This is a multi-center, single arm, non-randomized, prospective clinical study using the Misago® RX Self-expanding Peripheral Stent for treatment of de novo, restenotic, and/or occlusive lesion(s) of the common and/or external iliac artery.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
75
the Misago® RX Self-expanding Stent is a bare metal, nitinol stent
ClinRe Inc. Advanced Heart and Vein Center
Thornton, Colorado, United States
University of Florida Health
Gainesville, Florida, United States
First Coast Cardiovascular Institute
Jacksonville, Florida, United States
Freedom from the composite Major Adverse Event rate, defined as periprocedural related death, amputation of the target limb, and clinically driven TLR assessed at 9 months post-procedure.
Time frame: 9 months post-procedure
Major Adverse Event rate at 30 days, and 12- and 24- months post-procedure defined as a composite of peri-procedural related death, amputation of the target limb, and clinically driven TLR.
Time frame: 30 days, 12- and 24- months post-procedure
Primary stent patency at 9 months defined by a binary duplex ultrasound peak systolic velocity ratio ≤ 2.4 at the stented target lesion and absence of TLR.
Time frame: 9 months post-procedure
Technical Success defined by the following conditions: 1) Successful delivery of the stent at the lesion site 2) Stent(s) successfully deployed in lesion with adequate lesion coverage
Technical success will be evaluated from time of enrollment through index procedure
Time frame: The outcome is assessed up to 24 hours from time of enrollment through index procedure.
Procedural Success: Attainment of < 30% residual stenosis of the target lesion and no peri-procedural complications.
Procedural success will be evaluated from time of enrollment through index procedure. Peri-procedural complications defined as: death, stroke, myocardial infarction (MI), emergent surgical revascularization, significant distal embolization in target limb, and thrombosis of target vessel.
Time frame: The outcome is assessed up to 24 hours from time of enrollment through index procedure
Clinical Success: Relief or improvement (without increase of one or more in the score) from baseline symptoms as measured by the Rutherford score for chronic limb ischemia at 30 days as compared to baseline.
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Cardiovascular Institute of the South
Lafayette, Louisiana, United States
Holy Name Medical Center
Teaneck, New Jersey, United States
Novant Health
Matthews, North Carolina, United States
The Christ Hospital
Cincinnati, Ohio, United States
Texas Tech University Health Sciences Center
Lubbock, Texas, United States
The Heart Hospital Baylor Plano
Plano, Texas, United States
Clinical success will be evaluated from time of enrollment through index procedure. In addition, evaluation of Rutherford sustained (without increase of one or more in the score) at 9 months post-procedure from 30 days post-procedure for durability of results.
Time frame: 30 days post-procedure
Ankle Brachial Index (ABI) change from baseline
Time frame: through 9 months post-procedure
Clinically driven Target Vessel Revascularization (TVR) at 30 days and 9, 12- and 24- months post-procedure
TVR is defined as any re-intervention or artery bypass surgery involving the target vessel in which the subject has ≥ 50% diameter stenosis with worsening symptoms, or ≥ 70% stenosis without symptoms. The target vessel is defined as the vessel containing the treated lesion (e.g., common and/or external iliac artery).
Time frame: 30 days and 9, 12 and 24 months post-procedure
Clinically driven TLR through 30 days and 9-, 12- and 24-months post-procedure.
Clinically driven TLR is defined as re-intervention of the target lesion in which subject has ≥ 50% stenosis with worsening symptoms, or ≥ 70% stenosis without symptoms
Time frame: 30 days and 9-, 12- and 24-months post-procedure
Walking Impairment Questionnaire
Time frame: change from baseline (pre-procedure) at 30 days and 9 months post procedure
Evaluation of all AEs
Time frame: pre-discharge through 24 months post-procedure
Evaluation of access site complications including severe bleeding, hematoma, and pseudoaneurysm, occurring prior to hospital discharge.
Time frame: The event is assessed from time of enrollment through hospital discharge or up to 7 days post procedure, whichever occurs first
Occurrence of device deficiency
A device deficiency has occurred when there is inadequacy of a medical device with respect to its identity, quality, durability, reliability, usability, safety or performance. Device deficiencies include malfunctions, use errors, and inadequacy in the information supplied by the manufacturer including labelling
Time frame: through 24 months post-procedure
Device Related Complications
Time frame: 9 months post-procedure