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Clinical Trials/NCT04391374
NCT04391374
Completed
Not Applicable

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

Ryazan State Medical University0 sites167 target enrollmentJanuary 2017

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.

Registry
clinicaltrials.gov
Start Date
January 2017
End Date
March 23, 2023
Last Updated
3 years ago
Study Type
Observational
Sex
All

Investigators

Responsible Party
Sponsor

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)

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