Objective Evaluation of Proximal Ischemia
Recruitment status was Recruiting
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Purpose
The whole study is divided in 4 parallel protocols. The first protocol estimates the reliability of the technique through test-retest recordings. The second protocol aims to prove that exercise Tcpo2 is efficient to estimate the benefit of proximal revascularisation on proximal and distal ischemia in patients suffering stage two lower extremity arterial disease. The third protocol aims at estimating with exercise tcpo2 the eventual apparison of proximal ischemia after aorto-bi-femoral bypasses. The last protocol is a transversal study of patients with aorto-bi-femoral bypasses aiming to analyse the presence of proximal and distal symptoms and ischemia.
The hypothesis for protocol 2 is that TcpO2 at exercise is significantly improved after surgery at the aortic and primary iliac artery. The hypothesis for protocols 3 and 4 relates on the hypothesis that a significant number of patients benefiting aorto-bi-femoral bypass suffer isolated proximal pain/ischemia after surgery.
Amendement to the project has been recently validated to study the neurologic and bone complication of chronic vascular ischemia
| Condition | Intervention |
|---|---|
|
Intermittent Claudication Peripheral Vascular Diseases |
Procedure: Exercise test with Transcutaneous oxygene pressure Procedure: Ankle and arm pressure values Procedure: San diego claudication questionnaire |
| Study Type: | Observational |
| Study Design: | Observational Model: Defined Population Observational Model: Natural History Time Perspective: Longitudinal Time Perspective: Retrospective/Prospective |
| Official Title: | Effet Des Gestes de Revascularisation à l'étage Proximal |
| Estimated Enrollment: | 165 |
| Study Start Date: | March 2004 |
| Estimated Study Completion Date: | July 2008 |
Patients included are submitted to:
San Diego Claudication Questionnaire before and during the treadmill test Treadmill test(s) through the Strandness procedure (2MPh 10% slope) Transcutaneous oxygen pressure recording before during and after exercise Ankle and brachial pressure measurements. Neurologic investigation with Quantitative sensory Testing (QST) and neurophysiological tests for patients included in the sub-group analysing neurologic complication Whole body densitometry for patients included in the sub-group analysing osteo-articular complications
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- protocol 1 - 3 stage 2 claudication
- Protocols 2 & 3 : Indication for surgery
- protocol 4 : Patent aorto bio femoral bypass for more than 4 months
- Ability to perform a treadmill test
Exclusion Criteria:
- Stage 4 LEAD
- Aortic aneurysm
- Acute coronary syndrom
- claudication of documented non vascular origin (for protocols 1-3 only)
Contacts and Locations| Contact: Pierre ABRAHAM, MD, PhD | +33 (0) 2.41.35.36.89 | piabraham@chu-angers.fr |
| France | |
| Laboratoire d'explorations vasculaires | Recruiting |
| Angers, France, 49033 | |
| Contact: Pierre Abraham, MD PhD +33 (0) 2.41.35.36.89 | |
| Study Chair: | jean louis Saumet, MD PhD | University Hospital in Angers |
| Principal Investigator: | Pierre Abraham, MD PhD | University Hospital in Angers |
| Study Chair: | Bernard Enon, MD | University Hospital in Angers |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00152737 History of Changes |
| Other Study ID Numbers: | PHRC 03-01 |
| Study First Received: | September 8, 2005 |
| Last Updated: | March 16, 2007 |
| Health Authority: | France: Ministry of Health |
Keywords provided by University Hospital, Angers:
|
Intermittent Claudication Peripheral Vascular Diseases Blood Gas Monitoring, Transcutaneous Surgery |
Additional relevant MeSH terms:
|
Intermittent Claudication Vascular Diseases Peripheral Vascular Diseases Peripheral Arterial Disease Arteriosclerosis |
Arterial Occlusive Diseases Cardiovascular Diseases Signs and Symptoms Atherosclerosis |
ClinicalTrials.gov processed this record on May 23, 2013