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Objective Evaluation of Proximal Ischemia

This study is currently recruiting participants.
Study NCT00152737.   Last updated on March 16, 2007.   Information provided by University Hospital, Angers

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Descriptive Information Fields
Brief Title  Objective Evaluation of Proximal Ischemia
Official Title  Effet Des Gestes de Revascularisation à l'étage Proximal
Brief Summary

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

Detailed Description

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

Study Phase
Study Type  Observational
Study Design  Natural History, Longitudinal, Defined Population, Retrospective/Prospective Study
Primary Outcome Measure 
Secondary Outcome Measure 
Condition  Intermittent Claudication
Peripheral Vascular Diseases
Intervention  Procedure: Exercise test with Transcutaneous oxygene pressure
Procedure: Ankle and arm pressure values
Procedure: San diego claudication questionnaire
MEDLINE PMIDs 17264010,   17110509
Links
Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  165
Start Date  March 2004
Completion Date July 2008
Eligibility Criteria 

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)
Gender Both
Ages 18 Years and older
Accepts Healthy Volunteers No
Contacts ††
Contact: Pierre ABRAHAM, MD, PhD     +33 (0) 2.41.35.36.89     piabraham@chu-angers.fr    
Location Countries  France
Administrative Information Fields
NCT ID  NCT00152737
Organization ID PHRC 03-01
Secondary IDs ††
Study Sponsor  University Hospital, Angers
Collaborators †† Sanofi-Synthelabo
Société Française de Médecine Vasculaire
Investigators 
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    
Information Provided By University Hospital, Angers
Verification Date March 2007
First Received Date  September 8, 2005
Last Updated Date March 16, 2007

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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