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This is a multi-center, non-randomized, single arm study of the SilverHawkâ„¢ /TurboHawkâ„¢ plaque excision systems when used in conjunction with SpiderFXâ„¢ embolic protection device in treatment of moderate to severely calcified peripheral arterial disease in the superficial femoral and/or popliteal arteries.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Atherectomy with embolic protection | Other | All subjects were treated with atherectomy (with SilverHawk or TurboHawk device) in conjunction with embolic protection (SpiderFX device). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SilverHawkâ„¢ LS-C, TurboHawkâ„¢ LS-C, TurboHawkâ„¢ LX-C plaque excision systems and SpiderFXâ„¢ embolic protection device | Device | Catheter-based excision of moderate to severely calcified plaque located in the SFA and/or popliteal artery. |
| Measure | Description | Time Frame |
|---|---|---|
| Successful Revascularization | Less than or equal to 50% residual diameter stenosis following plaque excision remaining at the target lesion(s), as adjudicated by the angiographic core laboratory | at the end of the procedure |
| Major Adverse Event Free Rate 30 Days | MAE was defined as a serious adverse event that results in death, acute myocardial infarction, dissection (grade C or greater), clinical perforation, pseudo-aneurysm, thrombosis, distal embolism (clinically relevant), amputation, or clinically-driven target vessel revascularization (TVR), through 30 days post-procedure, as adjudicated by the Clinical Events Committee (CEC). | 30 Days |
| Measure | Description | Time Frame |
|---|---|---|
| Technical Procedural Success | Technical Procedural Success was defined as meeting all of the following requirements:
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniel Clair, MD | The Cleveland Clinic | Principal Investigator |
| David Roberts, MD | Sutter Medical Center | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24402764 | Result | Roberts D, Niazi K, Miller W, Krishnan P, Gammon R, Schreiber T, Shammas NW, Clair D; DEFINITIVE Ca(+)(+) Investigators. Effective endovascular treatment of calcified femoropopliteal disease with directional atherectomy and distal embolic protection: final results of the DEFINITIVE Ca(+)(+) trial. Catheter Cardiovasc Interv. 2014 Aug 1;84(2):236-44. doi: 10.1002/ccd.25384. Epub 2014 Feb 5. |
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133 subjects were enrolled in this study between October 30, 2008 and October 13, 2010. The type of location included hospitals with catheterization labs and/or vascular centers.
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| ID | Title | Description |
|---|---|---|
| FG000 | Study Cohort | All participants were treated with SilverHawk/TurboHawk atherectomy catheters, with the SpiderFX Embolic Protection Device placed distally. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| at the end of the procedure |
| Residual Diameter Stenosis | This endpoint was met when there was less than 30% residual diameter stenosis following treatment with SilverHawkâ„¢ /TurboHawkâ„¢ plaque excision systems and any adjunctive therapy (if required), as adjudicated by the angiographic core laboratory. | at the end of the procedure |
| Presence of Debris in Deployed SpiderFxâ„¢ Embolic Protection Device | Presence of debris in deployed SpiderFxâ„¢ embolic protection device | at the end of the procedure |
| Preservation of Run-off Distal to the Filter | Preservation of run-off distal to SpiderFXâ„¢ distal embolic protection device was determined by angiography of run-off vessels at the end of the procedure, as adjudicated by the angiographic core laboratory. | at the end of the procedure |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Study Cohort | All participants were treated with SilverHawkâ„¢ /TurboHawkâ„¢ plaque excision systems, with the SpiderFXâ„¢ embolic protection device placed distally. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Successful Revascularization | Less than or equal to 50% residual diameter stenosis following plaque excision remaining at the target lesion(s), as adjudicated by the angiographic core laboratory | Number of lesions assessed by the angiographic core lab | Posted | Number | 95% Confidence Interval | percentage of lesions | at the end of the procedure | lesions | Participants |
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| Primary | Major Adverse Event Free Rate 30 Days | MAE was defined as a serious adverse event that results in death, acute myocardial infarction, dissection (grade C or greater), clinical perforation, pseudo-aneurysm, thrombosis, distal embolism (clinically relevant), amputation, or clinically-driven target vessel revascularization (TVR), through 30 days post-procedure, as adjudicated by the Clinical Events Committee (CEC). | Posted | Number | 95% Confidence Interval | percentage of participants | 30 Days |
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| Secondary | Technical Procedural Success | Technical Procedural Success was defined as meeting all of the following requirements:
| Total patient population minus one patient because there was no angiographic post-treatment core lab data available. | Posted | Number | percentage of participants | at the end of the procedure |
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| Secondary | Residual Diameter Stenosis | This endpoint was met when there was less than 30% residual diameter stenosis following treatment with SilverHawkâ„¢ /TurboHawkâ„¢ plaque excision systems and any adjunctive therapy (if required), as adjudicated by the angiographic core laboratory. | 1 lesion not included because there is no angiographic core laboratory post-treatment data available | Posted | Number | percentage of lesions | at the end of the procedure | lesions | Participants |
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| Secondary | Presence of Debris in Deployed SpiderFxâ„¢ Embolic Protection Device | Presence of debris in deployed SpiderFxâ„¢ embolic protection device | Posted | Number | percentage of deployed filters | at the end of the procedure | deployed filters | Participants |
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| Secondary | Preservation of Run-off Distal to the Filter | Preservation of run-off distal to SpiderFXâ„¢ distal embolic protection device was determined by angiography of run-off vessels at the end of the procedure, as adjudicated by the angiographic core laboratory. | 115/133 subjects had the required angiographic images to assess this outcome. | Posted | Number | percentage of participants | at the end of the procedure |
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Through 30 days post-procedure
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Study Cohort | All participants were treated with SilverHawk/TurboHawk atherectomy catheters, with the SpiderFX Embolic Protection Device placed distally. | 26 | 133 | 36 | 133 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Access Site AE | Vascular disorders | Systematic Assessment |
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| Amputation at or below metatarsal line | Vascular disorders | Systematic Assessment |
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| AV fistula, target vessel | Vascular disorders | Systematic Assessment |
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| Dissection, grade A or B; target vessel | Vascular disorders | Systematic Assessment |
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| Dissection, grade D or greater; target vessel | Vascular disorders | Systematic Assessment |
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| Distal embolism; plaque, thrombus (blood clot) or debris distal to the filter, clinically relevant | Vascular disorders | Systematic Assessment |
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| GI bleeding due to anticoagulation | Gastrointestinal disorders | Systematic Assessment |
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| Hypotension or hypertension | Vascular disorders | Systematic Assessment |
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| Myocardial infarction, acute | Vascular disorders | Systematic Assessment |
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| Renal insufficiency | Endocrine disorders | Systematic Assessment |
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| Pseudoaneurysm, non-target vessel | Vascular disorders | Systematic Assessment |
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| Target vessel revascularization; non-clinically driven | Vascular disorders | Systematic Assessment |
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| Thrombosis (acute and subacute); target vessel | Vascular disorders | Systematic Assessment |
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| Vessel clinical perforation, target vessel | Vascular disorders | Systematic Assessment |
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| Other, respiratory | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Other | Surgical and medical procedures | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Access site adverse event | Vascular disorders | Systematic Assessment |
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| Dissection, grade A or B; target vessel | Vascular disorders | Systematic Assessment |
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| Other | Vascular disorders | Systematic Assessment |
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PI can not make any publication concerning the study without providing the sponsor 30 days to review it and provide comments. The Sponsor may require PI to delay publication until any factual errors are corrected. If the sponsor determines the proposed publication contains confidential information, or patentable subject matter that requires protection, the sponsor may require delay of the publication less than or equal to 90 days.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director of Medical Communications | Covidien | 763-591-3047 | jean.ahlstrom@covidien.com |
| ID | Term |
|---|---|
| D058729 | Peripheral Arterial Disease |
| D016491 | Peripheral Vascular Diseases |
| D050197 | Atherosclerosis |
| ID | Term |
|---|---|
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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