Study Stopped
lack of funding
Computer Prediction of Restenosis Following Peripheral Angioplasty
1 other identifier
interventional
2
1 country
1
Brief Summary
The purpose of this study is to develop a computer program that might be able to accurately assess the risk of artery re-narrowing following angioplasty or stenting based on computer images. After angioplasty (a procedure to re-open narrowed or blocked blood vessels) the patients will have extra images taken in order to assess the results of the procedure; which will then be used to see whether or not these images can help predict outcomes such as the patient having to come back to the hospital to have the procedure done again.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Sep 2010
Longer than P75 for not_applicable
1 active site
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
September 1, 2010
CompletedFirst Submitted
Initial submission to the registry
September 10, 2010
CompletedFirst Posted
Study publicly available on registry
September 15, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 3, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 3, 2024
CompletedDecember 6, 2024
December 1, 2024
14.3 years
September 10, 2010
December 3, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Simulation Accuracy
From the pre-intervention CT-scans, the target artery, calcium and lumen will be segmented, meshed and used to simulate the angioplasty steps. Simulation accuracy will be evaluated by comparing geometrical descriptors of the artery and lumen size and shape calculated in the simulation to those measured on the post-intervention CT scan images.
less than 6 hours after the procedure
Secondary Outcomes (1)
Logistic Regression Analysis
6 months
Study Arms (2)
Restenosis
OTHERPatients who have restinosis immediately following angioplasty.
No Restenosis
OTHERPatients who do not have restinosis immediately following angioplasty.
Interventions
Approximately 3 additional x-ray images following angioplasty (within 1 hour)
Eligibility Criteria
You may qualify if:
- scheduled for percutaneous dilation of a peripheral artery;
- age more than 18 years;
- informed consent signed by the subject;
- target lesion in native artery;
- baseline lumen diameter greater than 4 mm.
You may not qualify if:
- previous revascularization of the target lesion;
- subject undergoing chemotherapy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Dheeraj Rajanlead
Study Sites (1)
University Health Network
Toronto, Ontario, M5G 2C4, Canada
Related Publications (10)
Hoffmann R, Mintz GS, Mehran R, Kent KM, Pichard AD, Satler LF, Leon MB. Tissue proliferation within and surrounding Palmaz-Schatz stents is dependent on the aggressiveness of stent implantation technique. Am J Cardiol. 1999 Apr 15;83(8):1170-4. doi: 10.1016/s0002-9149(99)00053-3.
PMID: 10215278BACKGROUNDKoyama J, Owa M, Sakurai S, Shimada H, Hikita H, Higashikata T, Ikeda S. Relation between vascular morphologic changes during stent implantation and the magnitude of in-stent neointimal hyperplasia. Am J Cardiol. 2000 Oct 1;86(7):753-8. doi: 10.1016/s0002-9149(00)01075-4.
PMID: 11018195BACKGROUNDSyeda B, Wexberg P, Gyongyosi M, Denk S, Beran G, Kiss K, Sperker W, Glogar D. Effects of radial stretch on target lesion revascularization after percutaneous coronary intervention: an intravascular ultrasound study. Can J Cardiol. 2003 May;19(6):691-7.
PMID: 12772020BACKGROUNDSchwartz RS, Huber KC, Murphy JG, Edwards WD, Camrud AR, Vlietstra RE, Holmes DR. Restenosis and the proportional neointimal response to coronary artery injury: results in a porcine model. J Am Coll Cardiol. 1992 Feb;19(2):267-74. doi: 10.1016/0735-1097(92)90476-4.
PMID: 1732351BACKGROUNDRogers C, Tseng DY, Squire JC, Edelman ER. Balloon-artery interactions during stent placement: a finite element analysis approach to pressure, compliance, and stent design as contributors to vascular injury. Circ Res. 1999 Mar 5;84(4):378-83. doi: 10.1161/01.res.84.4.378.
PMID: 10066671BACKGROUNDCapron L, Bruneval P. Influence of applied stress on mitotic response of arteries to injury with a balloon catheter: quantitative study in rat thoracic aorta. Cardiovasc Res. 1989 Nov;23(11):941-8. doi: 10.1093/cvr/23.11.941.
PMID: 2611802BACKGROUNDOlson NE, Chao S, Lindner V, Reidy MA. Intimal smooth muscle cell proliferation after balloon catheter injury. The role of basic fibroblast growth factor. Am J Pathol. 1992 May;140(5):1017-23.
PMID: 1580326BACKGROUNDJamal A, Bendeck M, Langille BL. Structural changes and recovery of function after arterial injury. Arterioscler Thromb. 1992 Mar;12(3):307-17. doi: 10.1161/01.atv.12.3.307.
PMID: 1547190BACKGROUNDDoornekamp FN, Borst C, Post MJ. Endothelial cell recoverage and intimal hyperplasia after endothelium removal with or without smooth muscle cell necrosis in the rabbit carotid artery. J Vasc Res. 1996 Mar-Apr;33(2):146-55. doi: 10.1159/000159143.
PMID: 8630348BACKGROUNDNugent HM, Rogers C, Edelman ER. Endothelial implants inhibit intimal hyperplasia after porcine angioplasty. Circ Res. 1999 Mar 5;84(4):384-91. doi: 10.1161/01.res.84.4.384.
PMID: 10066672BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Dheeraj Rajan, MD
University Health Network, Toronto
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
September 10, 2010
First Posted
September 15, 2010
Study Start
September 1, 2010
Primary Completion
December 3, 2024
Study Completion
December 3, 2024
Last Updated
December 6, 2024
Record last verified: 2024-12