PTA vs. Primary Stenting of SFA Using Self-Expandable Nitinol Stents
Balloon Angioplasty vs. Primary Stenting of Femoropopliteal Arteries Using Self-Expandable Nitinol Stents - a Randomized Controlled Trial
1 other identifier
interventional
76
1 country
1
Brief Summary
The investigators evaluated whether primary implantation of a self-expanding nitinol stent yielded anatomical and clinical benefits superior to those afforded by percutaneous transluminal angioplasty with optional secondary stenting.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Jun 2004
Longer than P75 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2004
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2008
CompletedFirst Submitted
Initial submission to the registry
July 11, 2008
CompletedFirst Posted
Study publicly available on registry
July 15, 2008
CompletedJuly 15, 2008
January 1, 2006
3.7 years
July 11, 2008
July 11, 2008
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
occurrence of a >50% restenosis at the treated segment at 6 months postintervention as determined by CTA (in-segment restenosis).
3, 6, 12 months
Secondary Outcomes (1)
ultrasound patency, clinical patency, target vessel and target lesion revascularization, cardiovascular events, quality of life at 3, 6 and 12 months after the procedure
3, 6, 12 months
Study Arms (2)
1
EXPERIMENTALprimary nitinol stent placement of superficial femoral artery lesions
2
ACTIVE COMPARATORballoon angioplasty of superficial artery lesions with secondary stent placement in case of \>30% residual stenosis after the procedure
Interventions
Interventions are performed percutaneously from either an antegrade or an over-the-bifurcation approach. After insertion of an 6 French sheath, 5000 IU of heparin are administered intra-arterially. After passage of the stenosis/occlusion with the guide wire, patients are randomized to either PTA or primary stent implantation. For standardized documentation of the lesion morphology and comparability during follow-up, a ruler is fixed at the patients thigh with the distal end exactly overlapping at the upper edge of the patella. As a bail-out procedure in the PTA group, stent placement is performed in cases with a residual stenosis of more than 30% in the worst view angiogram.
Balloon angioplasty compared to primary stent implantation for long segment superficial femoral artery lesions
Eligibility Criteria
You may qualify if:
- symptomatic peripheral artery disease with severe intermittent claudication (Fontaine stage IIb)
- critical limb ischemia in patients with stenosis or occlusions originating in the SFA
- up to 25 cm length of stenosis/occlusion
You may not qualify if:
- previous bypass surgery at the site of treatment
- history of intolerance of anti-platelet therapy
- adverse reaction to heparin
- bleeding diathesis
- creatinine \>2.5 mg/dL
- active bacterial infection
- allergy to contrast media
- previous stent placement at or immediately adjacent to the target lesion
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University Hospital of Vienna
Vienna, Vienna, 1090, Austria
Related Publications (1)
Schillinger M, Sabeti S, Loewe C, Dick P, Amighi J, Mlekusch W, Schlager O, Cejna M, Lammer J, Minar E. Balloon angioplasty versus implantation of nitinol stents in the superficial femoral artery. N Engl J Med. 2006 May 4;354(18):1879-88. doi: 10.1056/NEJMoa051303.
PMID: 16672699BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Martin Schilliger, Prof
General Hospital of Vienna, Department of Angiology
- PRINCIPAL INVESTIGATOR
Martin Schillinger, Prof
General Hospital of Vienna
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
July 11, 2008
First Posted
July 15, 2008
Study Start
June 1, 2004
Primary Completion
February 1, 2008
Study Completion
February 1, 2008
Last Updated
July 15, 2008
Record last verified: 2006-01