Assessment of Natural Bypasses in the Lower Limb
Quantitative Assessment of the Peripheral Artery Collateral Circulation in Patients With and Without Coronary Artery Disease (Pilot Study)
1 other identifier
observational
30
1 country
1
Brief Summary
Concerning the promotion of peripheral collateral growth, clinical studies investigating new therapeutic strategies have used imprecise assessment methods and therefore determined only "weak" endpoints. In contrast to the coronary circulation, there is currently no gold standard available to document successful promotion of collateral growth in patients suffering from peripheral artery disease. Therefore, the purpose of this study is to evaluate a new invasive method to quantify arterial collateral flow in the lower extremity in patients undergoing elective coronary angiography.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Feb 2010
Typical duration for all trials
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
February 1, 2010
CompletedFirst Submitted
Initial submission to the registry
November 27, 2012
CompletedFirst Posted
Study publicly available on registry
December 5, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2013
CompletedJune 18, 2013
June 1, 2013
2.9 years
November 27, 2012
June 17, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pressure-derived collateral flow index (CFIp) of the superficial femoral artery
Baseline
Eligibility Criteria
Thirty patients with stable angina pectoris electively referred for coronary angiography to our department who give written informed consent.
You may qualify if:
- Age \> 18 years
- Stable angina pectoris, electively referred for coronary angiography
- Written informed consent to participate in the study
You may not qualify if:
- Rest pain, ulceration or gangrene due to PAD (Rutherford 4-6)
- Significant stenoses (\>50%) or occlusion of superficial femoral or profunda femoral artery
- Aortoiliac occlusion or significant stenoses (\>50%)
- Aneurysm of abdominal aorta or iliac arteries
- Acute coronary syndrome
- Congestive heart failure NYHA III-IV
- Severe pulmonary arterial hypertension
- Severe hepatic or renal failure (creatinine clearance \< 15ml/min)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Insel Gruppe AG, University Hospital Bernlead
- Swiss Heart Foundationcollaborator
- Swiss National Science Foundationcollaborator
Study Sites (1)
University Hospital Inselspital
Bern, 3010, Switzerland
Related Publications (6)
Seiler C. Collateral Circulation of the Heart. 1st ed. London: Springer-Verlag; 2009.
BACKGROUNDKalka C, Baumgartner I. Gene and stem cell therapy in peripheral arterial occlusive disease. Vasc Med. 2008;13(2):157-72. doi: 10.1177/1358863x08088616.
PMID: 18593804BACKGROUNDDe Vivo S, Palmer-Kazen U, Kalin B, Wahlberg E. Risk factors for poor collateral development in claudication. Vasc Endovascular Surg. 2005 Nov-Dec;39(6):519-24. doi: 10.1177/153857440503900609.
PMID: 16382273BACKGROUNDvan Royen N, Schirmer SH, Atasever B, Behrens CY, Ubbink D, Buschmann EE, Voskuil M, Bot P, Hoefer I, Schlingemann RO, Biemond BJ, Tijssen JG, Bode C, Schaper W, Oskam J, Legemate DA, Piek JJ, Buschmann I. START Trial: a pilot study on STimulation of ARTeriogenesis using subcutaneous application of granulocyte-macrophage colony-stimulating factor as a new treatment for peripheral vascular disease. Circulation. 2005 Aug 16;112(7):1040-6. doi: 10.1161/CIRCULATIONAHA.104.529552. Epub 2005 Aug 8.
PMID: 16087795BACKGROUNDTraupe T, Gloekler S, de Marchi SF, Werner GS, Seiler C. Assessment of the human coronary collateral circulation. Circulation. 2010 Sep 21;122(12):1210-20. doi: 10.1161/CIRCULATIONAHA.109.930651. No abstract available.
PMID: 20855668BACKGROUNDTraupe T, Ortmann J, Stoller M, Baumgartner I, de Marchi SF, Seiler C. Direct quantitative assessment of the peripheral artery collateral circulation in patients undergoing angiography. Circulation. 2013 Aug 13;128(7):737-44. doi: 10.1161/CIRCULATIONAHA.112.000516. Epub 2013 Jul 1.
PMID: 23817577DERIVED
Biospecimen
Blood samples (routine)
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Christian Seiler, MD, Prof.
Insel Gruppe AG, University Hospital Bern
- PRINCIPAL INVESTIGATOR
Tobias Traupe, MD
Insel Gruppe AG, University Hospital Bern
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor and Co-Chairman of Cardiology
Study Record Dates
First Submitted
November 27, 2012
First Posted
December 5, 2012
Study Start
February 1, 2010
Primary Completion
January 1, 2013
Study Completion
January 1, 2013
Last Updated
June 18, 2013
Record last verified: 2013-06