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Evaluation of Imaging of Peripheral Arteries by Optical Coherence Tomography and Intravascular Ultrasound Imaging

Not Applicable
Completed
Conditions
Peripheral Artery Disease
Registration Number
NCT03480685
Lead Sponsor
Avinger, Inc.
Brief Summary

A non inferiority trial to determine the capability of optical coherence tomography (OCT) imaging to show vessel morphology in comparison to imaging provided by intravascular ultrasound imaging (IVUS).

Detailed Description

Patients requiring diagnostic imaging of peripheral vessels to determine vessel condition and planning treatment strategy will have vessel segments imaged by both OCT and IVUS imaging catheters. The images will be collected into a library and independent readers will rank each image on the quality of vessel morphology and disease.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
12
Inclusion Criteria
  • adult
  • suspected vascular disease that might be a candidate for IVUS
  • reference vessel can accommodate imaging catheters
  • successful diagnostic imaging and removal of IVUS catheter with no adverse events
Exclusion Criteria
  • if female, pregnant or breast-feeding
  • unwilling to give informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Visualization of Vessel Morphology: CalcificationDuring the diagnostic imaging procedures, up to 5 minutes

The primary endpoint was met when OCT imaging had the equivalent or lower mean score than IVUS imaging when comparing images for calcification.

Images were scored on a scale from 1 to 5. A lower score means better image quality and a higher score means worse image quality.

Scoring Scale for image quality for calcification:

1- Excellent histology-like image quality to 5- Unacceptably poor image quality.

Freedom From Adverse EventsOn day of diagnostic imaging procedures, up to 1 hour

Primary safety endpoint is freedom from diagnostic imaging procedure-related and device-associated adverse events.

Visualization of Vessel Morphology: Layered StructureDuring the diagnostic imaging procedures, up to 5 minutes

The primary endpoint was met when OCT imaging had the equivalent or lower mean score than IVUS imaging when comparing layered structures.

Images were scored on a scale from 1 to 4. A lower score means better image quality and a higher score means worse image quality.

Scoring Scale for image quality of layered structure:

1. clear differentiation of vessel wall layers;

2. differentiation of 3 wall layers;

3. differentiation of 2 wall layers;

4. no differentiation visible

Visualization of Vessel Morphology: Stent StructureDuring the diagnostic imaging procedures, up to 5 minutes

The primary endpoint was met when OCT imaging had the equivalent or lower mean score than IVUS imaging when comparing stent structure.

Images were scored on a scale from 1 to 3. A lower score means better image quality and a higher score means worse image quality.

Scoring Scale for image quality of Stent Structure:

1. Excellent image;

2. Acceptable image:

3. Unacceptably poor image.

Visualization of Vessel Morphology: Non-layered StructureDuring the diagnostic imaging procedures, up to 5 minutes

The primary endpoint was met when OCT imaging had the equivalent or lower mean score than IVUS imaging when comparing non-layered structures.

Images were scored on a scale from 1 to 5. A lower score means better image quality and a higher score means worse image quality.

Scoring scale for image quality of non-layered structure:

1-Excellent histology-like image quality to 5-unacceptably poor image quality

Visualization of Vessel Morphology: ArtifactsDuring the diagnostic imaging procedures, up to 5 minutes

The primary endpoint was met when OCT imaging had the equivalent or lower mean score than IVUS imaging when comparing imaging artifacts.

Images were scored on a scale from 1 to 3. A lower score means better image quality and a higher score means worse image quality.

Scoring Scale for image quality of artifacts:

1. None;

2. Tolerable/not limiting;

3. Is intense and limits image quality.

Secondary Outcome Measures
NameTimeMethod
Vessel Measurement: Mean DiameterDuring the diagnostic imaging procedures, up to 5 minutes

Mean diameter measurements include longest and shortest diameter at proximal, middle, and distal locations.

Vessel Measurement: Total Luminal AreaDuring the diagnostic imaging procedures, up to 5 minutes

Total luminal area is measured from the longest diameter at proximal, middle and distal locations.

Trial Locations

Locations (2)

Adventis Midwest Health

🇺🇸

Hinsdale, Illinois, United States

Pottstown Hospital

🇺🇸

Pottstown, Pennsylvania, United States

Adventis Midwest Health
🇺🇸Hinsdale, Illinois, United States

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