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A Study of Patients With Lower Extremity Acute Limb Ischemia to Remove Thrombus With the Indigo Aspiration System

Completed
Conditions
Lower Extremity Acute Limb Ischemia
LE ALI
Interventions
Device: Indigo Aspiration System
Registration Number
NCT04144959
Lead Sponsor
Penumbra Inc.
Brief Summary

The primary objective of this study is to collect safety and performance data on the Indigo Aspiration System in a patient population with lower extremity acute limb ischemia (LE ALI).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
119
Inclusion Criteria
  • Patient age ≥ 18
  • Patient presents with acute (≤14 days) occlusion of lower limb artery(ies) (below inguinal ligament)
  • Patient with a Rutherford Category IIa or IIb score
  • Frontline treatment with Indigo Aspiration System
  • Informed consent is obtained from either patient or legally authorized representative (LAR)
Exclusion Criteria
  • Life expectancy <1 year
  • Vessel size <2 mm
  • LE ALI secondary to dissections, vasculitis, and/or target vessel trauma
  • Amputation in the ipsilateral limb
  • Pregnancy or positive pregnancy test according to site specific standards of care (only required for women of child bearing potential, serum or urine acceptable)
  • Absolute contraindication to contrast administration
  • Patient is unwilling or unable to comply with protocol follow up schedule and/or based on the Investigator's judgment the patient is not a good study candidate
  • Currently participating in an investigational drug or device clinical trial that may confound the study endpoints. Patients in observational, natural history, and/or epidemiological studies not involving intervention are eligible.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Patients with lower extremity acute limb ischemiaIndigo Aspiration System-
Primary Outcome Measures
NameTimeMethod
Target limb salvage rate1-Month Post Procedure
Secondary Outcome Measures
NameTimeMethod
Modified SVS runoff scoreImmediate Post Procedure

Immediate Post Procedure as compared to Baseline

Modified SVS runoff score ranges from 0-19, with a higher score indicating more severe disease

Technical SuccessImmediate Post Procedure

Defined as TIMI 2/3 flow rate

TIMI flow grading range 1-3, with higher grading representing better outcome

Improvement of Rutherford classificationUp until study completion, at approximately 12-Months

Improvement of one or more as compared to pre-procedure

Rutherford classification ranges from I-III, with a higher score representing worse outcomes

Vessel Patency1-Month Post-Procedure
Target limb salvage rate12-Months Post Procedure
Major bleeding peri-procedureDuring procedure
Rates of device related serious adverse events (SAEs)Up until study completion, at approximately 12-Months
Mortality12-Months

Trial Locations

Locations (17)

Manatee Memorial Hospital

🇺🇸

Bradenton, Florida, United States

University of Maryland

🇺🇸

Baltimore, Maryland, United States

Albany Medical Center

🇺🇸

Albany, New York, United States

NC Heart and Vascular Research

🇺🇸

Cary, North Carolina, United States

Holston Valley Medical

🇺🇸

Kingsport, Tennessee, United States

Danbury Hospital

🇺🇸

Danbury, Connecticut, United States

Klinikum rechts der Isar

🇩🇪

Muenchen, Germany

Baptist Hospital of Miami

🇺🇸

Miami, Florida, United States

Sentara Vascular Specialists

🇺🇸

Norfolk, Virginia, United States

Tisch Hospital NYU Langone Health

🇺🇸

New York, New York, United States

Stanford University Medical Center

🇺🇸

Stanford, California, United States

Sanger Heart & Vascular Institute

🇺🇸

Charlotte, North Carolina, United States

Cleveland Clinic

🇺🇸

Cleveland, Ohio, United States

Good Samaritan Hospital of Cincinnati

🇺🇸

Cincinnati, Ohio, United States

Baylor College of Medicine (St. Luke's Medical Center)

🇺🇸

Houston, Texas, United States

St. Franziskus-Hospital - Münster

🇩🇪

Münster, Germany

Hospital Clínico Universitario de Santiago

🇪🇸

Santiago De Compostela, Spain

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