Comparison of the PrimAry Long Versus Short Coverage With Drug-Eluting Stents for Long FemoRopopliteal Artery DiseasE (PARADE II): Investigator-initiated Clinical Study
NCT ID: NCT02701881
Last Updated: 2019-02-15
Study Results
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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UNKNOWN
PHASE4
220 participants
INTERVENTIONAL
2016-01-31
2021-08-31
Brief Summary
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* A total of 220 subjects with long femoropopliteal lesions will be included according to inclusion and exclusion criteria.
* Patients will be randomized in a 1:1 manner into long stenting group versus short stenting group. and treated with Zilver PTX for long femoropopliteal lesions
* Patients will be followed clinically for 1 year after the procedure.
* Image study follow-up (Duplex US or CT angiography) will be performed at 1 year.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Long stenting group
Long stenting using drug-eluting stent (Zilver PTX)
Long stenting by full coverage of long femoropopliteal lesion with Zilver PTX after balloon angioplasty
Short stenting group
Spot stenting using drug-eluting stent (Zilver PTX)
Spot stenting by coverage of residual stenosis or flow-limiting dissection with Zilver PTX after balloon angioplasty of long femoropopliteal lesion
Interventions
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Long stenting using drug-eluting stent (Zilver PTX)
Long stenting by full coverage of long femoropopliteal lesion with Zilver PTX after balloon angioplasty
Spot stenting using drug-eluting stent (Zilver PTX)
Spot stenting by coverage of residual stenosis or flow-limiting dissection with Zilver PTX after balloon angioplasty of long femoropopliteal lesion
Eligibility Criteria
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Inclusion Criteria
1. Age 19 years of older
2. Symptomatic peripheral artery disease:
1. Moderate or severe claudication (Rutherford category 2 or 3)
2. Critical limb ischemia (Rutherford category 4 or 5)
3. Patients with signed informed consent
* Anatomical criteria:
1. Target lesion length ≥150 mm by angiographic estimation
2. Stenosis of more than 50% in femoropopliteal artery
3. At least one patent (less than 50 percent stenosed) tibioperoneal runoff vessel.
Exclusion Criteria
1. Acute critical limb ischemia
2. Severe critical limb ischemia (Rutherford category 6)
3. Major bleeding history within prior 2 months
4. Known hypersensitivity or contraindication to any of the following medications: heparin, aspirin, clopidogrel or contrast agents
5. Age \> 85 years
6. Severe hepatic dysfunction (\> 3 times normal reference values)
7. Significant renal dysfunction (Serum creatinine \> 2.0 mg/dl
8. Significant leucopenia, neutropenia, thrombocytopenia, anemia, or known bleeding diathesis
9. LVEF(left ventricular ejection fraction) \<40% or clinically overt congestive heart failure
10. Pregnant women or women with potential childbearing
11. Life expectancy \<1 year due to comorbidity
* Angiographic criteria
1. Previous bypass surgery or stenting of the superficial femoral artery
2. Untreated inflow disease of the ipsilateral pelvic arteries (more than 50%stenosis or or occlusion
3. Popliteal artery stenosis \>50% at P2 or P3 segment
19 Years
85 Years
ALL
No
Sponsors
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Yonsei University
OTHER
Responsible Party
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Locations
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Division of Cardiology, Department of Internal Medicine, Severance Hospital
Seoul, , South Korea
Countries
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Facility Contacts
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References
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Park JI, Ko YG, Lee YJ, Lee SJ, Hong SJ, Ahn CM, Kim JS, Kim BK, Hong MK, Yu CW, Rha SW, Park JK, Min PK, Yoon CH, Lee SR, Park SH, Choi DH. Long coverage with drug-eluting stents is superior to spot coverage for long femoropopliteal artery disease: PARADE II study. Front Cardiovasc Med. 2022 Oct 19;9:1022071. doi: 10.3389/fcvm.2022.1022071. eCollection 2022.
Other Identifiers
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1-2014-0072
Identifier Type: -
Identifier Source: org_study_id
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