Resistant Vascular Ulcers
Conditions
Brief summary
To evaluate tolerance and efficiency of cryopreserved amniotic membranes in local treatment of resistant vascular ulcers. To evaluate complete cicatrisation, efficiency on pain, prevention of infection, improvement of quality of life. To evaluate rate of amputations and recurrence at one year after complete cicatrisation
Detailed description
Treatment of patients suffering from vascular ulcers or amputation's wound from at least 6 months after or without possibility for surgical treatment. A cryopreserved amniotic membrane, obtained after caesarean from consenting women without any disease, is applied on the ulcer after serological checking and changed once a week. Main criterias: Tolerance will be evaluated on clinical criterias. Efficiency will be evaluated by measuring reduction of ulcer's area (reduction of at least 50 % at 6 months). Secondary criterias: Reduction of pain will be evaluated by analogic visual scale and evaluation of analgesic consumption. Evaluation of infections, amputations, complete healing, improvement of quality of life by SF36 questionnaire and recurrence at one year for patients with complete healing.
Interventions
The amniotic membrane is taken with a sterile crowbar then applied side foetal face against the ulcer and displayed in a homogeneous way
Sponsors
Study design
Eligibility
Inclusion criteria
* Obtained informed consent * Leg or foot arterial or mixed ulcer older than at least 3 months
Exclusion criteria
* No obtained informed consent * Possibility for surgical treatment (revascularisation) * Age less than 18 * Pregnancy * Indication for major amputation (below /above the knee) * Venous ulcer * Ulcer with infection and / or necrosis * Mycotic ulcer
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measure of the diameter of the ulcer | Every week |
Countries
France