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PET CT analysis of restenosis after lower limb revascularisatio

Not Applicable
Completed
Conditions
Peripheral Arterial Disease
Circulatory System
Registration Number
ISRCTN34690731
Lead Sponsor
British Heart Foundation
Brief Summary

2019 results in https://pubmed.ncbi.nlm.nih.gov/31202739/ (added 08/04/2020)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
50
Inclusion Criteria

1. Aged 50 years or over (women aged 55 years or over)
2. Symptomatic peripheral arterial disease (intermittent claudication / critical limb ischaemia)
3. Undergoing superficial femoral artery angioplasty (PTA) or femoro-popliteal vein bypass graft (FPBG)
4. Patients with TASC A and B lesions for the PTA group (there will be no restriction with regard to disease severity on the FPBG group as long as the anastomosis is to the popliteal artery)
5. Taking standard antiplatelet/statin medication

Exclusion Criteria

1. Inability to undergo PET/CT
2. Presence of end stage renal failure
3. Metastatic malignancy
4. Patients undergoing adjunct endovascular procedures in the infrainguinal segments – PTA group only (e.g. Bare Metal Stent, Drug Eluting Balloon, Drug Eluting Stent)
5. Previous ipsilateral femoral artery angioplasty within the previous 6 months – PTA group only
6. Women under the age of 55 years
7. Patients with diabetes mellitus taking insulin

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<br> 1. Primary patency, defined as SFA stenosis/anastamotic stenosis of < 50%, is measured using arterial duplex scanning at 12 months<br> 2. FDG and NaF TBR measurements are measured using the scans at baseline and six weeks<br> 3. Ankle-brachial pressure index bilaterally is measured using scanning at baseline<br> 4. Blood markers and degree of disease are assessed using ultrasound duplex at baseline<br> 5. Restenosis is measured using the ultrasound duplex at 12 months<br>
Secondary Outcome Measures
NameTimeMethod
Freedom from target lesion revascularization (TLR) at 1 year is measured by arterial duplex at 12 months.
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