Efficacy, Self, Safety Issues
Conditions
Brief summary
This study aims to compare the mid- and long-term outcomes between paclitaxel-coated balloon and primary selective stenting in the treatment of TASC C/D femoropopliteal artery occlusive disease.
Interventions
paticipants who enrolled in this study will received paclitaxel-coated balloon angioplasty plus bailout stenting or primary bare mental stents implantation randomly
Sponsors
Study design
Eligibility
Inclusion criteria
* Subject age 18-85yrs. * Subject has been informed of the nature of the study, agrees to participate, and has signed a Medical Ethics Committee approved consent form. * Subject understands the duration of the study, agrees to attend follow-up visits, and agrees to complete the required testing. * Rutherford category 2-5. * Subject has a de novo TASC C/D femoropopliteal artery lesions which does not exceed to the segment P1 of popliteal artery. * The total length of target lesion ≤30cm. * Reference vessel diameter \>4 mm and \<6.5 mm by visual assessment. * Patent inflow artery with stenosis \<30% and at least 1 infrapopliteal artery to the ankle (\<50% diameter stenosis). * A guidewire has successfully traversed the target treatment segment.
Exclusion criteria
* Acute thrombus in the target vessels. * Vessel stenosis or occlusion due to Buerger's disease or autoimmune arteritis. * Subject received prior stents implantation with in-stent restenosis or occlusion. * Reintervention of the target lesion \<90 days before the study procedure. * Acquired thrombophilia or uncontrolled hypercoagulation states. * Life expectancy \<12 months. * Severe renal(SCr≥2.5 mg/dl)or hemodialysis dependence. * Pregnancy, suspected pregnancy, or breastfeeding during study period. * Contraindication to contrast media or any study-required medication (antiplatelet, anticoagulant, or thrombolytic agents, etc.). * Hypersensitivity to nitinol and/or paclitaxel.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1-year primary patency rate | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| clinical-driven target lesion revascularization | 1, 2 and 3 years |
Countries
China