Chronic Threatening Limb Ischemia
Conditions
Brief summary
Peripheral artery disease (PAD) affects \>200 millionadults worldwide and is amajor cause of morbidity ranging from exertional lower extremity pain to ischemic rest pain and ulcer formation. Endovascular treatment options for PAD have increased dramatically in the past several decades. The traditional endovascular treatment of severe PAD has been balloon angioplasty with or without adjunctive stenting. The outcomes of balloon angioplasty and stenting are acceptable for short lesion lengths in the superficial femoral artery (SFA) and proximal popliteal arteries.Therefore, there is an established need for technologies that can adequately treat more complex femoropopliteal lesions. Endovascular atherectomy has emerged as a novel technique for atheroma removal in patients with disease of the SFA or popliteal arteries. Atherectomy offers the advantages of surgical endarterectomy by removing atherosclerotic plaque while remaining a minimally invasive and percutaneous treatment.
Interventions
Endovascular Atherectomy in femoropopliteal arterial disease
Sponsors
Study design
Eligibility
Inclusion criteria
* All patients present with CLTI due to femoropopliteal artery disease with the following criteria: * Denovo or Recoil * Stenosis or occlusion
Exclusion criteria
* Patients present with: * Previous ipsilateral bypass surgery * In-stent restenosis or previous atherectomy * Known hypercoagulable disorder or non-atherosclerotic vasculopathy * Severe renal insufficiency (eGFR \<30) not on dialysis * Inability to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Technical success | From october 2025 to october 2027 | completion of the endovascular procedure without the need for further intervention for revascularization and an absence of substantial or complete occlusion in SFA at final angiography. |
Countries
Egypt