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Intravenous versus catheter directed thrombolytic therapy in non-traumatic acute limb ischemia

Phase 2
Conditions
Obliteration of lower extremity arteries.
Other disorders of arteries, arterioles and capillaries in diseases classified elsewhere
Registration Number
IRCT2014100719427N1
Lead Sponsor
Vice chancellor of Research, Mashhad University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
40
Inclusion Criteria

Age 18 to 75 years; symptoms duration of 1 to 14 days; Acute limb ischemia (ALI) of grade IIa and IIb according to the Rutherford classification; absence of distal run off in angiography; Ankle-Brachial Index (ABI) less than 0.8

Exclusion criteria: Severe anemia (Hb less than 8 gr per dL); thrombocytopenia (platelet count less than 80000 per micl); low serum fibrinogen (fibrinogen less than 100 mg per dL); severe hypertension (systolic more than 160 mmHg, diastolic more than 100 mmHg); trauma or surgery less than 14 days before intervention; history of subarachnoid hemorrhage; life expectancy of less than 14 months; major internal bleeding less than 6 months before intervention; pregnancy; lumbar puncture 2 weeks before intervention

Exclusion Criteria

Not provided

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Clinical condition. Timepoint: 1 week, 1, 3, 6, 12 months. Method of measurement: Rutherford classification; Pain severity measured by VAS; ABI.
Secondary Outcome Measures
NameTimeMethod
Complete or near complete recanalization of the occluded artery. Timepoint: 12 months. Method of measurement: Angiography.
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