Critical limb ischemia (CLI) due to arteriosclerosis obliterans or thromboangitis obliterans (Buerger'
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Subjects will have one or more clinical indications diagnostic of CLI due to arteriosclerosis obliterans or thromboangitis obliterans such as: 1) distal extremity pain at rest that requires the subject to use analgesics for >2 weeks (Fontaine grade III); or peripheral ischemic ulcer(s); or areas of gangrene (Fontaine grade IV, exclude Rutherford grade III, group 6). 1. The subject is a poor candidate for standard revascularization treatment options for peripheral arterial disease, based on inadequate bypass conduit, unfavorable anatomy, or poor operative risk. 2. Subjects will be without any effect of anti-platelet and/or vasodilator agents for at least 2 weeks prior to treatment. 3. 40 Years and above.
Exclusion criteria
Exclusion criteria: 1. Subjected with severe allergy or its history. 2. Suspected malignant neoplasm (clinical, laboratory or imaging). 3. Subjects who have proliferative diabetic retinopathy or severe, non-proliferative retinopathy. 4. Subjects receiving chronic hemodialysis therapy. 5. Subjects who have severe heart dysfunction or faiure. 6. Subject who have hepatic dysfunction or cirrhosis. 7. Subjects with end stage renal disease (ESRD). 8. Subject who have active inflammatory diseases. 9. Subject who have recieved operative resection of malignant neoplasm 5 years prior to treatment. 10. Subjects who have experienced celebral hemorrhage or infarction 6 months prior to treatment. 11. Subjects with hematopoietic disorders. 12. Alcoholism and/or drug dependence. 13. Female subjects with pregnant or doubt of pregnacy. 14. Othors
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Physical examination 2. Blood and urine analyses 3. ECG 4. Vital signs 5. Adverse events 6. Viral shedding | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Improvement of wound healing 2. Reduction of amputation 3. Improvement of rest pain 4. Improvement of hemodynamic measurement | — |
Countries
Japan
Contacts
Kyushu University Graduate School of Medical Sciences Department of Surgery and Science