The aim of this study is to perform a randomized, controlled trial to compare percutaneous transluminal angioplasty using paclitaxel eluting balloon (PEB) or using a conventional balloon for treatment of superficial femoral artery in-stent restenosis.
The superficial femoral artery is a common place for arteriosclerosis in patients symptomatic for lower extremity vascular disease. Advances in percutaneous transluminal angioplasty (PTA) and stenting have provided new options for the treatment of the disease in this arterial segment. Restenosis after PTA occurs in 40-60% within one year. A novel attempt to reduce restenosis is the use of paclitaxel eluting balloons (PEB). First clinical studies suggest that the use of PEBs during percutaneous treatment of femoropopliteal disease is associated with significant reductions in late lumen loss and target-lesion revascularization. There is no randomized comparison of these treatments in patients with in stent restenosis of the superficial femoral artery. Thus, the aim of this study was to compare the efficacy of PTA with conventional balloon or PEB for in stent restenosis in the SFA in terms of reduction of diameter stenosis at follow-up angiogram.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
70
PTA using a conventional balloon
PTA using a paclitaxel eluting balloon
Percutaneous transluminal angioplasty with conventional balloon or paclitaxel-eluting balloon
1. Medizinische Klinik, Klinikum rechts der Isar
München, Germany
RECRUITINGDeutsches Herzzentrum
München, Germany
RECRUITINGPercentage diameter stenosis
Time frame: 6 months
All-cause mortality
Time frame: 6 and 24 months
Major adverse peripheral events (MAPE) defined as acute thrombosis of SFA or ipsilateral amputation or revascularization (PTA or bypass surgery)
Time frame: 6 Months
Time to onset of any of MAPE
Time frame: 3-24 months
Binary restenosis rate
Time frame: 6 months
Percentage diameter stenosis in duplex ultrasound
Time frame: 6 and 24 months
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