DETOUR I Clinical Study for Percutaneous Femoropopliteal Bypass

NCT ID: NCT02471638

Last Updated: 2025-05-23

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

78 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Study Completion Date

2020-06-30

Brief Summary

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To assess the safety and performance of the PQ Bypass System to access, deliver guidewires and implant stent grafts for a percutaneous fem-pop bypass.

Detailed Description

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Prospective, single-arm, multi-center, international, non-randomized, pre-market, safety and effectiveness clinical investigation evaluating the PQ Bypass Systems to access, deliver guidewires and implant stent grafts for a percutaneous femoropopliteal (fem-pop) bypass.

Conditions

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Peripheral Arterial Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Single arm study

PQ Bypass System for Femoropopliteal Bypass to complete percutaneous fem-pop bypass

Group Type EXPERIMENTAL

PQ Bypass System for Femoropopliteal Bypass

Intervention Type DEVICE

To access, deliver guidewires and implant stent grafts for a percutaneous fem-pop bypass.

Interventions

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PQ Bypass System for Femoropopliteal Bypass

To access, deliver guidewires and implant stent grafts for a percutaneous fem-pop bypass.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Willing and able to provide informed consent
* Age 18 or older
* Rutherford Classification of 3-5
* Patent iliac and femoral arteries/veins and access vessels, of sufficient size and morphology (including tortuosity), to allow endovascular access with 8 Fr. introducer sheath
* Femoro-popliteal lesions ≥10 cm in length considered to be:

* Chronic total occlusion (100% stenosis)
* Diffuse stenosis (\>50% stenosis) with moderate to heavy calcification
* In-stent restenosis (\>50% stenosis)
* Proximal and distal target vessels are 5.4-7.0 mm in diameter
* Orifice and proximal 1 cm of SFA is patent
* Patent popliteal artery 3 cm proximal to tibial plateau
* At least 1 patent tibial artery to the foot
* Patent femoral vein ≥ 10 mm in diameter or duplicate femoral vein
* Subject has \> one year life expectancy

Exclusion Criteria

* Bypass length required \> 30 cm
* History of deep vein thrombosis
* Has a known hypersensitivities, allergies or contraindications to: nitinol, PTFE; aspirin, heparin, antiplatelet, anticoagulant or thrombolytic therapy; or anticoagulation or contrast media that is not amenable to pre-treatment;
* Has a known history of intracranial bleeding or aneurysm, myocardial infarction or stroke within the last 12 months
* Pregnant or nursing
* Untreated flow-limiting aortoiliac occlusive disease
* Has renal failure (eGFR \< 30mL/min)
* Major distal amputation (above the transmetatarsal) in the study or non-study limb
* Patient has had a revascularization procedure on the target limb within 30 days
* Patient has a planned amputation of the target limb
* Previous bypass surgery on the target limb
* Patient is participating in another clinical study for which follow-up is currently on going.
* Patient has a condition that in the view of the investigator precludes participation in this study
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Endologix

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dierk Scheinert, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Leipzig

Locations

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Universidad Católica de Chile

Santiago, , Chile

Site Status

University of Leipzig Medical Centre

Leipzig, , Germany

Site Status

Ospedale San Raffaele

Milan, , Italy

Site Status

Stradins University Hospital

Riga, , Latvia

Site Status

Vascular Service

Auckland, , New Zealand

Site Status

Gdansk Medical University

Gdansk, , Poland

Site Status

Poznan University of Medical Sciences

Poznan, , Poland

Site Status

Institute of Haematology Medicine Indira Gandhi

Warsaw, , Poland

Site Status

Countries

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Chile Germany Italy Latvia New Zealand Poland

References

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Schneider PA, Krievins DK, Halena G, Schmidt A, Lyden S, Lee V, Hu M, Adelman M. Venous outcomes at 1 year after using the femoral vein as a conduit for passage of percutaneous femoropopliteal bypass. J Vasc Surg Venous Lymphat Disord. 2021 Sep;9(5):1266-1272.e3. doi: 10.1016/j.jvsv.2020.12.080. Epub 2021 Jan 8.

Reference Type DERIVED
PMID: 33429092 (View on PubMed)

Krievins DK, Halena G, Scheinert D, Savlovskis J, Szopinski P, Kramer A, Ouriel K, Nair K, Holden A, Schmidt A. One-year results from the DETOUR I trial of the PQ Bypass DETOUR System for percutaneous femoropopliteal bypass. J Vasc Surg. 2020 Nov;72(5):1648-1658.e2. doi: 10.1016/j.jvs.2020.02.043. Epub 2020 Apr 8.

Reference Type DERIVED
PMID: 32276015 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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STP 115

Identifier Type: -

Identifier Source: org_study_id

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