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The objective of this clinical investigation is to evaluate the clinical outcome (up to 12 months) of treatment by means of stenting with the RoadSaver (Terumo) in subjects at high risk for carotid endarterectomy requiring carotid revascularization due to significant extra-cranial carotid artery stenosis.
It is a Prospective, multi-center, physician-sponsored clinical study.
The objective of this clinical investigation is to evaluate the clinical outcome (up to 12 months) of treatment by means of stenting with the RoadSaver (Terumo) in subjects at high risk for carotid endarterectomy requiring carotid revascularization due to significant extra-cranial carotid artery stenosis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RoadSaver stent | Experimental | patient treated with the RoadSaver stent of Terumo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RoadSaver stent | Device | lesion treated with RoadSaver stent of Terumo |
|
| Measure | Description | Time Frame |
|---|---|---|
| 30-day rate of Major Adverse events (MAE) | The primary endpoint of this study is the 30-day rate of major adverse events (MAE), defined as the cumulative incidence of any peri-procedural (≤ 30 days post-procedure) death, stroke or myocardial infarction (MI). | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Late Ipsilateral stroke | number of patients presenting late ipsilateral stroke within day 31 through 365 days | day 31 through 365 days |
| System Technical Success | Defined as the ability to cross and stent the lesion to achieve residual angiographic stenosis no greater than 30% and residual stenosis less than 50% by duplex imaging. |
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Inclusion Criteria:
High risk for carotid endarterectomy due to anatomical or co-morbid conditions and either:
has neurological symptoms and ≥ 50% stenosis via angiography, or
is asymptomatic and has ≥ 80% stenosis via angiography.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marc Bosiers, MD | A.Z. Sint-Blasius Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Imelda Hospital | Bonheiden | Antwerp | 2820 | Belgium | ||
| OLV Aalst |
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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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| procedure (day 0) |
| device malfunctions | number of device malfunctions during procedure | procedure (day 0) |
| Major Adverse Events (MAE's) | number of MAE's at the different time frames | at 1,6 and 12 month follow-up |
| serious device-related and procedure-related Adverse Events (SAE's) | number of SAE's at the different time frames | at 1, 6 and 12 month follow-up |
| freedom from Target Lesion Revascularization (TLR) | Defined as a repeat intervention to maintain or re-establish patency within the region of the treated arterial vessel plus 5mm proximal an distal to the treated lesion edge. | at 1, 6 and 12-month follow-up |
| in-stent restenosis (ISR) | patients representing ISR at the different time frames | at 1, 6 and 12 month follow-up |
| Aalst |
| Oost-Vlaanderen |
| 9300 |
| Belgium |
| AZ Sint-Blasius | Dendermonde | Oost-Vlaanderen | 9200 | Belgium |
| RZ Heilig Hart Hospital | Tienen | 3300 | Belgium |
| D002318 |
| Cardiovascular Diseases |
| D016491 | Peripheral Vascular Diseases |