Status:

RECRUITING

Bypass Versus Endovascular Procedure in Long Lesions of the Superficial Femoral Artery in the Claudicant

Lead Sponsor:

Assistance Publique - Hôpitaux de Paris

Conditions:

Lesion; Femoral

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

In lower limb peripheral arterial disease, the stage of intermittent claudication has a prevalence of more than 5% over the age of 60, and affects patients who are often still active. Frequent anatomi...

Eligibility Criteria

Inclusion

  • Adult patient
  • Effective contraception for the duration of research for fertile women of childbearing age
  • Unilateral Rutherford 2 or 3 symptomatic Lower Extremity Artery Disease (LEAD) arteritic patient with a lesion of the superficial femoral artery Trans-Atlantic Inter-Society Consensus (TASC) C or D between 15 and 25 cm
  • Patient eligible for bypass surgery and endovascular procedure
  • No alteration of the upstream flow (iliac flow preserved or restored)
  • Patient with at least one patent artery below the knee
  • Patient informed and having signed the information and consent form to participate in the study

Exclusion

  • Known pregnancy or breastfeeding
  • Iliac flow altered upstream
  • History of surgery or stent on the affected superficial femoral artery
  • Concomitant bacteremia (positive blood cultures in the 7 days preceding the procedure)
  • Known intolerance to antiaggregants or heparin
  • Contraindication to the endovascular procedure (severe renal failure contraindicating the injection of contrast product despite prior hydration, known severe allergy to iodinated contrast product \[unless the center chooses to use carbon dioxide injection\]) or bypass surgery (cardiovascular, respiratory or other comorbidities, contraindicating general anesthesia, local contraindications for bypass: skin lesion at the operative site)
  • No affiliation to a social security regime or to another social protection regime
  • Patient deprived of liberty or under legal protection (guardianship, trusteeship)
  • Inability, according to the investigator, to understand or refusal to sign the informed consent to participate in the study (non-French speaking patient, cognitive disorders)
  • Ongoing participation in another research protocol Participation in non-interventional research is authorized
  • Secondary exclusion criterion:
  • Negative opinion from the anesthesiologist-resuscitator at the end of the pre-anesthetic consultation
  • Positive pregnancy test from the pre-operative laboratory test (result received after obtaining consent, but before the surgical procedure)

Key Trial Info

Start Date :

January 20 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 20 2030

Estimated Enrollment :

290 Patients enrolled

Trial Details

Trial ID

NCT05216731

Start Date

January 20 2025

End Date

May 20 2030

Last Update

October 3 2025

Active Locations (16)

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Page 1 of 4 (16 locations)

1

CHU - Hôpitaux de Bordeaux

Bordeaux, France, 33 000

2

Hôpital Ambroise Paré, APHP

Boulogne-Billancourt, France, 92 100

3

Hôpital de la Cavale Blanche

Brest, France, 29 200

4

Centre hospitalier René Dubos

Cergy-Pontoise, France, 95 300

Bypass Versus Endovascular Procedure in Long Lesions of the Superficial Femoral Artery in the Claudicant | DecenTrialz