ClinicalTrials.gg
CompletedNCT02471638DETOUR1Updated Jun 15, 2026Results posted

DETOUR I Clinical Study for Percutaneous Femoropopliteal Bypass

An interventional study of PQ Bypass System for Femoropopliteal Bypass in Peripheral Arterial Disease, sponsored by Endologix. Completed at 8 sites in 6 countries. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-06-15.

Sponsored by Endologix · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 5 months after the study started (first participant enrolled Jan 2015, registered Jun 2015).
Phase
Not applicable
Study type
Interventional
Enrollment
78
Allocation
Not applicable
Ages
18 Years to 90 Years
Sex
All
01

Study summary

To assess the safety and performance of the PQ Bypass System to access, deliver guidewires and implant stent grafts for a percutaneous fem-pop bypass.

Read the detailed description

Prospective, single-arm, multi-center, international, non-randomized, pre-market, safety and effectiveness clinical investigation evaluating the PQ Bypass Systems to access, deliver guidewires and implant stent grafts for a percutaneous femoropopliteal (fem-pop) bypass.

02

Conditions studied

  • Peripheral Arterial Disease
03

In context

Peripheral Arterial Disease

1,377 studies on the registry are indexed under Peripheral Arterial Disease; 275 are open to participants now.

This study's enrollment of 78 is above the median of 70 across 927 interventional studies indexed under Peripheral Arterial Disease.

Browse Peripheral Arterial Disease studies →

Lead sponsor

Endologix is the lead sponsor of 25 studies on the registry; 2 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 9 (82%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Willing and able to provide
  • Age 18 or older
  • Rutherford Classification of 3-5
  • Patent iliac and femoral arteries/veins and access vessels, of sufficient size and morphology (including tortuosity), to allow endovascular access with 8 Fr. introducer sheath
  • Femoro-popliteal lesions ≥10 cm in length considered to be:

    • Chronic total occlusion (100% stenosis)
    • Diffuse stenosis (>50% stenosis) with moderate to heavy calcification
    • In-stent restenosis (>50% stenosis)
  • Proximal and distal target vessels are 5.4-7.0 mm in diameter
  • Orifice and proximal 1 cm of SFA is patent
  • Patent popliteal artery 3 cm proximal to tibial plateau
  • At least 1 patent tibial artery to the foot
  • Patent femoral vein ≥ 10 mm in diameter or duplicate femoral vein
  • Subject has > one year

Exclusion criteria

Exclusion Criteria:

  • Bypass length required > 30 cm
  • History of deep vein thrombosis
  • Has a known , allergies or to: nitinol, PTFE; aspirin, heparin, antiplatelet, anticoagulant or thrombolytic therapy; or anticoagulation or contrast media that is not amenable to pre-treatment;
  • Has a known history of intracranial bleeding or aneurysm, myocardial infarction or stroke within the last 12 months
  • Pregnant or nursing
  • Untreated flow-limiting aortoiliac occlusive disease
  • Has renal failure ( \< 30mL/min)
  • Major distal amputation (above the transmetatarsal) in the study or non-study limb
  • Patient has had a revascularization procedure on the target limb within 30 days
  • Patient has a planned amputation of the target limb
  • Previous bypass surgery on the target limb
  • Patient is participating in another clinical study for which follow-up is currently on going.
  • Patient has a condition that in the view of the investigator precludes participation in this study
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
78 participants (actual)

Study arms

  • Experimental
    Single arm study

    PQ Bypass System for Femoropopliteal Bypass to complete percutaneous fem-pop bypass

    Device: PQ Bypass System for Femoropopliteal Bypass

Interventions

  • DevicePQ Bypass System for Femoropopliteal Bypass

    To access, deliver guidewires and implant stent grafts for a percutaneous fem-pop bypass.

06

What researchers measure

Primary outcomes

  1. Number of Lesions With Primary Patency

    Rate of primary patency. Primary patency defined as: no evidence of clinically significant stenosis (≥50%) within the stent graft or immediately above or below the treated arterial segment based on duplex ultrasound (systolic velocity ratio of \>2.5).

    Time frame: 6 Months

  2. Number of Lesions With Any Major Adverse Event (MAE) at One Month Post-procedure

    composite endpoint of death, CD-TVR, or major target limb amputation in all patients at One-month post procedure

    Time frame: One Month

Secondary outcomes

  1. Number of Lesions With Each Major Adverse Event (MAE) at One Month Post-procedure

    Outcome Measures of death, CD-TVR, or major target limb amputation as independent events one month post-procedure

    Time frame: One Month

  2. Percentage of Lesions With Primary Patency at 12 Months Post-Procedure

    Primary patency defined as: no evidence of clinically significant stenosis (≥50%) within the stent graft or immediately above or below the treated arterial segment based on duplex ultrasound (systolic velocity ratio of \>2.5).

    Time frame: 12 Months

  3. Major Adverse Vascular Event (MAVE) Rate

    Major Adverse Vascular Events-stent graft thrombosis, target limb amputation, clinically apparent distal embolization with tissue loss, procedure-related arterial rupture, acute limb ischemia, and bleeding events requiring any transfusion. Major bleeding required blood transfusion \>2 units, and symptomatic deep vein thrombosis on ipsilateral limb

    Time frame: One Month

  4. Number of Lesions With Symptomatic Deep Vein Thromboses in Target Limb

    Rate of Symptomatic Deep Vein Thrombosis in target limb at one month time point.

    Time frame: One Month

  5. Number of Major Adverse Events at the 12-Month Time Point

    Number of occurrences of all cause death, CD-TVR, or major target limb amputation

    Time frame: 12 Months

  6. Number of Major Adverse Events at the 3 Year Time Point

    Number of occurrences of all cause death, CD-TVR, or major target limb amputation

    Time frame: 3 Years

  7. Major Adverse Vascular Event (MAVE) Rate at 3 Years

    Major Adverse Vascular Events-stent graft thrombosis, target limb amputation, clinically apparent distal embolization with tissue loss, procedure-related arterial rupture, acute limb ischemia, and bleeding events requiring any transfusion. Major bleeding required blood transfusion \>2 units, and symptomatic deep vein thrombosis on ipsilateral limb.

    Time frame: 3 Years

  8. Technical Success

    Technical Success defined as successful delivery of the investigational devices to the identified area and removal of delivery system.

    Time frame: Index Procedure

07

Results

Posted May 23, 2025

Participant flow

78 patients enrolled over the course of 24 months at 8 investigational sites

Participant flow — Overall Study
MilestoneEnrolled and Treated Patients
Started78
12 month results77
Completed68
Not completed10
Withdrew: Early term withdrawal10

Outcome measures

PrimaryNumber of Lesions With Primary Patency

Rate of primary patency. Primary patency defined as: no evidence of clinically significant stenosis (≥50%) within the stent graft or immediately above or below the treated arterial segment based on duplex ultrasound (systolic velocity ratio of \>2.5).

Time frame:
6 Months
Reported as:
Count of units · Lesions
Number of Lesions With Primary Patency
LesionsEnrolled and Treated Patients
Number of Lesions With Primary Patency72
PrimaryNumber of Lesions With Any Major Adverse Event (MAE) at One Month Post-procedure

composite endpoint of death, CD-TVR, or major target limb amputation in all patients at One-month post procedure

Time frame:
One Month
Reported as:
Count of units · Lesions
Number of Lesions With Any Major Adverse Event (MAE) at One Month Post-procedure
LesionsEnrolled Cohort
MAE2
Free from MAE79
SecondaryNumber of Lesions With Each Major Adverse Event (MAE) at One Month Post-procedure

Outcome Measures of death, CD-TVR, or major target limb amputation as independent events one month post-procedure

Time frame:
One Month
Reported as:
Count of units · Lesions
Number of Lesions With Each Major Adverse Event (MAE) at One Month Post-procedure
LesionsEnrolled Cohort
Death0
CD-TVR2
Target Limb Amputation0
Free from MAE79
SecondaryPercentage of Lesions With Primary Patency at 12 Months Post-Procedure

Primary patency defined as: no evidence of clinically significant stenosis (≥50%) within the stent graft or immediately above or below the treated arterial segment based on duplex ultrasound (systolic velocity ratio of \>2.5).

Time frame:
12 Months
Reported as:
Mean · percentage of lesions
Percentage of Lesions With Primary Patency at 12 Months Post-Procedure
percentage of lesionsEnrolled Cohort
Percentage of Lesions With Primary Patency at 12 Months Post-Procedure81 ± 4
SecondaryMajor Adverse Vascular Event (MAVE) Rate

Major Adverse Vascular Events-stent graft thrombosis, target limb amputation, clinically apparent distal embolization with tissue loss, procedure-related arterial rupture, acute limb ischemia, and bleeding events requiring any transfusion. Major bleeding required blood transfusion \>2 units, and symptomatic deep vein thrombosis on ipsilateral limb

Time frame:
One Month
Reported as:
Count of units · Lesions
Major Adverse Vascular Event (MAVE) Rate
LesionsEnrolled Cohort
Stent thrombosis3
Clinically apparent distal embolization0
Procedure-related arterial rupture0
Acute limb ischemia0
Bleeding event requiring transfusion1
Free from MAVE77
Symptomatic Deep Vein Thrombosis on Ipsilateral Limb1
SecondaryNumber of Lesions With Symptomatic Deep Vein Thromboses in Target Limb

Rate of Symptomatic Deep Vein Thrombosis in target limb at one month time point.

Time frame:
One Month
Reported as:
Count of units · Lesions
Number of Lesions With Symptomatic Deep Vein Thromboses in Target Limb
LesionsEnrolled and Treated Patients
DVT in Target Limb1
Freedom from DVT in Target Limb80
SecondaryNumber of Major Adverse Events at the 12-Month Time Point

Number of occurrences of all cause death, CD-TVR, or major target limb amputation

Time frame:
12 Months
Reported as:
Number · Events
Number of Major Adverse Events at the 12-Month Time Point
EventsEnrolled Cohort
Death1
CD-TVR12
Target limb amputation0
Freedom from MAE66
SecondaryNumber of Major Adverse Events at the 3 Year Time Point

Number of occurrences of all cause death, CD-TVR, or major target limb amputation

Time frame:
3 Years
Reported as:
Number · Events
Number of Major Adverse Events at the 3 Year Time Point
EventsEnrolled Cohort
Death3
Target limb amputation1
CD-TVR27
SecondaryMajor Adverse Vascular Event (MAVE) Rate at 3 Years

Major Adverse Vascular Events-stent graft thrombosis, target limb amputation, clinically apparent distal embolization with tissue loss, procedure-related arterial rupture, acute limb ischemia, and bleeding events requiring any transfusion. Major bleeding required blood transfusion \>2 units, and symptomatic deep vein thrombosis on ipsilateral limb.

Time frame:
3 Years
Reported as:
Count of participants · Participants
Major Adverse Vascular Event (MAVE) Rate at 3 Years
ParticipantsEnrolled Cohort
Stent Graft Thrombosis (absence of TVR)15
Clinically Apparent Distal Embolization0
Procedure Related Arterial Rupture0
Acute Limb Ischemia0
Major Blood Loss Related to the PQ Bypass procedure requiring >2 units or packed RBC1
Symptomatic Deep Vein Thrombosis on Ipsilateral Limb2
SecondaryTechnical Success

Technical Success defined as successful delivery of the investigational devices to the identified area and removal of delivery system.

Time frame:
Index Procedure
Reported as:
Number · Lesions
Technical Success
LesionsEnrolled and Treated Patients
Technical Success79

Adverse events

Collected over Adverse Events were collected at each follow-up visit through 3 years.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Enrolled and Treated Patients3/78 (3.8%)14/78 (17.9%)65/78 (83.3%)
Most frequent serious events
Most frequent serious events
EventEnrolled and Treated Patients
Stent ThrombosisVascular disorders13/78
Clinically Driven Target Vessel Revascularization (CD-TVR)Surgical and medical procedures12/78
Deep Vein Thrombosis (DVT)Vascular disorders2/78
Bleeding event requiring transfusionSurgical and medical procedures1/78
Target Limb AmputationSurgical and medical procedures0/78
Clinically apparent distal embolizationVascular disorders0/78
Procedure-related arterial ruptureVascular disorders0/78
Acute limb ischemiaVascular disorders0/78
Most frequent other events
Showing 10 of 36
Most frequent other events
EventEnrolled and Treated Patients
Stent Graft thrombosisVascular disorders13/78
Stent Graft StenosisVascular disorders10/78
EdemaBlood and lymphatic system disorders7/78
Deep Vein ThrombosisVascular disorders4/78
RefluxVascular disorders4/78
PainGeneral disorders4/78
Access site hemorrhage or hematomaVascular disorders3/78
Drug ReactionInjury, poisoning and procedural complications3/78
FeverGeneral disorders3/78
Target Vessel Revascularization (TVR)Vascular disorders3/78

Baseline characteristics

Overall Number of Baseline Participants enrolled 78, and Overall Number of Lesions (units) analyzed 82.

Age, Continuous
Age, Continuous(years)Enrolled and Treated Patients
Mean65 ± 7
Sex: Female, Male
Sex: Female, Male(Participants)Enrolled and Treated Patients
Female13
Male65
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Enrolled and Treated Patients
Region of Enrollment
Region of Enrollment(Lesions)Enrolled and Treated Patients
New Zealand1
Latvia34
Poland36
Italy1
Chile7
Germany3
Hypertension
Hypertension(Participants)Enrolled and Treated Patients
Count of participants65
Diabetes mellitus
Diabetes mellitus(Participants)Enrolled and Treated Patients
Count of participants20
Hypercholesterolemia
Hypercholesterolemia(Participants)Enrolled and Treated Patients
Count of participants31
History of Coronary Artery Disease (CAD)
History of Coronary Artery Disease (CAD)(Participants)Enrolled and Treated Patients
Count of participants34

9 further baseline measures are reported on the registry.

08

Study locations

8 sites
  • Universidad Católica de Chile
    Santiago, Chile
  • University of Leipzig Medical Centre
    Leipzig, 04103, Germany
  • Ospedale San Raffaele
    Milan, 20132, Italy
  • Stradins University Hospital
    Riga, LV-1002, Latvia
  • Vascular Service
    Auckland, 1023, New Zealand
  • Gdansk Medical University
    Gdansk, Poland
  • Poznan University of Medical Sciences
    Poznan, 61-848, Poland
  • Institute of Haematology Medicine Indira Gandhi
    Warsaw, Poland
09

References and documents

Publications

  • Schneider PA, Krievins DK, Halena G, Schmidt A, Lyden S, Lee V, Hu M, Adelman M. Venous outcomes at 1 year after using the femoral vein as a conduit for passage of percutaneous femoropopliteal bypass. J Vasc Surg Venous Lymphat Disord. 2021 Sep;9(5):1266-1272.e3. doi: 10.1016/j.jvsv.2020.12.080. Epub 2021 Jan 8. PubMed 33429092 ↗
  • Krievins DK, Halena G, Scheinert D, Savlovskis J, Szopinski P, Kramer A, Ouriel K, Nair K, Holden A, Schmidt A. One-year results from the DETOUR I trial of the PQ Bypass DETOUR System for percutaneous femoropopliteal bypass. J Vasc Surg. 2020 Nov;72(5):1648-1658.e2. doi: 10.1016/j.jvs.2020.02.043. Epub 2020 Apr 8. PubMed 32276015 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02471638
Lead sponsor
Endologix
Responsible party
Sponsor
First posted
Jun 15, 2015
Start date
Jan 2015
Primary completion
Sep 2018
Completion
Jun 2020
Results posted
May 23, 2025
Last update
Jun 15, 2026

Study contacts

Dierk Scheinert, PhD
principal investigator · University of Leipzig

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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