MedPath

Endovascular Versus Open Repair of the Common Femoral Artery

Phase 4
Completed
Conditions
Atherosclerotic Lesions of the Common Femoral Artery
Interventions
Device: Endovascular treatment using self expandable nitinol STENTS
Device: Open repair treatment
Registration Number
NCT01353651
Lead Sponsor
Nantes University Hospital
Brief Summary

Even though the indication for endovascular therapy has been enlarged, open repair of common femoral artery is still considered as the treatment of choice. A recent pilot study showed that endovascular repair of the CFA seems to be a safe technique of revascularization with acceptable initial results at 12 months (Azema et al, Eur J Vasc Endovasc Surg, 2011, in press). TECCO, a French randomized and controlled trial, has been set up to compare open and endovascular procedures for the treatment of CFA atherosclerotic lesions.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
120
Inclusion Criteria
  • Age between 40 and 90 years-old
  • De novo atheromatous common femoral artery stenosis
  • Symptomatic lesions (Rutherford stages 3, 4, 5 and 6)
  • Haemodynamically significant lesion
  • Written informed consent
Exclusion Criteria
  • Restenosis
  • Non-atheromatous lesions (dysplasia, post-traumatic, inflammatory)
  • external iliac thrombosis and / or common femoral side to treat
  • Contraindication to open surgery or endovascular treatment
  • Contraindication to anesthesia
  • Indication of aorto-femoral, ilio-femoral, femoral-popliteal or femoro-tibialis bypass to associate with the common femoral revascularization
  • Indication of a surgical approach to the external iliac artery through a retroperitoneal
  • Asymptomatic lesions
  • Life expectancy less than one year
  • Refusing patient
  • Inability to monitor during the test period
  • Participation in another clinical trial
  • Pregnant Women
  • No written informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Endovascular treatmentEndovascular treatment using self expandable nitinol STENTS-
Open repair treatmentOpen repair treatment-
Primary Outcome Measures
NameTimeMethod
Morbid-mortality rate at 30 days30 days

Morbid-mortality rate is defined by: Death, general complications and local complications requiring re-admission and / or reoperation.

Secondary Outcome Measures
NameTimeMethod
Technical success1 month
Hospital length of stay1 month
Primary sustained clinical improvement24 months
Target lesion revascularization24 months
In-stent restenosis24 months
Stent fracture24 months
Secondary sustained clinical improvement24 months
Target extremity revascularization24 months

Trial Locations

Locations (6)

University Hospital

πŸ‡«πŸ‡·

Strasbourg, France

St Augustin Clinic

πŸ‡«πŸ‡·

Nantes, France

University Hospital, HEGP

πŸ‡«πŸ‡·

Paris, France

University Hospital, Henri Mondor

πŸ‡«πŸ‡·

Paris, France

NCN Clinic

πŸ‡«πŸ‡·

Nantes, France

Tonkin Clinic

πŸ‡«πŸ‡·

Villeurbanne, France

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