The Role of Hemostatic Markers of Endothelial Dysfunction in the Development of Disease Progression, Thrombotic Complications and Restenosis in Patients With Atherosclerotic Peripheral Artery Disease
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Peripheral Artery Disease
- Sponsor
- Ryazan State Medical University
- Enrollment
- 167
- Primary Endpoint
- progression of atherosclerosis
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The study is aimed at evaluating the role of the activity of the key hemostatic parameters of endothelial dysfunction (nitric oxide II (NO) metabolites, plasmin activator inhibitor-1 (PAI-1), von Willebrand factor (vWF), coagulation factor VIII (FVIII), soluble endothelial protein C receptors (sEPCR)) in the development of disease progression, thrombotic complications and restenosis in subjects with atherosclerotic peripheral artery disease.
Detailed Description
The study will involve patients with atherosclerotic peripheral artery disease (Rutherford category 3-5). The subjects are to be divided into three groups: Group A: patients who undergo bypass surgery with a synthetic graft on aorto-iliac or femoro-popliteal segment; Group B: patients who undergo endovascular balloon angioplasty and stenting on aorto-iliac or femoro-popliteal segment; Group C: patients who undergo standard of care conservative treatment. Decisions on revascularization or conservative treatment alone is to be made by a team of vascular specialists in accordance with the severity of the disease, previous treatment, anatomy, possible need for repeat procedures in the future, and patient's preferences.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Males or females older than 40 years of age;
- •Presence of peripheral arterial disease of atherosclerotic origin.
Exclusion Criteria
- •Males or females younger than 40 years of age;
- •Chronic lower limb ischemia of other ethiology (Buerger's disease, aortoarteritis etc.);
- •Active cancer or remission period less than 5 years;
- •Decompensated diabetes mellitus;
- •Pregnancy or breast-feeding for females.
Outcomes
Primary Outcomes
progression of atherosclerosis
Time Frame: 1 year
detection of newly formed or progressing peripheral atherosclerotic lesions
restenosis
Time Frame: 1 year
incidence of restenosis in the target arterial segment
thrombosis
Time Frame: 1 year
incidence of thrombotic complications in the target arterial segment
Secondary Outcomes
- limb salvage rate(1 year)
- acute myocardial infarction(1 year)
- mortality rate(1 year)