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Comparison of intravascular ultrasound–guided vs. angiography-guided angioplasty and dual-antiplatelet v. triple-antiplatelet therapy for outcomes of drug-coated balloon in the treatment of femoropopliteal Artery disease (IVUS-DCB)

Not Applicable
Completed
Conditions
Diseases of the circulatory system
Registration Number
KCT0002972
Lead Sponsor
Yonsei University Health System, Severance Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
240
Inclusion Criteria

1) Age 19 years or older
2) Symptomatic peripheral artery disease:
- Moderate or severe claudication (Rutherford category 2 or 3)
- Critical limb ischemia (Rutherford category 4 or 5)
3) Femoropopliteal artery disease (stenosis > 50%)
4) ABI <0.9
5) Patients with signed informed consent

Exclusion Criteria

1) Acute critical limb ischemia
2) Severe critical limb ischemia (Rutherford category 6)
3) Known hypersensitivity or contraindication to any of the following medications: heparin, aspirin, clopidogrel, cilostazol, or contrast agents
4) Patients requiring oral anticoagulation using warfarin or NOAC
5) Age > 85 years
6) Severe hepatic dysfunction (> 3 times normal reference values)
7) Significant leucopenia, neutropenia, thrombocytopenia, anemia, or known bleeding diathesis
8) LVEF < 40% or clinically overt congestive heart failure
9) Pregnant women or women with potential childbearing
10) Life expectancy <1 year due to comorbidity
11) Previous bypass surgery or stenting in the target femoropopliteal artery
12) Untreated inflow disease of the ipsilateral pelvic or femoropopliteal arteries (more than 50% stenosis or occlusion)

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary patency , Absence of restenosis >50% by Duplex ultrasound, CT angiography, or catheter-based angiography
Secondary Outcome Measures
NameTimeMethod
ankle-brachial index;Rutherford category;frequency of repeat intervention or surgical treatment due to loss of patency at the target vessel;Salvage of Target vessel
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