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Clinical Trials/ISRCTN08459809
ISRCTN08459809CompletedNot Applicable

Angioplasty or bypass surgery in critical limb ischemia: a randomised controlled trial for patients with ischemic rest pain or tissue loss of the legs

Technical University of Munich [Technische Universitaet Muenchen] (Germany)0 sites550 target enrollmentStarted: January 31, 2012Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Sponsor
Enrollment
550

Study Overview

Brief Summary

No summary available.

Study Design

Study Type
Interventional

Eligibility Criteria

Sex
All

Inclusion Criteria

  • 1. Critical limb ischemia (CLI) lasting > 2 weeks (Fontaine stages III or IV or Rutherford classes 4 to 6 as assessed by clinical examination
  • 2. Ankle pressure < 50 mm Hg, toe pressure <30 mm Hg, TcPo2 < 30 mm Hg
  • 3. Availability of adequate saphenous vein for bypass surgery

Exclusion Criteria

  • 1. Acute limb-threatening ischemia (either embolic or thrombotic)
  • 2. Non-atherosclerotic disease or documented hypercoagulopathy
  • 3. End-stage renal disease and other severe co-morbidities with a life expectancy of less than 2 years American Society of Anesthesiologists [(ASA) IV, V]
  • 4. Chronic total occlusions of the common/superficial femoral artery (>20cm) or the popliteal artery and proximal trifurcation vessels [according to TransAtlantic InterSociety (TASC) II D lesions]
  • 5. Isolated single or multiple stenosis of the infrainguinal arteries that could be treated by endovascular means
  • 6. Impaired infow of the aorto-iliac arteries (>50% stenosis or occlusions)
  • 7. Contraindications for antiplatelet agents and/or anticoagulants
  • 8. Surgical or catheter intervention on the index leg within the last 3 months

Investigators

Sponsor
Technical University of Munich [Technische Universitaet Muenchen] (Germany)

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