NCT00504088

Brief Summary

To compare the outcome of bypass surgery and plaque excision for treatment of critical limb ischemia in the lower limbs

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Geographic Reach
1 country

31 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2006

Completed
10 months until next milestone

First Submitted

Initial submission to the registry

July 17, 2007

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 19, 2007

Completed
Last Updated

August 20, 2008

Status Verified

August 1, 2007

First QC Date

July 17, 2007

Last Update Submit

August 19, 2008

Conditions

Keywords

CLICritical Limb IschemiaPADPeripheral Arterial DiseaseArtherosclerosisLeg PainCardiovascularArtherectomyBypassPeripheral BypassPROOF

Outcome Measures

Primary Outcomes (1)

  • Major amputation-free survival

Interventions

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Ischemic rest pain for more than 2 weeks or ulceration or gangrene of the foot or toes (Rutherford Becker Category 4, 5 or 6)
  • Willing and able, as evaluated by the PI, to provide Informed Consent
  • Willing to undergo up to 5 years of clinical follow up visits as scheduled
  • Angiographic pattern of infrainguinal disease that can be reasonably managed either by surgery or plaque excision in the first instance
  • Reconstitution of at least one patent target tibial segment below the knee which provides run-off to the foot
  • The patient must be \>18 years of age
  • Target lesion(s) is located at or below the level of the superficial femoral artery
  • Target lesion(s) is \>50% stenosed by quantitative vascular angiography
  • Ability to take at least one of the following types of medications: anti- platelet or anti-thrombotic therapy

You may not qualify if:

  • Patient has cardiac or cardiovascular comorbidities that would make surgery inappropriate
  • Patient has terminal or Stage 4 cancer
  • Patient has extensive gangrene that requires both a Below-the-Knee amputation and a revascularization procedure
  • Previous stent in the target lesion
  • Active infection at planned incision site
  • The patient is a pregnant woman
  • The patient has significant suprainguinal or Common Femoral disease that can not be treated either prior to or during the index procedure
  • Target Lesion is a Chronic Total Occlusion (CTO) that is greater than 15cm in length and has severe, continuous calcification

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (31)

University of Alabama, Birmingham

Birmingham, Alabama, 35294, United States

Location

Los Angeles Cardiology/Good Samaritan

Los Angeles, California, 90017, United States

Location

UC Davis Vascular Center

Sacramento, California, 95817, United States

Location

San Francisco VA Medical Center

San Francisco, California, 94121, United States

Location

Stanford University Medical Center/Palo Alto VA

Stanford, California, 94306, United States

Location

Heart & Vascular Clinic of Northern Colorado

Fort Collins, Colorado, 80523, United States

Location

Holmes Regional Medical Center

Melbourne, Florida, 32901, United States

Location

Sacred Heart Hospital

Pensacola, Florida, 32504, United States

Location

University of Chicago

Chicago, Illinois, 60637, United States

Location

Advocate Christ Medical Center

Oak Lawn, Illinois, 60453, United States

Location

St. Vincent

Indianapolis, Indiana, 46260, United States

Location

Iowa Methodist Medical Center

Des Moines, Iowa, 50309, United States

Location

Vascular Surgery Associates

Baton Rouge, Louisiana, 70809, United States

Location

Beth Isreal (BIDMC)

Boston, Massachusetts, 02215, United States

Location

St. Vincent Hospital

Worchester, Massachusetts, 01608, United States

Location

William Beaumont/Southeast Surgical

Royal Oak, Michigan, 48073, United States

Location

Providence Hospital

Southfield, Michigan, 48075, United States

Location

University of Mississippi

Jackson, Mississippi, 39216, United States

Location

Alegent Health Research Center

Omaha, Nebraska, 68152, United States

Location

Hackensack University Medical Center

Hackensack, New Jersey, 07601, United States

Location

New Mexico Heart Institute, PA

Albuquerque, New Mexico, 87102, United States

Location

St. Vincent's Medical Center

New York, New York, 10011, United States

Location

NY Weill Cornell Medical Center

New York, New York, 10021, United States

Location

Columbia Presbyterian

New York, New York, 10604, United States

Location

Duke University Medical Center

Durham, North Carolina, 27712, United States

Location

Cleveland VAMC

Cleveland, Ohio, 44106, United States

Location

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, 19107, United States

Location

Rhode Island Hospital

Providence, Rhode Island, 02903, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

Sentara Heart Hospital

Norfolk, Virginia, 23507, United States

Location

Madigan Army Medical Center

Tacoma, Washington, 98431, United States

Location

MeSH Terms

Conditions

Peripheral Vascular DiseasesChronic Limb-Threatening IschemiaPeripheral Arterial Disease

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular DiseasesAtherosclerosisArteriosclerosisArterial Occlusive DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsIschemia

Study Officials

  • James F. McKinsey, M.D.

    Columbia University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

July 17, 2007

First Posted

July 19, 2007

Study Start

October 1, 2006

Last Updated

August 20, 2008

Record last verified: 2007-08

Locations