Atherosclerosis, Claudication, Lower Extremity Ischemia, Rest Pain
Conditions
Keywords
atherosclerosis, stent, angioplasty, covered stent
Brief summary
This study is a comparison of two different ways to treat blockage in the artery of the thigh. The first is an older way with incisions in the groin and just above the knee. A plastic tube is then inserted to make a bypass from the groin to the knee. The second treatment offered is through a needle hole in the groin. A thin plastic tube covering a metal stent is inserted into the artery and released to bypass the blockage from inside the artery. No incisions are needed. Patients are enrolled and then selected for one treatment method or another by chance. The patients will be followed for two years to see how the two different treatment methods work compared to each other.
Interventions
Surgical placement of a prosthetic graft in the thigh from the groin to the knee
Placement of an ePTFE covered stent graft within the superficial femoral artery in the thigh through a needle hole percutaneously
Sponsors
Study design
Eligibility
Inclusion criteria
Patients that had atherosclerotic stenotic or occlusive lesions of the superficial femoral artery with no significant aorto-iliac disease. The infra-popliteal segment had to be patent with at least single vessel run-off to the ankle. Patients had to be acceptable surgical candidates in the event they were randomized to the surgical arm. \-
Exclusion criteria
Non-operative candidate,Contraindication to IV contrast use, Planned surgery with venous conduit, previously stented segment of the superficial femoral artery, poorly compliant patient. \-
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary artery/graft patency | 24 months |
| Limb Salvage | 24 months |
| Improvement in symptoms of lower extremity Ischemia | 24 Months |
Secondary
| Measure | Time frame |
|---|---|
| Secondary artery/graft patency | 24 months |
Countries
United States