Diabetic Angiopathies, Intermittent Claudication
Conditions
Brief summary
This study is a comparison of different medical devices for infragenual dilatation.
Detailed description
Dilatation and recanalisation of the distal veins (infragenual popliteal artery, tibiofibular trunc, posterior tibial artery, anterior tibial artery) by classical balloon dilatation or cutting balloon with or without stenting or by endovascular laser. This intervention happens only once; the duration of the intervention depends on the procedure and the original injuries(30 - 120 minutes).
Interventions
Infragenual dilatation
Infragenual dilatation with stenting
Infragenual dilatation with cutting balloon
Laser therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Diabetes type I or II with diabetic angiopathy stage IIb to IV (Fontaine) * Atherosclerotic patients with distal angiopathy stage IIb to IV (Fontaine)
Exclusion criteria
* Acute ischemia * Multisegmentaric damage above the knee * Sepsis: acute respiratory distress syndrome (ARDS), C-reactive protein (CRP) \> 30, white blood cell (WBC) \> 25,000 * Acute myocardial infarction (AMI) during the last 14 days * Operative contraindication * Life expectancy \< 2 years * Blue toe syndrome (micro-embolisation)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary patency after 6 months | After 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Proving the superiority or non-superiority of one treatment procedure to another treatment procedure | After 6 months. |
Countries
Belgium