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lack of enrollment
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The main objective of this study is to assess the patency rate of the nitinol self-expandable stent device in the treatment of superficial femoral artery (SFA) occlusions as compared to angioplasty only.
This is a multi-center prospective, randomized, two-arm study evaluating performance of the Cordis SMARTâ„¢ nitinol self-expanding stent as compared to balloon angioplasty only. Patients will be randomized on a 1:1 basis. It is anticipated that a total of 120 patients will be entered into the study.
The study population will consist of symptomatic peripheral vascular disease patients with SFA occlusions. The disease will consist of symptomatic, long de novo or restenotic occlusions (5 - 14.5 cm) on diagnostic imaging with a history of at least 6 months. The occlusions must not extend beyond the proximal popliteal artery. For the purpose of this protocol, no lesion within 3 cm of the upper part of the patella may be treated. The distal popliteal artery must be patent with no hemodynamic stenosis as well as two calf vessels. Reference vessel diameter must be >= 4.0 to <= 6.0 mm.
Trial participants will be randomized to the SMARTâ„¢ nitinol self-expanding stent or to balloon angioplasty only.
Patients will be followed for twelve months post-procedure. Study examinations will be done at screening, procedure time, discharge, six, and twelve months post procedure.
This study will be conducted at 8 investigational sites in The Netherlands.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Cordis SMARTâ„¢ Nitinol Stent |
|
| 2 | Active Comparator | balloon angioplasty |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| stent | Device | Cordis SMARTâ„¢ Nitinol Stent |
| |
| angioplasty |
| Measure | Description | Time Frame |
|---|---|---|
| Primary patency. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Technical success defined as a successful access and deployment of the device with recanalization, determined by angiography. | at deployment | |
| Procedural success defined as successful recanalization, without the occurrence of a SAE. | up to the moment haemostasis has been achieved |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jim Reekers, MD | Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| AMC | Amsterdam | 1105 AZ | Netherlands |
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| ID | Term |
|---|---|
| D001157 | Arterial Occlusive Diseases |
| C564658 | Peripheral Arterial Occlusive Disease 1 |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D015607 | Stents |
| D017130 | Angioplasty |
| ID | Term |
|---|---|
| D019736 | Prostheses and Implants |
| D004864 | Equipment and Supplies |
| D002404 | Catheterization |
| D013812 | Therapeutics |
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| Device |
balloon angioplasty |
|
| Procedural complications, defined as any adverse event | from start of the procedure up to the moment haemostasis has been achieved |
| Ankle Brachial Index. | discharge and 12 months |
| Treadmill test. | 12 months |
| Restenosis measured by Duplex Ultrasound. | 12 months |
| Quality of Life assessment. | baseline, 6, and 12 months post procedure |
| D057510 |
| Endovascular Procedures |
| D014656 | Vascular Surgical Procedures |
| D013504 | Cardiovascular Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D019060 | Minimally Invasive Surgical Procedures |
| D008919 | Investigative Techniques |