The study will enroll patients presenting with claudication, or critical limb ischemia (Rutherford Category 3- 5) and an angiographically significant (≥ 70%) native artery lesion appropriate for angioplasty that is below the knee. Subjects will be treated with the Lutonix Drug Coated Balloon (DCB) carrying the CE Mark per current IFU and followed clinically for a minimum of 2 years.
Patients will be treated according to hospital routine with anticipated visits 30 days, 6 months, 12months and 24 months after the index procedure. Data on Rutherford grade, wound healing, patency of the target lesion, concomitant antiplatelet medication and Adverse Events will be collected.
Study Type
OBSERVATIONAL
Enrollment
371
Drug Coated Balloon PTA Catheter for Treatment of Below-the-Knee (BTK) Arteries
LKH-Univ. Klinikum Graz
Graz, Austria
Freedom from major adverse limb related events below the knee and of perioperative death.
Freedom from the composite of all-cause death, above-ankle amputation or major reintervention, i.e. new bypass graft, jump/interposition graft revision, or thrombectomy/thrombolysis, of the index limb involving a below-the-knee artery. All these events will be adjudicated by a Clinical Events Committee.
Time frame: 30-days
Rate of Target Lesion Revascularization (TLR)
Defined as clinically-driven target lesion reintervention. All re-interventions at the target limb are captured and adjudicated by a Clinical Events Committee.
Time frame: 6 months
Primary patency of the target lesion
Primary Patency of the target vessel is defined as freedom from total occlusion. Primary patency is assessed by the investigators.
Time frame: 6, 12 and 24 months
Freedom from clinically-driven Target Lesion Revascularization (TLR)
All events leading to re-interventions at the target limb will be adjudicated by a Clinical Events Committee.
Time frame: 12 and 24 months
Rate of amputations above the ankle at the target limb
All events leading to amputations at the target limb will be adjudicated by a Clinical Events Committee.
Time frame: 1, 6, 12 and 24 months
Rate of Target vessel reintervention (TVR)
All events leading to re-interventions at the target limb will be adjudicated by a Clinical Events Committee.
Time frame: 1, 6, 12 and 24 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Klinikum Klagenfurt am Wörthersee
Klagenfurt, Austria
Medical University Vienna, Department of Angiology
Vienna, Austria
Medical University Vienna, Department of Radiodiagnostic
Vienna, Austria
Ziekenhuis Oost Limburg
Genk, Belgium
AZ Groeninghe
Kortrijk, Belgium
Hôpital européen Georges-Pompidou
Paris, France
Klinikum Hochsauerland
Arnsberg, Germany
Universitäts-Herzzentrum Freiburg Bad Krozingen
Bad Krozingen, Germany
Universitaetsklinikum Leipzig
Leipzig, Germany
...and 16 more locations
Rate of unexpected device or drug-related adverse events
Unexpected device or drug-related adverse events are those events that are related to the device or drug, but are not listed in the potential adverse event section of the Instructions For Use.
Time frame: 1, 6, 12 and 24 months
Rate of reintervention for treatment of thrombosis of the target vessel(s)
Arteries may occlude from thrombosis
Time frame: 1, 6, 12 and 24 months
Rate of reintervention for embolization to its distal vasculature
Atherothrombotic debris may occlude the artery downstream and cause distal embolization.
Time frame: 1, 6, 12 and 24 months
Rate of death
All events leading to a patient's death will be adjudicated by a Clinical Events Committee.
Time frame: 1, 6, 12 and 24 months
Status of ischemic wounds at the target limb
Ischemic wounds and their status during the follow-up period will be captured.
Time frame: 6 and 12 months
Rate of new or recurrent artery lesions at the target limb
Artery lesions are captured as Adverse Events.
Time frame: 6 and 12 months
Change in Rutherford Class at the target limb
The Rutherford class is captured from Baseline to study end.
Time frame: 6 and 12 months