Arteriosclerosis obliterans
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients with atherosclerosis obliterans who have undergone OFDI-guided EVT using DCB on a standby basis for lesions in the femoral-patellar artery territory 2) Patients who are 20 years of age or older at the time of consent. 3) Patients who understand the treatment and purpose of the study and are able to give consent
Exclusion criteria
Exclusion criteria: 1) Patients who are terminally ill and expected to live less than one year 2) Patients with acute lower limb ischemia or acute thrombosis 3) In-stent stenosis or occlusive lesions 4) Critically ill ischemic limb with suspected Rutherford Category 6 or extensive infection 5) Anastomotic lesions after bypass surgery 6) Angiographically severe calcification defined as the peripheral arterial calcium scoring system (PACSS) grade 4 (2) 7) Patients who have difficulty continuing antiplatelet therapy (e.g., patients with planned surgical procedures requiring antiplatelet drug withdrawal within one month) 8) Patients who are or may be pregnant or breastfeeding 9) Patients who have or may have hypersensitivity to drug-eluting balloons, paclitaxel or its structural analogs, additives, or contrast media 10) Other patients who are judged inappropriate for inclusion by the study investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary patency | — |
Secondary
| Measure | Time frame |
|---|---|
| At 12 months after treatment 1) Avoidance rate of restenosis assessed by echocardiography 2) Clinically driven TLR (target lesion revascularization) rate 3) Clinically driven target vessel revascularization (TLR) rate 4) Surgical revascularization rate 5) Incidence of acute thrombotic occlusion 6) Incidence of major lower extremity amputations (amputations central to the ankle joint) 7) Major adverse limb event (MALE [major adverse limb event]: any re-intervention or major amputation) rate 8) Rutherfurd classification 9) Adverse event rate (1) All deaths, (2) deaths from cardiovascular disease, (3) presence of stroke/systemic embolism, (4) hospitalization for cardiac disease, (5) presence of intracranial hemorrhage | — |
Countries
Japan
Contacts
Kobe University Graduate School of Medicine Division of Cardiovascular Medicine, Department of Internal Medicine