Peripheral Artery Occlusive Disease, Peripheral Artery Restenosis, Peripheral Artery Stenosis
Conditions
Keywords
Restenosis, Drug-eluting balloon, Vein graft
Brief summary
The purpose of this study is to determine whether the use of drug-eluting balloons is effective in the treatment of (re)stenosis in bypass vein grafts.
Detailed description
Drug-eluting devices have proved beneficial in the treatment of stenosis in native coronary and lower limb arteries. Stenosis and restenosis is a known problem in bypass vein grafts, and drug-eluting devices might be beneficial in this field as well. In the procedure a conventional balloon is passed through the stenosis which is then dilated. After this patients are randomized before a second dilatation with either a conventional balloon or a drug-coated balloon. The stenosis is evaluated preoperatively and followed up by means of ultrasound by a vascular technician. Follow-up will end at 12 months.
Interventions
After passing the stenosis it is dilated with a conventional balloon. The patient is randomized to a second dilatation with a conventional balloon
After passing the stenosis it is dilated with a conventional balloon. The patient is randomized to a second dilatation with a drug-eluting balloon
Sponsors
Study design
Eligibility
Inclusion criteria
* Any venous bypass with stenosis warranting intervention
Exclusion criteria
* Previous PTA with drug-eluting balloon, thrombolysis, coagulopathy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| TLR (Target lesion revascularization) | 12 months | Any reintervention to the same lesion. |
| Graft occlusion | 0-12 months | Occlusion of the bypass graft |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Major amputation | 0-12 months | Above or below knee amputation of the treated leg |
| Death | 0-12 months | — |
Other
| Measure | Time frame | Description |
|---|---|---|
| Primary assisted patency | 0-12 months | Patency of the graft after TLR |
Countries
Finland