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| Name | Class |
|---|---|
| Changhai Hospital | OTHER |
| Tianjin Medical University General Hospital | OTHER |
| Second Affiliated Hospital of Suzhou University | OTHER |
| Fudan University |
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Although DCBs had been widely applicable after registration, there are still lack of clinical data and evidence in the real world condition of Chinese population. This data collection aims to perform regularly clinical follow up to guide the standardized diagnosis and treatment of patients post-operatively, in order to achieve the maximum clinical benefits of these patients, as well as improve the development of the field of peripheral artery disease treated by drug-coated balloon.
Historically, symptomatic PAD was treated with surgical bypass; however endovascular treatment is now the first line treatment when medical therapy fails. Several endovascular treatment options exist including percutaneous transluminal angioplasty (PTA), stenting with bare metal or drug-eluting stents (DES), cutting balloons, atherectomy, laser debulking. Moreover, drug-coated balloon(DCB)has emerged as a potential treatment option, combining acute restoration of vessel patency by balloon dilatation with long term maintenance of such patency by the anti-proliferative drug delivered by the balloon surface. Results from numerous clinical studies with paclitaxel coated balloons have been reported for the safety and efficacy for peripheral artery diseases.
Besides Medtronic IN.PACT Admiral, other DCBs approved for marketing in Chinese Mainland include Acoart (Acotec, China), Reewarm ® PTX (endovastec, China), Ultrafree (ZYLOX, China). Although DCBs had been widely applicable after registration, there are still lack of clinical data and evidence in the real world condition of Chinese population. Therefore, the data collection can also further expand and understand the experience of using DCB in a real world patient population in China, especially for the surveillance of safety events, in order to ensure the long-term application safety in Chinese population. Moreover, this data collection aims to perform regularly clinical follow up to guide the standardized diagnosis and treatment of patients post-operatively, in order to achieve the maximum clinical benefits of these patients, as well as improve the development of the field of peripheral artery disease treated by drug-coated balloon.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| drug-coated balloon | Device | The intervention relates to a drug-coated balloon catheter includes a balloon and cover the drug-coated balloon surface. |
| Measure | Description | Time Frame |
|---|---|---|
| Freedom from clinically-driven target lesion revascularization(CD-TLR) | Primary patency is defined as freedom from clinically driven TLR and freedom from restenosis as determined by duplex ultrasound (DUS) Peak Systolic Velocity Ratio (PSVR) ≤ 2.4 | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Primary patency | Primary patency is defined as freedom from clinically driven TLR and freedom from restenosis as determined by duplex ultrasound (DUS) Peak Systolic Velocity Ratio (PSVR) ≤ 2.4 | 1 month, 3 months, 6 months, 12 months, 24 months |
| Freedom from clinically-driven target lesion revascularization(CD-TLR) |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with complex femoralpopliteal artery lesions.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lianrui Guo, MD. | Contact | 86-13671009746 | guolianrui@xwhosp.org |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xuanwu Hospital, Capital Medical University | Recruiting | Beijing | Beijing Municipality | 100053 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31195825 | Background | Laird JA, Schneider PA, Jaff MR, Brodmann M, Zeller T, Metzger DC, Krishnan P, Scheinert D, Micari A, Wang H, Masters M, Tepe G. Long-Term Clinical Effectiveness of a Drug-Coated Balloon for the Treatment of Femoropopliteal Lesions. Circ Cardiovasc Interv. 2019 Jun;12(6):e007702. doi: 10.1161/CIRCINTERVENTIONS.118.007702. Epub 2019 Jun 14. | |
| 34615815 |
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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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| OTHER |
| RenJi Hospital | OTHER |
| The Affiliated Hospital of Qingdao University | OTHER |
| First Affiliated Hospital of Zhejiang University | OTHER |
| Chengdu University of Traditional Chinese Medicine | OTHER |
| Liyuan Hospital of Tongji Medical College, Huazhong University of Science and Technology | OTHER |
| Huashan Hospital | OTHER |
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Clinically-driven target lesion revascularization (CD-TLR) is defined as any re-intervention within the target lesion due to symptoms or drop of ankle brachial index (ABI) of ≥20% or >0.15 when compared to post-procedure baseline. |
| 1 month, 3 months, 6 months, 12 months, 24 months |
| Major adverse events | Operation-related acute thrombosis, arterial embolism, major amputation and all-cause mortality. | 1 month, 3 months, 6 months, 12 months, 24 months |
| Technical success rate | Successfully revascularize the target vessel. The residual stenosis is <30% and there is no acute thrombosis occurred in the target vessel within 1 week post-operation. | 1 week |
| Rutherford classification change | Rutherford classification change including ulcer healing in patients with Rutherford grade 5 | 1 month, 3 months, 6 months, 12 months, 24 months |
| improvement of EQ-5D-5L | Improvement in the European Five Dimensional Health Scale (EQ-5D-5L) at 1 month, 3 months, 6 months, 12 months, and 24 months after surgery. | 1 month, 3 months, 6 months, 12 months, 24 months |
| improvement of Vas-QoL | Improvement in the quality of life scores (Vas-QoL) at 1 month, 3 months, 6 months, 12 months, 24 months after surgery. | 1 month, 3 months, 6 months, 12 months, 24 months |
| Soga Y, Iida O, Fujihara M, Kawasaki D, Saito S, Urasawa K, Yokoi H, Fernandez EJ, Guo J, Nakamura M; IN.PACT Japan Post-Market Surveillance Study. Real-World Clinical Outcomes of IN.PACT Admiral Drug-Coated Balloon for Femoropopliteal Artery Disease - 12-Month Results From Japan Post-Market Surveillance Study. Circ J. 2021 Nov 25;85(12):2149-2156. doi: 10.1253/circj.CJ-21-0491. Epub 2021 Oct 6. |
| D002318 |
| Cardiovascular Diseases |
| D016491 | Peripheral Vascular Diseases |