Critical limb ischemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: − Age ≥ 18 years − At least 1 symptomatic de novo or restenotic (after only PTA) atherosclerotic tibial lesion. The lesion should be a stenosis of at least 70% or an occlusion with a maximum length of 100mm. − At least 1 outflow artery to the foot distally to the target lesion − Target vessel diameter ≥ 2.0 and ≤ 3.8mm (instructions for use) − Successful crossing of the target lesion
Exclusion criteria
Exclusion criteria: − PAD Rutherford-Becker classification 1-3 or 6. − A life expectancy less than 1 year. − Thrombus within the target lesion − Multiple stenoses in the tibial target artery − Acute limb ischemia − Dissection − Lesion length > 100mm. − Aspirin, Clopidogrel, Heparin or Everolimus allergy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In-stent restenosis at 12 months, defined as lumen narrowing > 50% assessed by angiography | — |
Secondary
| Measure | Time frame |
|---|---|
| − Technical success rate, defined as residual stenosis < 30% − Target lesion revascularization (TLR), defined as any endovascular revascularisation of the target lesion. − Target vessel revascularization (TVR), defined as any endovascular revascularisation of any non-target lesion in the same tibial artery as the target lesion − Death, defined as any death during follow-up − Minor amputation, defined as any non-limb amputation, for instance any (partial) amputation of a toe or foot. − Major amputation, defined as any limb amputation, for instance below-, through-, or above-knee amputation − Improvement in Rutherford-Becker classification (see appendix B for the Rutherford-Becker classification) − Wound healing (if applicable), defined as wound closure at the time of the outpatient visit. | — |
Contacts
Maasstadweg 21