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Objective of this study is to evaluate the safety and efficacy of Lutonix 035 Drug Coated Dilatation PTA Catheter with Bard LifeStent Vascular Stent (hereinafter referred to as LifeStent) for treatment of long (10-24 cm) lesions in the SFA and/or proximal popliteal artery.
The study will observe subjects presenting with claudication or ischemic rest pain (Rutherford category 2-4) and long (10-24 cm in length) native lesions in the infra-inguinal segment (superficial femoral artery [SFA] and/or proximal popliteal artery) who are candidates for stenting and pre-/post-dilatation with Drug Coated Balloon (DCB).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lutonix Drug Coated Balloon | Paclitaxel coated balloon catheter |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lutonix Drug Coated Balloon | Device | Subject will receive treatment with the Lutonix Drug Coated Balloon |
|
| Measure | Description | Time Frame |
|---|---|---|
| Primary patency at 12 months. | Primary patency is defined as the absence of target lesion restenosis and freedom from target lesion revascularization. | 12 months |
| Freedom from the composite endpoint of death, index limb amputation, and target vessel revascularization at 30 days. | Freedom from the composite endpoint of death, index limb amputation, and target vessel revascularization at 30 days. | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Procedural success | Defined as attainment of ≤30% residual stenosis by quantitative angiography immediately after intervention in the absence of peri-procedural complications. | Immediately after Intervention |
| Technical success |
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Inclusion Criteria: Subjects will be included if all of the following inclusion criteria apply:
Exclusion Criteria:
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Hospital Patients
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| Name | Affiliation | Role |
|---|---|---|
| Thomas Zeller, Prof. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Klinikum Arnsberg | Arnsberg | 59755 | Germany | |||
| Herz- und Gefäßzentrum Bad Bevensen |
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| ID | Term |
|---|---|
| D058729 | Peripheral Arterial Disease |
| ID | Term |
|---|---|
| D050197 | Atherosclerosis |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
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Defined as attainment of ≤30% residual stenosis by quantitative angiography.
| Immediately after intervention |
| Device success | Defined as successful delivery of the DCB to the target lesion and performance when used according to the clinical investigational plan. | Immediately after intervention |
| Freedom from Target Lesion Revascularization after 30 days, and 6, 12 and 24 months post-index procedure. | Absence of Target Lesion Revascularization. | 30 days, 6, 12 and 24 months |
| Freedom from TVR after 30 days, and 6, 12 and 24 months post-index procedure. | Absence of Target Vessel Revascularization. | 30 days, 6, 12 and 24 months |
| Change in resting ankle brachial index (ABI) from baseline to 30 days, and 6, 12 and 24 months post-index procedure | The ABI values will be recorded and compared to the baseline values. The ABI is the ratio of the blood pressure at the ankle to the blood pressure in the upper arm. A ratio of 0.9-1.3 is in the normal range. Lower ratios indicate bad blood perfusion of the leg. | 30 days, 6, 12 and 24 months |
| Change in Rutherford Classification from baseline to 30 days, and 6, 12 and 24 months post-index procedure | Patients are enrolled with a Rutherford grade of 2-4 for their target leg. The Rutherford scale is an indicator for the severity of Peripheral Vascular Disease: 0 = no symptoms, 6 = functional foot is no longer salvageable (leading to foot amputation). | 30 days, 6, 12 and 24 months |
| All-cause death | Death by any cause will be counted. | 30 days, 6, 12 and 24 months |
| Amputation (above the ankle)-free survival | Amputations above the ankle of the target leg will be counted. | 30 days, 6, 12 and 24 months |
| Target limb reintervention for treatment of thrombosis of target vessel or embolization to its distal vasculature | Thrombosis in the target vessel and embolizations below the target lesion will be analazed separately from other stenoses. | 30 days, 6, 12 and 24 months |
| Bad Bevensen |
| 29549 |
| Germany |
| Universitäts-Herzzentrum Freiburg Bad Krozingen | Bad Krozingen | 79189 | Germany |
| Angiologikum Hamburg | Hamburg | 22527 | Germany |
| Klinik Immenstadt | Immenstadt im Allgäu | 87509 | Germany |
| Klinikum Kassel | Kassel | 34125 | Germany |
| UKSH - Campus Lübeck | Lübeck | 23538 | Germany |
| RoMed Klinikum Rosenheim | Rosenheim | 83022 | Germany |
| Gefäßzentrum Sonneberg | Sonneberg | 96515 | Germany |
| Klinikum Weiden | Weiden | 92637 | Germany |
| University General Hospital of Patras | Pátrai | 26504 | Greece |
| SPZOZ Sanok | Sanok | 38-500 | Poland |
| D002318 |
| Cardiovascular Diseases |
| D016491 | Peripheral Vascular Diseases |