 2006 May 4;354(18):1879-88. doi: 10.1056/NEJMoa051303.

Reference Type BACKGROUND
PMID: 16672699 (View on PubMed)

Other Identifiers

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1.1/2006

Identifier Type: -

Identifier Source: org_study_id