Objective of this study is to evaluate the safety and efficacy of Lutonix 035 Drug Coated Dilatation PTA Catheter with Bard LifeStent Vascular Stent (hereinafter referred to as LifeStent) for treatment of long (10-24 cm) lesions in the SFA and/or proximal popliteal artery.
The study will observe subjects presenting with claudication or ischemic rest pain (Rutherford category 2-4) and long (10-24 cm in length) native lesions in the infra-inguinal segment (superficial femoral artery \[SFA\] and/or proximal popliteal artery) who are candidates for stenting and pre-/post-dilatation with Drug Coated Balloon (DCB).
Study Type
OBSERVATIONAL
Enrollment
149
Subject will receive treatment with the Lutonix Drug Coated Balloon
Klinikum Arnsberg
Arnsberg, Germany
Herz- und Gefäßzentrum Bad Bevensen
Bad Bevensen, Germany
Universitäts-Herzzentrum Freiburg Bad Krozingen
Bad Krozingen, Germany
Primary patency at 12 months.
Primary patency is defined as the absence of target lesion restenosis and freedom from target lesion revascularization.
Time frame: 12 months
Freedom from the composite endpoint of death, index limb amputation, and target vessel revascularization at 30 days.
Freedom from the composite endpoint of death, index limb amputation, and target vessel revascularization at 30 days.
Time frame: 30 days
Procedural success
Defined as attainment of ≤30% residual stenosis by quantitative angiography immediately after intervention in the absence of peri-procedural complications.
Time frame: Immediately after Intervention
Technical success
Defined as attainment of ≤30% residual stenosis by quantitative angiography.
Time frame: Immediately after intervention
Device success
Defined as successful delivery of the DCB to the target lesion and performance when used according to the clinical investigational plan.
Time frame: Immediately after intervention
Freedom from Target Lesion Revascularization after 30 days, and 6, 12 and 24 months post-index procedure.
Absence of Target Lesion Revascularization.
Time frame: 30 days, 6, 12 and 24 months
Freedom from TVR after 30 days, and 6, 12 and 24 months post-index procedure.
Absence of Target Vessel Revascularization.
Time frame: 30 days, 6, 12 and 24 months
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Angiologikum Hamburg
Hamburg, Germany
Klinik Immenstadt
Immenstadt im Allgäu, Germany
Klinikum Kassel
Kassel, Germany
UKSH - Campus Lübeck
Lübeck, Germany
RoMed Klinikum Rosenheim
Rosenheim, Germany
Gefäßzentrum Sonneberg
Sonneberg, Germany
Klinikum Weiden
Weiden, Germany
...and 2 more locations
Change in resting ankle brachial index (ABI) from baseline to 30 days, and 6, 12 and 24 months post-index procedure
The ABI values will be recorded and compared to the baseline values. The ABI is the ratio of the blood pressure at the ankle to the blood pressure in the upper arm. A ratio of 0.9-1.3 is in the normal range. Lower ratios indicate bad blood perfusion of the leg.
Time frame: 30 days, 6, 12 and 24 months
Change in Rutherford Classification from baseline to 30 days, and 6, 12 and 24 months post-index procedure
Patients are enrolled with a Rutherford grade of 2-4 for their target leg. The Rutherford scale is an indicator for the severity of Peripheral Vascular Disease: 0 = no symptoms, 6 = functional foot is no longer salvageable (leading to foot amputation).
Time frame: 30 days, 6, 12 and 24 months
All-cause death
Death by any cause will be counted.
Time frame: 30 days, 6, 12 and 24 months
Amputation (above the ankle)-free survival
Amputations above the ankle of the target leg will be counted.
Time frame: 30 days, 6, 12 and 24 months
Target limb reintervention for treatment of thrombosis of target vessel or embolization to its distal vasculature
Thrombosis in the target vessel and embolizations below the target lesion will be analazed separately from other stenoses.
Time frame: 30 days, 6, 12 and 24 months