A Prospective, Multicenter Clinical Evaluation of the Safety and Effectiveness of the Phoenix Atherectomy™ System in Atherectomy of the Peripheral Vasculature
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Peripheral Vascular Disease
- Sponsor
- AtheroMed, Inc
- Enrollment
- 128
- Locations
- 16
- Primary Endpoint
- Safety: Freedom from Major Adverse Events
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
The purpose of this study is to evaluate the procedural safety and effectiveness of the Phoenix Atherectomy™ System for the treatment of de novo and restenotic atherosclerotic lesions located in the native peripheral arteries. The Phoenix Atherectomy™ System is intended for use in atherectomy of the peripheral vasculature. The intended peripheral vessels include the Superficial Femoral, Popliteal, and Infrapopliteal arteries. The system is not intended for use in the coronary, carotid, iliac or renal vasculature. The results of this study will be used to support a 510(k) submission to the Food and Drug Administration.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subject willing and able to give informed consent
- •Subject willing and able to comply with the study protocol
- •Age ≥18 years old
- •Objective hemodynamic criteria that subject has a resting ankle-brachial index (ABI) ≤ 0.90, or ≤ 0.75 after exercise, OR patients with non-compressible arteries (ABI\>1.1) must have a toe-brachial index (TBI) of ≤ 0.80
- •Clinical description of lesion as characterized by a Rutherford Clinical Class 2 to 5
- •Subject is a suitable candidate for angiography and endovascular intervention in the opinion of the investigator or per hospital guideline
- •Subject has target lesion/lesions defined as stenosis ≥ 70% as determined by operator visual assessment, distal to the profunda femoral artery. No more than two lesions may be treated with the Phoenix device and one of the treated lesions must include a lesion with the worst percent diameter stenosis.
- •Total treated lesion length with the Phoenix device ≤ 10 cm
- •Popliteal and above, target reference vessel diameter (proximal and distal to target lesion) is ≥ 2.5 mm and ≤ 4.5 mm
- •At least one patent tibial vessel runoff at baseline.
Exclusion Criteria
- •Patient has an active infection in the target limb
- •Clinical/angiographic complication (other than non-flow limiting dissections) attributed to a currently marketed device prior to introduction of Phoenix System
- •Critical limb ischemia with Rutherford Clinical Class 6
- •Target lesion containing severe calcification that is circumferential and noted in two views
- •Lesion in the contralateral limb requiring intervention during index procedure or within next 30 days
- •In-stent restenosis within the target lesion
- •Flow limiting dissection, Type C or greater
- •Lesion within a native vessel graft or synthetic graft
- •History of an endovascular procedure or open vascular surgery on the index limb within the last 30 days
- •Subject has any planned surgical or interventional procedure within 30 days after the study procedure
Outcomes
Primary Outcomes
Safety: Freedom from Major Adverse Events
Time Frame: 30 days
Efficacy: Technical Success
Time Frame: Day 1
The achievement of acute debulking to achieve a post-Phoenix (prior to any adjunctive therapy) residual diameter stenosis of ≤50%.
Secondary Outcomes
- Assessment of Major Adverse Events(From 1 month to 6 months post procedure)
- Procedural success(Day 1)
- Clinical success(30 days to 6 months)
- Target vessel Revascularization(Treatment through 6 months)