The purpose of the study is to assess the safety and efficacy of the Lutonix Catheter for treatment of stenosis of the femoropopliteal arteries by direct comparison to standard balloon angioplasty.
The LEVANT I trial will enroll patients presenting with clinical evidence of claudication or critical limb ischemia and an angiographically significant lesion in the femoropopliteal arteries. Patients will be randomized to treatment with either the Lutonix Catheter or standard balloon angioplasty after predilation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
101
Paclitaxel Coated Balloon Catheter
plain, uncoated angioplasty balloon catheter
Sint Blasius
Dendermonde, Belgium
Herz Zentrum
Bad Krozingen, Germany
Jewish Hospital
Berlin, Germany
St Katharenen Cardiovascular Center
Frankfurt, Germany
Angiographic Late Lumen Loss
Loss in analysis segment (the treated segment including 10mm distal and proximal) minimal lumen diameter from post-procedure through follow-up angiography at 6 months.
Time frame: 6 months
Safety - Device Related Adverse Events
Time frame: 30 days
Primary Patency of Treated Segment
Time frame: 6, 12, 24 months
Target Lesion Revascularization
Time frame: 6, 12, 24 months
Target Vessel Revascularization
Time frame: 6, 12, 24 months
Device Success
Successful delivery and deployment of the first inserted study device (in overlapping setting a successful delivery and deployment of the first and second study device) at the intended target lesion and successful withdrawal of the study device with attainment of final residual stenosis of less than 30% of the target lesion by quantitative vessel angiography (QVA).
Time frame: at procedure
Procedural Success
Completion of the procedure with less than 30% residual stenosis by QVA of the target lesion (after prolonged dilation and stenting, if necessary)
Time frame: at procedure
Change in Ankle-brachial Index
Time frame: pre-procedure, 6, 12 and 24 months
Change in Walking Impairment Questionnaire (WIQ)
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Hamburg Unversity Cardiovascular Center
Hamburg, Germany
Park Krankenhaus - University of Leipzig
Leipzig, Germany
Universitätsklinikum
Magdeburg, Germany
St. Franziskus
Münster, Germany
Klinikum Rosenheim
Rosenheim, Germany
Katharinenhospital
Stuttgart, Germany
Time frame: pre-procedure, 6, 12 and 24 months
Change in Rutherford Grade
Time frame: pre-procedure,6, 12 and 24 months
Serum Paclitaxel Levels - in Subsets of Patients
Time frame: 0, 1, 3 hours and pre-discharge