Lower Extremity Ischemia
Conditions
Keywords
Lower Extremity, Ischemia
Brief summary
The purpose of this study is to prove the findings of a preliminary study which strongly suggest the hypothesis that the result of conventional embolectomy for acute, severe lower-limb ischemia can be improved by controlled reperfusion.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged 18 years or older * Patients with arterial occlusion of one or both lower limbs with acute decompensated ischemia (Rutherford IIA to III) * Informed consent of the patient
Exclusion criteria
* Previous attempt of recanalisation (e.g. lysis therapy) * Known A. poplitea aneurysm of the affected extremity * Severe heart failure NYHA IV * Known atrial thrombus * Terminal renal insufficiency (creatinine \>10mg/dl or current dialysis therapy, previous transplantation of kidney) * Hypersensitivity to allopurinol * Hypersensitivity to one component part of the reperfusion solution * Participation in a clinical trial during the study or 30 days before * Pregnancy or lactation * Patient incapable of contracting or not able to understand the character, meaning and consequences of the clinical trial * Abuse to drugs or alcohol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Amputation-free survival | 28 days |
Secondary
| Measure | Time frame |
|---|---|
| Neurological status (motor function, sensor function) of ischemic limb | 4 weeks |
| Systemic complications in both therapy groups | 4 weeks |
| Tolerance of reperfusion solution | 4 weeks |
| Lethality | 12 months |
Countries
Austria, Germany