About this trial
The goal of the study is to identify and validate flow measurement and ultrasound images in patients undergoing vein bypass surgery below-knee and above ankle
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Chronic Limb-Threatening Ischemia as defined by presence of Peripheral Artery Disease (PAD) in combination with rest pain, gangrene, or a lower limb ulceration>2 weeks duration (ref Global Guidelines)
Atherosclerotic infra-popliteal PAD
Adequate distal anastomotic target (crural, tibial or popliteal below the knee with one single run-off) between knee and ankle distal to the stenotic/occluded segment.
Available autogenous vein conduit based on preoperative vein mapping.
Disqualifiers
Bypass with artificial conduit or cryopreserved allografts
Bypass for non-atherosclerotic lesions
Life-expectancy less than 2 years
Any psychological, developmental, physical or emotional disorder that the investigator believes would interfere with surgery or follow-up.
Trial population
Chronic Limb-Threatening Ischemia patients scheduled to undergo a vein bypass with or without arterial inflow reconstruction to a below-knee and above ankle target
Trial design
Cohort
Prospective
Treatments tested in this trial
MiraQ with Transit-Time Flow Measurement (TTFM) and L15 High Frequency Ultrasound (HFUS) probes
DeviceIdentify and validate intraoperative TTFM and HFUS findings (e.g. threshold values of Mean Graft Flow (MGF), MGF capacity, flow curve pattern, morphological issues)
Treatment groups
Trial outcomes
Primary outcomes
Primary graft patency rate
Freedom from any repeat graft intervention, graft thrombosis, or clinically significant stenosis (\>70% by either Duplex criteria or angiographic imaging) in the bypass
Sponsors and contacts
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