Absolute Pro® Peripheral Self-Expanding Stent System and the Absolute Pro® LL Peripheral Self-Expanding Stent Systems in the Treatment of Subjects With Atherosclerotic De Novo or Restenotic Lesions in the Native Superficial Femoral Artery and/or Native Proximal Popliteal Artery.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Peripheral Artery Disease
- Sponsor
- Abbott Medical Devices
- Enrollment
- 141
- Locations
- 1
- Primary Endpoint
- Freedom From Vessel Patency
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
To evaluate the safety and effectiveness of the Absolute Pro® Peripheral Self-Expanding Stent System and the Absolute Pro® LL Peripheral Self-Expanding Stent System for the treatment of subjects with atherosclerotic de novo or restenotic lesions in the native superficial femoral artery (SFA) and/or the native proximal popliteal artery (PPA).
CAUTION: Absolute Pro® Peripheral Self-Expanding Stent System and the Absolute Pro® LL Peripheral Self-Expanding Stent Systems are investigational devices. Limited by Federal (U.S.) law to investigational use only.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subject is ≥ 18 years of age.
- •Subject or legally authorized representative has been informed of the nature of the study, agrees to its provisions, and is able to provide informed consent.
- •Subject agrees to undergo all protocol-required follow-up examinations and requirements at the investigational site.
- •Subject is diagnosed as having moderate to severe claudication (Rutherford-Becker Clinical Category 2-3) or ischemic rest pain (Rutherford-Becker Clinical Category 4).
- •Female subject of childbearing potential must:
- •have had a negative pregnancy test (serum HCG) within 14 days before treatment;
- •not be nursing at the time of treatment; and
- •agree at time of consent to use birth control during participation in this trial.
- •Subject has life expectancy \> 12 months.
- •Angiographic Inclusion Criteria:
Exclusion Criteria
- •Subject is unable to walk.
- •Subject has undergone any non-iliac percutaneous intervention, e.g. coronary, carotid, \< 30 days prior to the planned index procedure.
- •Subject has received, or is on the waiting list for, a major organ transplant.
- •Subject is diagnosed as Rutherford-Becker Clinical Category 5 or 6 in either extremity.
- •Subject is diagnosed as Rutherford-Becker Clinical Category 0 or 1 in the target extremity (i.e., where the investigational stent will be placed).
- •Subject has elevated serum creatinine \> 2.5 mg/dl.
- •Subject is on chronic hemodialysis.
- •Subject has documented or suspected uncontrolled diabetes mellitus (DM), unless HbA1c has been assessed as \< 7.0% within 3 months prior to index procedure.
- •Subject has had a myocardial infarction (MI) within the previous 30 days of the planned index procedure.
- •Subject has had a stroke within the previous 30 days of the planned index procedure and/or has deficits from a prior stroke that limits the subject's ability to walk.
Outcomes
Primary Outcomes
Freedom From Vessel Patency
Time Frame: 0 to 365 days
This is the primary effectiveness endpoint which is defined as the absence of in-stent restenosis (≥ 50%) as determined by duplex ultrasonography or arteriography and without clinically driven TLR. The vessel patency rate was estimated by the Kaplan-Meier method with the standard error estimated using the Greenwood formula.
Major Adverse Event (MAE)
Time Frame: 30 days
Primary safety endpoint is freedom from MAE which is defined as a composite of: * Death due to all causes * Index limb major amputation (at or above the ankle) * Clinically-driven target lesion revascularization (TLR)
Secondary Outcomes
- Acute Success : Device Success(With in 2 days of index post procedure)
- Freedom From Vessel Patency(0 to 180 days)
- Acute Success : Clinical Success(With in 2 days after index post procedure or at hospital discharge (before 1 month))
- Clinically-driven Target Lesion Revascularization (CD-TLR)(At 1 year)
- Target Vessel Revascularization (TVR)(At 1 year)
- Walking Impairment Questionnaire Scores(12 months)
- Maximum Walking Distance(12 months)
- Quality of Life Measures : Physical Component Summary (PCS)(1 year)
- Ankle Brachial Index (ABI) for the Treated Limb(12 months)
- Any Target Lesion Revascularization (TLR)(At 1 year)
- Death(At 1 year)
- Freedom From Stent Patency(0 to 379 days)
- Stent Integrity by X-ray(12 months)
- Freedom From Any Ipsilateral Amputation(0 to 379 days)
- Embolic Events in the Treated Limb (as Reported by Site)(At 1 year)
- Rutherford-Becker Clinical Category for the Treated Limb(12 months)
- Toe Brachial Index (TBI)(At 1 year)
- Stent Occlusion(> 30 Days Post Study Procedure)
- In-Stent Percent Diameter Stenosis (%DS)(Post-Procedure (≥ 1 day))
- Acute Stent Thrombosis(0 - 24 Hours Post Study Procedure)
- Freedom From Ipsilateral Major Amputation(0 to 379 days)
- Duplex Ultrasound: Maximum In-Stent Peak Systolic Velocity (PSV)(12 months)
- Duplex Ultrasound: In-Stent Peak Systolic Velocity Ratio (PSVR)(12 months)
- Sub-Acute Stent Thrombosis(> 24 Hours - 30 Days Post Study Procedure)
- In-Segment Percent Diameter Stenosis (%DS)(Post-Procedure (≥ 1 day))
- Quality of Life Measures : Physical Functioning (PF)(1 year)
- Quality of Life Measures : Role Physical (RP)(1 year)
- Quality of Life Measures : General Health (GH)(1 year)
- Quality of Life Measures : Bodily Pain (BP)(1 year)
- Quality of Life Measures : Vitality (VT)(1 year)
- Quality of Life Measures : Social Functioning (SF)(1 year)
- Quality of Life Measures : Role Emotional (RE)(1 year)
- Quality of Life Measures : Mental Health (MH)(1 year)
- Quality of Life Measures : Mental Component Summary (MCS)(1 year)
- Vascular Quality of Life (VascuQol) Total Scores(1 year)
- Acute Success : Technical Success(With in 2 days of index post procedure)