Peripheral Artery Disease
Conditions
Brief summary
The primary objective of this prospective, Randomized, Controlled, Multicentre, Open Study is to investigate the inhibition of restenosis by the Paclitaxel-eluting Percutaneous transluminal angioplasty (PTA) balloon Freeway versus PTA alone in the treatment of de-novo occluded, stenotic or reoccluded, restenotic superficial femoral (SFA) or popliteal arteries.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or non-pregnant female (\> 18 years of age) with symptomatic ischemia, requiring treatment of SFA or PI segment ( 2-5 of Rutherford classification) * Single and/or multiple de novo occluded, stenotic or reoccluded, restenotic lesion(s) of \> 70% , ≤ 15 cm in total length and vessel diameter ≥ 4mm and ≤ 7mm (by visual estimation). * Patient provides a signed informed consent and complies with the follow up visits * Successful wire crossing of lesion * At least one patent (less than 50% stenosis) tibioperoneal run-off vessel
Exclusion criteria
* Gastrointestinal bleeding or coagulopathy contraindicating use of anti-platelet therapy * Known intolerance contraindications to study medications and contrast agents, non-controllable with medication. * Patient actively participating in another device or drug study * History of hemorrhagic stroke within 3 months * Previous or planned surgical or intervention procedure within 30 days of index procedure * Significant untreated inflow disease or no normal arterial segment proximal of lesion in which duplex ultrasound velocity ratios can be measured * Acute or sub-acute thrombus in target vessel * Use of adjunctive therapies (i.e. laser, atherectomy, cryoplasty, scoring/cutting balloon) * Patients with in-stent restenosis or prior surgery of the target lesion * Patients with abdominal aortic, iliaca or popliteal aneurysm (AAA) with ≥ 4cm diameter
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of clinically driven target lesion revascularization | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Clinical success | Baseline |
| Procedural success | Baseline |
| Ankle Brachial index improvement | 6, 12, 24 months |
| Change in Rutherford classification | 6, 12, 24 months |
| Technical success | Baseline |
| Rate of minor and major complications | 6,12, 24 months |
| Rate of target lesion revascularization | 12, 24 months |
| Late lumen loss | 6 months |
| Patency rate | 6, 12, 24 months |
| Walking improvement | 6, 12 ,24 months |
Countries
Austria, Colombia, Germany, Hungary, Italy, Spain