critical limb ischemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Target disease: PAD, TAO, and Collagen disease-associated vasculitis Inclusion criteria: Patients with (1) 25<= Age <80 (2) CLI (Fontaine III-IV), who are not candidates for conventional therapies any more, including surgical revascularization (3) informed consent
Exclusion criteria
Exclusion criteria: Patients with (1) Insufficient amount of adipose tissue (2) No informed consent (3) Expectation of life < 1 year (4) A past 5 years or current history of malignant disease (5) Untreated coronary heart disease or cerebrovascular diseases (6) Untreated diabetic retinopathy (7) Laboratory signs of chronic or acute inflammation (8) Severe liver or kidney dysfunction (9) Severe anemia or pancytopenia (10) Pregnancy (11) Others
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The safety of the therapy was assessed as a survival rate, the onset of adverse events, malignant neoplasm, and the time course of proliferative retinopathy and arthritis during the 6-month follow-up period after the TACT-ADRC procedure. The amputation-free survival ratio during the 6-month follow-up period after the TACT-ADRC procedure was also assessed as the efficacy of the therapy. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary endpoints were evaluated by ulcer size (grand total of the longer axis times minor axis), the changes in rest pain using the numerical rating scale (NRS), ABI (ankle biracial index) and skin perfusion pressure (SPP), circulating EPC and cytokines (ex, SDF-1, VEGF, bFGF, HGF) and walking distance in 6 min in patients with lower limb lesions. | — |
Countries
Japan
Contacts
Nagoya University School of Medicine