Symptomatic peripheral artery disease: -Moderate or severe claudication (Rutherford category 2 or 3) -Critical limb ischemia (Rutherford category 4 or 5)
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age 20 years or older 2) Symptomatic peripheral artery disease: -Moderate or severe claudication (Rutherford category 2 or 3) -Critical limb ischemia (Rutherford category 4 or 5) 3) Patients with signed informed consent Anatomical criteria: 1) Target lesion length <150 mm by angiographic estimation (TASC II A and B lesion) 2) Significant Stenosis or occlusion of the superficial femoral artery 3) De novo lesion
Exclusion criteria
Exclusion criteria: 1) Acute critical limb ischemia 2) Severe critical limb ischemia (Rutherford category 6) 3) Known hypersensitivity or contraindication to any of the following medications: heparin, aspirin, clopidogrel 4) Age < 20 years 5) Life expectancy <2 year due to comorbidity 6) Severe dementia or bedridden case Angiographic criteria 1) Target lesion length > 150 mm by angiographic estimation (TASC II C and D lesion) 2) Previous bypass surgery or stenting of the superficial femoral artery 3) Diseased CFA or distal popliteal artery (P2 or P3 segment) with stenosis more than 50%)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary patency of optimal balloon and bail-out stent at 12months which was defined as freedom from restenosis by DUS at rest peak systolic velocity ratio (PSVR) less than 2.5 with no reintervention | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Freedom from Clinically Driven Target lesion revascularization 2) All-cause mortality 3) Myocardial infarction 4) Brain infarction 5) Freedom from conversion to bypass surgery involving the target lesion 6) Amputation free rate 7) Improve of Rutherford category 8) Ankle-brachial index at 12months 9) Primary patency at 6 months 10) Technical successful rate 11) Complication free rate | — |
Countries
Japan
Contacts
Kishiwada Tokushukai Hospital Cardiology