Remote Endarterectomy Versus Suprageniculate Femoropopliteal Bypass
NCT00566436 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 126
Last updated 2007-12-03
Summary
The objective of this study is to compare remote superficial femoral artery endarterectomy with suprageniculate bypass surgery in the treatment of long occlusions of the superficial femoral artery. The study hypothesis is that patency rates are comparable and therefore the minimal invasive remote superficial femoral artery endarterectomy can be considered in patients presenting with a long occlusion of the superficial femoral artery.
Conditions
- Peripheral Arterial Occlusive Disease
- Atherosclerosis
Interventions
- PROCEDURE
-
Remote endarterectomy of the superficial femoral artery
Exposure of the common femoral, superficial femoral and profunda femoral artery through a single groin incision. Arteriotomy in the proximal SFA followed by dissection of the intima core beyond the occluded segment using the Vollmar ringstripper. The ringstripper is exchanged for a Mollring cutter all under fluoroscopic guidance. With the Mollring Cutter transection of intima core is carried out, remote from the site of entry. After removal of the intima core the transection zone is secured with an aSpire stent after balloon angioplasty. A completion arteriography will verify a patent artery, and embolectomy can be performed when necessary. As indicated a common femoral artery and profundaplasty can be performed and the arteriotomy may be closed with or without patch.
- PROCEDURE
-
Suprageniculate femoropopliteal bypass
Groin and suprageniculate incision, venous (Saphenous vein) or PTFE graft with end to side anastomoses. If the saphenous vein is truly applicable for grafting will ultimately be an intra-operative decision (despite pre-operative venous mapping)
Sponsors & Collaborators
-
UMC Utrecht
collaborator OTHER -
Albert Schweitzer Hospital, Netherlands
collaborator UNKNOWN -
Amphia Hospital
collaborator OTHER -
St. Antonius Hospital
lead OTHER
Principal Investigators
-
Suzanne S Gisbertz, MD · St. Antonius Hospital
-
Jean Paul PM de Vries, MD, PhD · St. Antonius Hospital
-
Frans L Moll, MD, PhD · UMC Utrecht
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2004-10-31
- Completion
- 2012-03-31
Countries
- Netherlands
Study Locations
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