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ltrasound with contrast as additional treatment for blocked arteries in the lower limb.

Phase 1
Conditions
Acute peripheral arterial occlusions. Acute peripheral arterial occlusive disease can be caused by a blood clot blocking an artery in an arm or leg. This is an emergency situation that can result in amputation or be life threatening if not treated promptly.
Therapeutic area: Diseases [C] - Cardiovascular Diseases [C14]
Registration Number
EUCTR2014-003469-10-NL
Lead Sponsor
VU University Medical Center
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
20
Inclusion Criteria

• Men and women older than 18 years and younger than 85 years old
• Patients with a maximum of 7 weeks complaints due to lower limb ischemia due to
thrombosed/occluded iliofemoral, femoropopliteal or femorocrural native arteries or femoropopliteal or
femorocrural venous or prosthetic bypass grafts
• Anatomic suitability duplex ultrasound in case of iliac occlusion
• Patients fit for thrombolysis i.e. with acute lower limb ischemia class I and IIa according to the
Rutherford classification (see attachment II)
• Patients understand the nature of the procedure and provide written informed consent before enrolment
in the study
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 10
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 10

Exclusion Criteria

•Patients with clinical complaints of acute lower limb ischemia due to thrombosis of the iliofemoral, femoropopliteal or femorocrural native arteries, or femoropopliteal or femorocrural venous or prosthetic bypass grafts more than 7 weeks
• Patients with iliac occlusions anatomically not suitable for duplex ultrasound
•Patients with thrombosed popliteal aneurysms
•Patients with contra-indications for the administration of antiplatelet therapy, anticoagulants or thrombolytics
•Recent (less than 6 weeks) ischemic stroke, cerebral bleeding or myocardial infarction
•Patients with recent (less than 6 weeks) surgery
•Severe hypertension (diastolic blood pressure greater than 110 mm Hg, systolic blood pressure higher than 200 mm Hg)
•Current malignancy or severe comorbid condition with a life expectancy of less than 6 months
•Patients with uncorrected bleeding disorders (gastrointestinal ulcer, menorrhagia, liver failure)
•Women with child-bearing potential not taking adequate contraceptives or currently breastfeeding
•Pregnancy
•Patients who are currently participating in another investigational drug or device study
•Patients younger than 18 years or older than 85 years
•Patients with contra-indications for Luminity microbubbles i.e.
•Hypersensitivity to sulphur hexafluoride or to any of the components of Luminity,
•Recent acute coronary syndrome or clinically unstable ischemic cardiac disease, including: evolving or ongoing myocardial infarction, typical angina at rest within last 7 days, significant worsening of cardiac symptoms within last 7 days, recent coronary artery intervention or other factors suggesting clinical instability (for example, recent deterioration of ECG, laboratory or clinical findings), acute cardiac failure, Class III/IV cardiac failure, or severe rhythm disorders
•Patients known to have right-to-left shunts, severe pulmonary hypertension (pulmonary artery pressure >90 mmHg), uncontrolled systemic hypertension, and in patients with adult respiratory distress syndrome.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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