Angioplasty, Atherosclerosis, Peripheral Arterial Disease
Conditions
Keywords
atherosclerosis, angioplasty, peripheral arterial disease
Brief summary
To see if restenosis rates of superficial femoral artery atherosclerosis with percutaneous techniques can be improved using paclitaxel.
Detailed description
Treatment of superficial femoral artery atherosclerosis with percutaneous techniques is hindered by high restenosis rates. Paclitaxel inhibits restenosis in coronary arteries, and a few studies suggest it may be effective in reducing restenosis rates in peripheral arteries. The investigators hypothesize that delivering paclitaxel through an irrigating catheter will be superior in preventing restenosis.
Interventions
Paclitaxel will be administered intra-arterially through an irrigating catheter to treat a diseased segment of superficial femoral artery. Dosing will be based on ther lesion surface area, and will be calculated using the following formula: dose= 22/7 X diameter (mm) X length (mm) X 3 micrograms/mm\^3
Sponsors
Study design
Eligibility
Inclusion criteria
* All subjects between 18 and 80 years of age with symptomatic claudication (Rutherford category 1-6) with TASC II type A, B, or C lesions will be invited to participate (23, 24). * Patients must be on appropriate pharmacologic therapy for PAD including antiplatelet agents and lipid-lowering therapy.
Exclusion criteria
* Life expectancy \<1year * Acute limb ischemia * Anatomy not amenable to percutaneous revascularization * Inability to provide informed consent * Renal insufficiency (creatinine clearance \<40mL/min calculated using Cockcroft-Gault equation) * Prisoners * Pregnant or lactating women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Superficial femoral artery late lumen loss | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| procedural success, amputation, target segment revascularization (TSR), target vessel revascularization (TVR), surgical revascularization, clinical restenosis defined by increase in Rutherford claudication grade of 1 or more | 12 months |
Countries
United States
Contacts
Univeristy of Oklahoma