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Self-Expanding Nitinol Stent Versus Balloon Angioplasty Alone for the Below The Knee Arteries(SENS-BTK)

Efficacy of Self-Expanding Nitinol Stent Versus Balloon Angioplasty Alone for the Below The Knee Arteries Following Successful Balloon Angioplasty Trial (Korean Vascular Intervention Multicenter Study)

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01644487
Acronym
SENS-BTK
Enrollment
122
Registered
2012-07-19
Start date
2012-07-31
Completion date
2018-10-10
Last updated
2019-08-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Critical Limb Ischemia, Infrapopliteal Arterial Occlusive Disease

Brief summary

The objectives of this study are to compare directly conventional balloon angioplasty alone versus. balloon angioplasty with routine stenting - that is, to determine whether angioplasty with self-expanding stent is superior to conventional balloon angioplasty - in the infrapopliteal arterial occlusive lesions of critical limb ischemia patients by collecting and analyzing the cases of each patient group in a prospective multicenter randomized clinical trial, and to clarify main factors affecting mid- and long-term clinical effects of angioplasty with self-expanding stent in the infrapopliteal arteries. Hypothesis: Balloon PTA followed by routine stenting with self-expanding nitinol stent in critical limb ischemia patients with infrapopliteal arterial occlusive lesions is superior to conventional PTA in the aspect of vascular restenosis rate.

Interventions

DEVICEself-expanding nitinol stent

A group of patients who will undergo subsequent primary stenting following successful conventional balloon angioplasty

DEVICEballoon angioplasty

A group of patients who will undergo routine conventional balloon angioplasty alone without stenting

Sponsors

Korea University Guro Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Provisional stenting with SMART(n=173), Provisional stenting with Complete SE(n=173)

Eligibility

Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Symptomatic critical limb ischemia (Rutherford 4 - 6) * Patients with signed informed consent * Target lesion length \< 8 cm by angiographic estimation * Stenosis of \>50% or occlusive atherosclerotic lesion of the ipsilateral infrapopliteal artery * Reference vessel diameter should be 2.0-4.5 mm

Exclusion criteria

* Patient has a known allergy to heparin, aspirin, or other anticoagulant/antiplatelet therapies or a bleeding diatheses or is unable, or unwilling, to tolerate such therapies * Patient takes warfarin * Patient has a history of previous life-threatening contrast media reaction * Patient is currently enrolled in another investigational device or drug trial * Patient is currently breast-feeding, is pregnant, or intends to become pregnant * Patient is mentally ill or retarded * Acute critical limb ischemia * Major bleeding history within prior 2 months * Severe hepatic dysfunction (\> 3 times normal reference values) * Significant leucopenia, neutropenia, thrombocytopenia, anemia, or known bleeding diathesis * Life expectancy \<1 year due to comorbidity * Reference segment diameter is not suitable for available stent design * Previously implanted stent(s) or PTA at the same lesion site * Inflow-limiting arterial lesions left untreated

Design outcomes

Primary

MeasureTime frame
Angiographic binary restenosis rate12 months

Countries

South Korea

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026