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The purpose of this clinical trial is to analyze patency after autologous infrainguinal bypass surgery in patients receiving a venous conduit versus a covered venous conduit.
Patients presenting to Vascular Surgical Units are usually multimorbid with increased cardiopulmonary risk. Autologous venous bypass is indicated in certain situations despite the longer duration of surgery. Optimizing patency has been an important goal since many years. Reconstruction problems are often based on intimal hyperplasia, which can be reduced via covering of the harvested vein as seen in previous studies.
This clinical trial will be conducted at our Division of Vascular Surgery and Endovascular Surgery at the University Hospital of Salzburg. Patients will be randomized into one of the two treatment options, which are a plain venous conduit or a by mesh covered venous conduit. During this clinical trial, the first follow-up will take place after 6 weeks; this corresponds to the usual follow-up interval. Due to the trial, further follow-ups will take place for each of the patients after 3 months, 6 months, 12 months, 2 years.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional Autologous Bypass | Active Comparator |
| |
| FRAMED Infrainguinal Venous Bypass | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FRAMED Infrainguinal Venous Bypass | Procedure | The harvested vein graft will be covered with a mesh. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of primary patency of the venous bypass | The incidence of patency of the venous bypasses will be analysed and compared. This is defined as freedom from occlusion of the venous bypass. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of procedure-related mortality | Mortality intervention-related | 2 years |
| Incidence of 30-day mortality | Number of participants, who die within 30 days after the procedure. |
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Inclusion Criteria
Exclusion Criteria
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Stephanie Rassam, MD | Contact | +43 572550 57506 | s.rassam@salk.at | |
| Stephan Koter, MD, PD | Contact | +43 572550 55677 | s.koter@salk.at |
| Name | Affiliation | Role |
|---|---|---|
| Stephan Koter, MD, PD | Senior Physician | Principal Investigator |
| Stephanie Rassam, MD | Resident Physician | Study Director |
| Klaus Linni, MD, PD, FEBVS |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital of Salzburg, Paracelsus Medical University | Recruiting | Salzburg | 5020 | Austria |
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| Conventional Autologous Bypass | Procedure | The harvested vein graft will be used without a mesh coating. |
|
| 30 days |
| Incidence of limb salvage after procedure | Amputation free survival | 2 years |
| Head of Division |
| Principal Investigator |
| ID | Term |
|---|---|
| C564658 | Peripheral Arterial Occlusive Disease 1 |
| D007383 | Intermittent Claudication |
| ID | Term |
|---|---|
| D058729 | Peripheral Arterial Disease |
| D016491 | Peripheral Vascular Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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