Prospective, Multi-center, Single-arm Feasibility Study of the Shockwave Medical Mini S Peripheral Intravascular Lithotripsy (IVL) System
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Peripheral Arterial Disease
- Sponsor
- Shockwave Medical, Inc.
- Enrollment
- 35
- Locations
- 4
- Primary Endpoint
- Primary Safety: Major Adverse Events (MAE)
- Status
- Completed
- Last Updated
- 10 months ago
Overview
Brief Summary
Prospective, multi-center, single-arm feasibility study to assess the safety and performance of the Shockwave Medical Mini S Peripheral IVL System for the treatment of heavily calcified, stenotic peripheral arteries.
Investigators
Eligibility Criteria
Inclusion Criteria
- •General Inclusion Criteria
- •Age of subject is ≥ 18 years.
- •Subject is able and willing to comply with all assessments in the study.
- •Subject or subject's legal representative has been informed of the nature of the study, agrees to participate, and has signed the approved consent form.
- •Estimated life expectancy \> 1 year.
- •Rutherford Clinical Category 2, 3, 4 or 5 of the target limb(s).
- •Angiographic Inclusion Criteria
- •One or two target lesion(s) located in a native de novo superficial femoral, popliteal or infrapopliteal artery (above the ankle joint), in one or both limbs.
- •Target lesion reference vessel diameter (RVD) between 2.0 mm and 7.0 mm by investigator visual estimate.
- •Target lesion stenosis ≥70% (for vessels below the knee defined as P3 to the ankle joint) or ≥90% (for vessels above the knee) by investigator visual estimate.
Exclusion Criteria
- •General Exclusion Criteria
- •Rutherford Clinical Category 0, 1 and 6 (target limb).
- •History of endovascular or surgical procedure on the target limb within the last 30 days, or planned within 30 days of the index procedure. Note: inflow treatment of non-target lesions is allowed providing successful treatment.
- •Subject in whom antiplatelet or anticoagulant therapy is contraindicated.
- •Subject has known allergy to contrast agents or medications used to perform endovascular intervention that cannot be adequately pre-treated.
- •Subject has known allergy to urethane, nylon, or silicone.
- •Myocardial infarction within 60 days prior to enrollment.
- •History of stroke within 60 days prior to enrollment.
- •Subject has acute or chronic renal disease with eGFR \<30 ml/min/1.73 m2 (using CKD-EPI formula), unless on renal replacement therapy.
- •Subject is pregnant or nursing.
Outcomes
Primary Outcomes
Primary Safety: Major Adverse Events (MAE)
Time Frame: 30 days
Major Adverse Events (MAE) at 30 days defined as a composite of: * Cardiovascular Death * Clinically Driven Target Lesion Revascularization (CD-TLR) * Unplanned Target Limb Major Amputation (Above the Ankle)
Primary Performance: Technical Success
Time Frame: Peri-Procedural
Technical Success defined as final residual stenosis ≤50% without flow-limiting dissection (≥ Grade D) of the target lesion by angiographic core lab
Secondary Outcomes
- Serious Angiographic Complications(Peri-Procedural)
- IVL Technical Success (Post- Dilatation)(Peri-Procedural)
- IVL Device Success(Peri-Procedural)
- Technical Success (Final)(Peri-Procedural)
- MAEs at 6-months Post Procedure(6 Months Post-Procedure)
- MAEs at 12-months Post Procedure(12 Months Post-Procedure)
- Primary Patency at 12-Months(12-Months Post Procedure)