Critical Ischemia
Conditions
Keywords
paclitaxel, critical ischemia, restenosis, femoropopliteal artery lesions TASC C and D
Brief summary
It is a pilot study to evaluate the feasibility and the efficiency of local delivery of paclitaxel after stenting of long femoropopliteal arterial lesions TASC C and D before the realization of a large randomized multicentric study. Patients concerned are in critical ischemia.
Interventions
Paclitaxel will be administered intra-arterially through an irrigating catheter to treat a diseased segment of superficial femoral artery and/or popliteal artery after stenting. Dosing will be based on the lesion surface area and will be calculated using the following formula : 22/7 x diameter (mm) x length (mm) x 3 µg/mm3
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with critical ischemia of a lower limb with ankle pressure \< 50 mmHg * lesions TASC C and D of the superficial femoral or popliteal artery
Exclusion criteria
* patient allergic to paclitaxel * patient with a cancer, a neutropenia, with immunosuppressor medicament or chemotherapy * patient with contraindication to take 2 anti-aggregants platelets
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of patients with femoropopliteal artery restenosis | 12 months | defined as restenosis \> 50 % with a velocity pick \> 2,5 on duplex ultrasound |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Occurence of adverse events due to paclitaxel | From1 day to 12 months | biological adverse events (thrombopenia, neutropenia) |
| Number of patients with target lesion revascularization | 12 months | number of subjects who need a new revascularization on the same artery (femoropopliteal) |
| Occurence of amputation free-survival | 12 months | — |
| cumulated rate of morbi-mortality (TCMM) | up to 30 days | myocardial infarction, death, vascular ischemic accident, cardiac angina, major amputation, new hospitalization or new surgery for hematoma, thrombosis or false aneurysm |
Countries
France