NCT02060630

Brief Summary

This study will compare the effectiveness of best available surgical treatment with best available endovascular treatment in adults with critical limb ischemia (CLI) who are eligible for both treatment options.

Trial Health

93
On Track

Trial Health Score

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

Enrollment
1,843

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2014

Longer than P75 for not_applicable

Geographic Reach
5 countries

161 active sites

Status
completed

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

First Submitted

Initial submission to the registry

February 6, 2014

Completed
6 days until next milestone

First Posted

Study publicly available on registry

February 12, 2014

Completed
6 months until next milestone

Study Start

First participant enrolled

August 1, 2014

Completed
7.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2022

Completed
Last Updated

April 11, 2023

Status Verified

March 1, 2022

Enrollment Period

7.6 years

First QC Date

February 6, 2014

Last Update Submit

April 3, 2023

Conditions

Keywords

Surgical revascularizationEndovascular revascularizationAmputationPeripheral artery diseaseCritical limb ischemiaclaudicationleg painleg ulcergangrene

Outcome Measures

Primary Outcomes (1)

  • The primary efficacy endpoint: MALE (Major Adverse Limb Event)-free survival. MALE is defined as above ankle amputation of the index limb or major re-intervention (e.g. new bypass graft, jump/interposition graft revision, or thrombectomy/ thrombolysis)

    * Time to major adverse limb event or death, whichever occurs first in subjects with Single-Segment Great Saphenous Vein (SSGSV) available * Time to major adverse limb event or death, whichever occurs first in subjects without available SSGSV

    Through each subject's last regularly scheduled study visit, up to a maximum of 84 months per subject

Secondary Outcomes (44)

  • Clinical: Re-intervention and amputation-free survival (cohort 1)

    Through each subject's last regularly scheduled study visit, up to a maximum of 84 months per subject

  • Clinical: Re-intervention and amputation-free survival (cohort 2)

    Through each subject's last regularly scheduled study visit, up to a maximum of 84 months per subject

  • Clinical: Freedom from MALE-POD (POD, defined as death within 30 days of index procedure) (cohort 1)

    Through each subject's last regularly scheduled study visit, up to a maximum of 84 months per subject

  • Clinical: Clinical: Freedom from MALE-POD (POD, defined as death within 30 days of index procedure) (cohort 2)

    Through each subject's last regularly scheduled study visit, up to a maximum of 84 months per subject

  • Clinical: Amputation-free survival (cohort 1)

    Through each subject's last regularly scheduled study visit, up to a maximum of 84 months per subject

  • +39 more secondary outcomes

Study Arms (4)

Available vein, open surg. revasc.

OTHER

Subjects with an available SSGSV cohort randomized to open surgical revascularization

Procedure: Open surgical revascularization

Available vein, endovasc. revasc.

OTHER

Subjects with an available SSGSV cohort randomized to endovascular revascularization

Device: Endovascular revascularization

Alternative conduit, open surg. revasc.

OTHER

Subjects with an alternative conduit cohort randomized to open surgical revascularization

Procedure: Open surgical revascularization

Alternative conduit, endovasc. revasc.

OTHER

Subjects with an alternative conduit cohort randomized to endovascular revascularization

Device: Endovascular revascularization

Interventions

Alternative conduit, open surg. revasc.Available vein, open surg. revasc.

A variety of FDA approved devices will be used within this treatment arm. The trial will submit a proof-of-concept IDE application to the FDA to cover all devices.

Alternative conduit, endovasc. revasc.Available vein, endovasc. revasc.

Eligibility Criteria

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

You may qualify if:

  • Male or female, age 18 years or older.
  • Infrainguinal PAOD (occlusive disease of the arteries below the inguinal ligament).
  • CLI, defined as arterial insufficiency with gangrene, non-healing ischemic ulcer, or rest pain consistent with Rutherford categories 4-6.
  • Candidate for both endovascular and open infrainguinal revascularization as judged by the treating investigators
  • Adequate aortoiliac inflow.
  • Adequate popliteal, tibial or pedal revascularization target defined as an infrainguinal arterial segment distal to the area of stenosis/occlusion which can support a distal anastomosis of a surgical bypass.
  • Willingness to comply with protocol, attend follow-up appointments, complete all study assessments, and provide written informed consent.

You may not qualify if:

  • Presence of a popliteal aneurysm (\>2 cm) in the index limb.
  • Life expectancy of less than 2 years due to reasons other than PAOD.
  • Excessive risk for surgical bypass (as determined by the operating surgeon and the CLI Team)
  • Planned above ankle amputation on ipsilateral limb within 4 weeks of index procedure.
  • Active vasculitis, Buerger's disease, or acute limb-threatening ischemia
  • Any prior index limb infrainguinal stenting or stent grafting associated with significant restenosis within 1 cm of stent or stent-graft, unless the occlusion/restenosis site is outside the intended treatment zone (i.e.,. a tibial vessel that is not currently intended to be revascularized as a part of the treatment for CLI).
  • Any of the following procedures performed on the index limb within 3 months prior to enrollment:
  • Infrainguinal balloon angioplasty, atherectomy, stent, or stentgraft;
  • Infrainguinal bypass with either venous or prosthetic conduit
  • Open surgical inflow procedure (aortofemoral, axillofemoral, iliofemoral, thoracofemoral or femorofemoral bypass) within 6 weeks prior to enrollment
  • Current chemotherapy or radiation therapy.
  • Absolute contraindication to iodinated contrast due to prior near-fatal anaphylactoid reaction (laryngospasm, bronchospasm, cardiorespiratory collapse, or equivalent) which would preclude patient participation in angiographic procedures.
  • Pregnancy or lactation.
  • Administration of an investigational drug for PAD within 30 days of randomization.
  • Participation in a clinical trial (except observational studies) within the previous 30 days.
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (161)

The University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

Location

Arizona Heart Hospital

Phoenix, Arizona, 85016, United States

Location

University of Arizona - Banner University Medical Center

Tucson, Arizona, 85719, United States

Location

Carondelet Heart & Vascular Institute

Tucson, Arizona, 85745, United States

Location

University of Arkansas for Medical Services

Little Rock, Arkansas, 72205, United States

Location

University of California - Irvine

Irvine, California, 92697, United States

Location

San Diego VAMC

La Jolla, California, 92037, United States

Location

UC San Diego Sulpizio Cardiovascular Center

La Jolla, California, 92037, United States

Location

Loma Linda University Medical Center

Loma Linda, California, 92354, United States

Location

Loma Linda VA Medical Center

Loma Linda, California, 92357, United States

Location

VA Long Beach Healthcare System

Long Beach, California, 90822, United States

Location

Kaiser Permanente Los Angeles Medical Center

Los Angeles, California, 90027, United States

Location

VA Greater Los Angeles

Los Angeles, California, 90073, United States

Location

Keck Medical Center of USC

Los Angeles, California, 90089, United States

Location

UCLA-Gonda Vascular Surgery

Los Angeles, California, 90095, United States

Location

VA Palo Alto Health Care

Palo Alto, California, 94304, United States

Location

Sacramento VA Medical Center

Sacramento, California, 95655, United States

Location

University of California Davis Medical Center

Sacramento, California, 95817, United States

Location

Kaiser Permanente (San Diego)

San Diego, California, 92123, United States

Location

Kaiser Permanente Northern California

San Francisco, California, 94118, United States

Location

San Francisco Veterans Affairs Medical Center

San Francisco, California, 94121, United States

Location

University of California-San Francisco Medical Center

San Francisco, California, 94143, United States

Location

Stanford Hospital

Stanford, California, 94305, United States

Location

Harbor - UCLA Medical Center

Torrance, California, 90509, United States

Location

University of Colorado Hospital

Aurora, Colorado, 80045, United States

Location

Denver Health

Denver, Colorado, 80024, United States

Location

Vascular Institute of the Rockies

Denver, Colorado, 80218, United States

Location

Rocky Mountain Regional VA

Denver, Colorado, 80220, United States

Location

St. Francis Hospital and Medical Center

Hartford, Connecticut, 06105, United States

Location

Yale-New Haven Hospital

New Haven, Connecticut, 06510, United States

Location

West Haven VAMC

West Haven, Connecticut, 06516, United States

Location

Medstar Washington Hospital Center

Washington D.C., District of Columbia, 20010, United States

Location

GW Medical Faculty Associates, Inc.

Washington D.C., District of Columbia, 20037, United States

Location

University of Florida (Gainesville)

Gainesville, Florida, 32610, United States

Location

Baptist Hospital of Miami

Miami, Florida, 33176, United States

Location

Mount Sinai Miami

Miami Springs, Florida, 33140, United States

Location

Florida Hospital Ocala

Ocala, Florida, 34471, United States

Location

Tampa General Hospital

Tampa, Florida, 33606, United States

Location

Tampa VAMC

Tampa, Florida, 33612, United States

Location

Emory University

Atlanta, Georgia, 30303, United States

Location

Atlanta VA Medical Center

Decatur, Georgia, 30033, United States

Location

Kaiser Foundation Hospital

Honolulu, Hawaii, 96819, United States

Location

Central DuPage Hospital (Cadence)

Chicago, Illinois, 60190, United States

Location

Rush University Medical Center

Chicago, Illinois, 60612, United States

Location

University of Chicago Medicine

Chicago, Illinois, 60637, United States

Location

Decatur Memorial Hospital

Decatur, Illinois, 62526, United States

Location

Loyola University Medical Center

Maywood, Illinois, 60153, United States

Location

Southern Illinois University School of Medicine

Springfield, Illinois, 62702, United States

Location

Northwestern Memorial Hospital

Winfield, Illinois, 601611, United States

Location

Indiana University Medical School

Indianapolis, Indiana, 46202, United States

Location

Mercy Hospital Medical Center

West Des Moines, Iowa, 50266, United States

Location

Ochsner Medical Center

New Orleans, Louisiana, 70121, United States

Location

University Health System: LSU Health Sciences

Shreveport, Louisiana, 71130, United States

Location

Maine Medical Center

Portland, Maine, 04102, United States

Location

University of Maryland Medical System

Baltimore, Maryland, 21201, United States

Location

Johns Hopkins Hospital

Baltimore, Maryland, 21210, United States

Location

Loyola University Medical Center

Baltimore, Maryland, 21210, United States

Location

MedStar Union Memorial Hospital

Baltimore, Maryland, 21218, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Brigham and Women's Hospital

Boston, Massachusetts, 02115, United States

Location

Boston Medical Center

Boston, Massachusetts, 02118, United States

Location

VA Boston Healthcare System

Boston, Massachusetts, 02132, United States

Location

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215, United States

Location

Steward St. Elizabeth's Medical Center

Brighton, Massachusetts, 02135, United States

Location

South Shore Hospital

Weymouth, Massachusetts, 02189, United States

Location

University of Massachusetts Medical School

Worcester, Massachusetts, 01655, United States

Location

VA Ann Arbor Healthcare System

Ann Arbor, Michigan, 48105, United States

Location

Michigan Heart/St. Joseph Mercy Ann Arbor Hospital

Ann Arbor, Michigan, 48106, United States

Location

University of Michigan Health System

Ann Arbor, Michigan, 48109, United States

Location

Henry Ford Health System

Detroit, Michigan, 48202, United States

Location

Michigan Vascular Center

Flint, Michigan, 48507, United States

Location

Spectrum Health

Grand Rapids, Michigan, 49503, United States

Location

William Beaumont Hospital

Royal Oak, Michigan, 48073, United States

Location

Minneapolis Heart Hospital/Abbott Northwestern Hosp.

Minneapolis, Minnesota, 55407, United States

Location

Minneapolis VAMC

Minneapolis, Minnesota, 55417, United States

Location

Mayo Clinic

Rochester, Minnesota, 55901, United States

Location

University of Missouri

Columbia, Missouri, 65212, United States

Location

Midwest Aortic Vascular Institute

Kansas City, Missouri, 64116, United States

Location

St. Louis VA Medical Center

St Louis, Missouri, 63106, United States

Location

University of Nebraska Medical Center

Omaha, Nebraska, 68198, United States

Location

Dartmouth Hitchcock Medical Center

Hanover, New Hampshire, 03756, United States

Location

Deborah Heart and Lung Center

Browns Mills, New Jersey, 08015, United States

Location

Englewood Hospital and Medical Center

Englewood, New Jersey, 07631, United States

Location

Rutgers New Jersey Medical School

Newark, New Jersey, 07103, United States

Location

Holy Name Medical Center

Teaneck, New Jersey, 07666, United States

Location

New Mexico Heart Institute

Albuquerque, New Mexico, 87102, United States

Location

New Mexico VA Medical Center

Albuquerque, New Mexico, 87108, United States

Location

Albany Medical Center

Albany, New York, 12208, United States

Location

VA Western NY Healthcare System

Buffalo, New York, 14215, United States

Location

Mount Sinai Medical Center

New York, New York, 10029, United States

Location

Columbia University Medical Center

New York, New York, 10032, United States

Location

Vascular Health Partners

Queensbury, New York, 12804, United States

Location

University of Rochester Medical Center

Rochester, New York, 14642, United States

Location

Staten Island University Hospital

Staten Island, New York, 10305, United States

Location

Stony Brook Medicine

Stony Brook, New York, 11794-8191, United States

Location

SUNY Upstate Medical University

Syracuse, New York, 13215, United States

Location

Montefiore Medical Center

The Bronx, New York, 10467, United States

Location

Westchester Medical Center

Valhalla, New York, 10595, United States

Location

University of North Carolina

Chapel Hill, North Carolina, 27599, United States

Location

Duke University

Durham, North Carolina, 27705, United States

Location

Durham VAMC

Durham, North Carolina, 27705, United States

Location

North Carolina Heart and Vascular Research

Raleigh, North Carolina, 27607, United States

Location

Wake Forest Baptist Medical Center

Winston-Salem, North Carolina, 27157, United States

Location

University Hospitals of Cleveland/Case Western Reserve University

Cleveland, Ohio, 44106, United States

Location

Cleveland Clinic Foundation

Cleveland, Ohio, 44109, United States

Location

The Ohio State University

Columbus, Ohio, 43210, United States

Location

Ohio Health Research Institute

Columbus, Ohio, 43214, United States

Location

University of Toledo Medical Center

Toledo, Ohio, 43615, United States

Location

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, 73104, United States

Location

University of Oklahoma College of Medicine at Tulsa

Tulsa, Oklahoma, 74135, United States

Location

Providence Heart and Vascular Institute

Portland, Oregon, 97213, United States

Location

Oregon Health and Science University

Portland, Oregon, 97239, United States

Location

Portland VA Medical Center

Portland, Oregon, 97239, United States

Location

Penn State Milton S. Hershey Medical Center

Hershey, Pennsylvania, 17033, United States

Location

Temple University

Philadelphia, Pennsylvania, 19140, United States

Location

Allegheny General Hospital

Pittsburgh, Pennsylvania, 15212, United States

Location

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, 15232, United States

Location

Pinnacle Health System

Wormleysburg, Pennsylvania, 17043, United States

Location

Rhode Island Hospital

Providence, Rhode Island, 02905, United States

Location

The Miriam Hospital/Brown Medical School

Providence, Rhode Island, 02906, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Prisma Health-Upstate (Formerly Greenville Memorial Hospital)

Greenville, South Carolina, 29605, United States

Location

North Central Heart Institute

Sioux Falls, South Dakota, 57108, United States

Location

Wellmont Holston Valley Medical Center

Kingsport, Tennessee, 37660, United States

Location

University of Tennessee Medical Center

Knoxville, Tennessee, 37920, United States

Location

Dallas VA Medical Center

Dallas, Texas, 75390, United States

Location

Memorial Hermann Hospital TMC

Houston, Texas, 77030, United States

Location

Michael E. DeBakey VA Medical Center

Houston, Texas, 77030, United States

Location

Scott and White - Temple

Temple, Texas, 76508, United States

Location

The University of Utah

Salt Lake City, Utah, 84132, United States

Location

University of Vermont Medical Center

Burlington, Vermont, 05401, United States

Location

University of Virginia

Charlottesville, Virginia, 22908, United States

Location

Inova Fairfax Hospital

Falls Church, Virginia, 22042, United States

Location

Sentara Vascular Specialists

Norfolk, Virginia, 23507, United States

Location

Benaroya Research Institute at Virginia Mason

Seattle, Washington, 98101, United States

Location

Harborview Medical Center

Seattle, Washington, 98104, United States

Location

Swedish Medical Center

Seattle, Washington, 98122, United States

Location

Providence Sacred Heart Medical Center

Spokane, Washington, 99204, United States

Location

CAMC Clinical Trials Center

Charleston, West Virginia, 25304, United States

Location

Gundersen Health System

La Crosse, Wisconsin, 54601, United States

Location

University of Wisconsin-Madison

Madison, Wisconsin, 53706, United States

Location

Meriter Wisconsin Heart

Madison, Wisconsin, 53713, United States

Location

Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

Milwaukee VAMC

Milwaukee, Wisconsin, 53295, United States

Location

Vancouver General Hospital

Vancouver, British Columbia, V5Z1M9, Canada

Location

St. Boniface General Hospital

Winnipeg, Manitoba, R2H 2A6, Canada

Location

Queen Elizabeth II Health Science Center

Halifax, Nova Scotia, B3H3A7, Canada

Location

University of Western Ontario

London, Ontario, N6A5W9, Canada

Location

The Ottawa Hospital

Ottawa, Ontario, K1Y4E9, Canada

Location

Sunnybrook Health Sciences Centre

Toronto, Ontario, M4N 3M5, Canada

Location

Toronto General Hospital

Toronto, Ontario, M5G 2C4, Canada

Location

McGill

Montreal, Quebec, H3A1A1, Canada

Location

Jewish General Hostpital

Montreal, Quebec, H3T 1E2, Canada

Location

Chu de Quebec

Québec, Quebec, G1L 3L5, Canada

Location

Regina Qu'Appelle

Regina, Saskatchewan, S4P 0W5, Canada

Location

St. Paul's Hospital

Saskatoon, Saskatchewan, S7M0Z9, Canada

Location

Helsinki University Hospital

Helsinki, F100029, Finland

Location

San Giovanni di Dio Hospital

Florence, 50124, Italy

Location

Auckland City Hospital

Grafton, Auckland, 1023, New Zealand

Location

Waikato Hospital

Hamilton, Waikato Region, 3240, New Zealand

Location

Wellington Hospital

Newtown, Wellington Region, 6021, New Zealand

Location

Related Publications (12)

  • Hicks CW, Farber A, Doros G, Kinlay S, Powell RJ, Strong MB, Rosenfield K, Aridi H, Motaganahalli R, Barleben A, Siracuse JJ, Azene E, Malas M, Conte MS, Zayed M, Menard MT. Atherectomy Is Not Associated With Improved Limb-Based Outcomes Among Patients in the BEST-CLI Trial Undergoing Endovascular Revascularization. JACC Cardiovasc Interv. 2026 Jan 12;19(1):96-107. doi: 10.1016/j.jcin.2025.10.065.

  • Venermo MA, de Vega M, Houlind K, Siracuse JJ, Doros G, Kiang S, Barshes N, Rosenfield K, Menard MT, Farber A; BEST-CLI hemodynamic working group. Baseline Haemodynamic Measurements and Immediate Change in Parameters after Revascularisation: Ankle Pressure, Ankle Brachial Index, Toe Pressure, and Toe Brachial Index Analysis of the BEST-CLI Participants. Eur J Vasc Endovasc Surg. 2025 Dec 24:S1078-5884(25)01311-5. doi: 10.1016/j.ejvs.2025.12.042. Online ahead of print.

  • Conte MS, Farber A, Barleben A, Chisci E, Doros G, Kashyap VS, Kayssi A, Kolh P, Moreira CC, Nypaver T, Rosenfield K, Rowe VL, Schanzer A, Singh N, Siracuse JJ, Strong MB, Menard MT. Impact of Bypass Conduit and Early Technical Failure on Revascularization for Chronic Limb-Threatening Ischemia. Circ Cardiovasc Interv. 2025 Mar;18(3):e014716. doi: 10.1161/CIRCINTERVENTIONS.124.014716. Epub 2025 Mar 18.

  • Siracuse JJ, Farber A, Menard MT, Conte MS, Kaufman JA, Jaff M, Kiang SC, Ochoa Chaar CI, Osborne N, Singh N, Tan TW, Guzman RJ, Strong MB, Hamza TH, Doros G, Rosenfield K. Perioperative complications following open or endovascular revascularization for chronic limb-threatening ischemia in the BEST-CLI Trial. J Vasc Surg. 2023 Oct;78(4):1012-1020.e2. doi: 10.1016/j.jvs.2023.05.040. Epub 2023 Jun 14.

  • Levin SR, Farber A, Kobzeva-Herzog A, King EG, Eslami MH, Garg K, Patel VI, Rockman CB, Rybin D, Siracuse JJ. Postoperative disability and one-year outcomes for patients suffering a stroke after carotid endarterectomy. J Vasc Surg. 2023 Aug;78(2):413-422.e1. doi: 10.1016/j.jvs.2023.04.002. Epub 2023 Apr 10.

  • Siracuse JJ, Rowe VL, Menard MT, Rosenfield K, Conte MS, Powell R, Clavijo LC, Giles KA, Hamza TH, Van Over M, Cziraky M, White CJ, Strong MB, Farber A. Relationship between WIfI stage and quality of life at revascularization in the BEST-CLI trial. J Vasc Surg. 2023 Apr;77(4):1099-1106.e4. doi: 10.1016/j.jvs.2022.11.050. Epub 2022 Nov 23.

  • Farber A, Menard MT, Conte MS, Kaufman JA, Powell RJ, Choudhry NK, Hamza TH, Assmann SF, Creager MA, Cziraky MJ, Dake MD, Jaff MR, Reid D, Siami FS, Sopko G, White CJ, van Over M, Strong MB, Villarreal MF, McKean M, Azene E, Azarbal A, Barleben A, Chew DK, Clavijo LC, Douville Y, Findeiss L, Garg N, Gasper W, Giles KA, Goodney PP, Hawkins BM, Herman CR, Kalish JA, Koopmann MC, Laskowski IA, Mena-Hurtado C, Motaganahalli R, Rowe VL, Schanzer A, Schneider PA, Siracuse JJ, Venermo M, Rosenfield K; BEST-CLI Investigators. Surgery or Endovascular Therapy for Chronic Limb-Threatening Ischemia. N Engl J Med. 2022 Dec 22;387(25):2305-2316. doi: 10.1056/NEJMoa2207899. Epub 2022 Nov 7.

  • Albaghdadi MS, Young MN, Chowdhury MM, Assmann S, Hamza T, Siami S, Villarreal M, Strong M, Menard M, Farber A, Rosenfield K. Clinical practice patterns and ascertainment bias for cardiovascular events in a randomized trial: A survey of investigators in the BEST-CLI trial. Vasc Med. 2021 Apr;26(2):180-186. doi: 10.1177/1358863X21995897.

  • Rathakrishnan B, Secemsky EA. Turning the tide: Evolution of below-the-knee endovascular intervention. Vasc Med. 2021 Feb;26(1):26-27. doi: 10.1177/1358863X20978281. Epub 2020 Dec 14. No abstract available.

  • Powell R, Menard M, Farber A, Rosenfield K, Goodney P, Gray B, Lookstein R, Pena C, Schermerhorn M. Comparison of specialties participating in the BEST-CLI trial to specialists treating peripheral arterial disease nationally. J Vasc Surg. 2019 May;69(5):1505-1509. doi: 10.1016/j.jvs.2018.08.188.

  • Farber A, Rosenfield K, Siami FS, Strong M, Menard M. The BEST-CLI trial is nearing the finish line and promises to be worth the wait. J Vasc Surg. 2019 Feb;69(2):470-481.e2. doi: 10.1016/j.jvs.2018.05.255.

  • Menard MT, Farber A, Assmann SF, Choudhry NK, Conte MS, Creager MA, Dake MD, Jaff MR, Kaufman JA, Powell RJ, Reid DM, Siami FS, Sopko G, White CJ, Rosenfield K. Design and Rationale of the Best Endovascular Versus Best Surgical Therapy for Patients With Critical Limb Ischemia (BEST-CLI) Trial. J Am Heart Assoc. 2016 Jul 8;5(7):e003219. doi: 10.1161/JAHA.116.003219.

MeSH Terms

Conditions

Chronic Limb-Threatening IschemiaPeripheral Arterial DiseaseIntermittent ClaudicationLeg UlcerGangrene

Condition Hierarchy (Ancestors)

AtherosclerosisArteriosclerosisArterial Occlusive DiseasesVascular DiseasesCardiovascular DiseasesPeripheral Vascular DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsIschemiaSigns and SymptomsSkin UlcerSkin DiseasesSkin and Connective Tissue DiseasesNecrosis

Study Officials

  • Matthew Menard, MD

    Brigham and Women's Hospital

    PRINCIPAL INVESTIGATOR
  • Alik Farber, MD

    Boston University

    PRINCIPAL INVESTIGATOR
  • Kenneth Rosenfield, MD

    Massachusetts General Hospital

    PRINCIPAL INVESTIGATOR
  • Mark Cziraky, PharmD, CLS

    Carelon Research

    PRINCIPAL INVESTIGATOR
  • Taye Hamza, PhD

    Carelon Research

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 6, 2014

First Posted

February 12, 2014

Study Start

August 1, 2014

Primary Completion

March 1, 2022

Study Completion

March 1, 2022

Last Updated

April 11, 2023

Record last verified: 2022-03

Data Sharing

IPD Sharing
Will not share

Locations