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Status unknownNCT04461717FLOW-GuardUpdated Sep 2, 2020

Micronet Covered Stent in in Arterial Locations Beyond the Carotid Bifurcation - FLOW-Guard Study

An observational study in Peripheral Vascular Diseases, sponsored by John Paul II Hospital, Krakow. Status unknown at 1 site in Poland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-09-02.

Sponsored by John Paul II Hospital, Krakow · Observational

The sponsor has not verified this record recently (last verified Aug 2020), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
50
Ages
18 Years and older
Sex
All
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Study summary

Prospective observational study of MicroNet covered stent implantation in the elevated risk peripheral lesions (high lesion load, thrombus containing, highly calcified).

Open-label, non randomized, single arm observational study. Jagiellonian University Medical College research project.

Read the detailed description

Peripheral artery stents in routine use (both balloon expandable and self-expendable) do not sufficiently prevent distal embolization. They might induce a "cheese-grater" effect - a consequence of their single layer design with uncovered space between stent struts.

Aim of the study is to evaluate short and long term safety and efficacy of MicroNet covered stent implantation in the high risk lesions beyond the carotid bifurcation. Treatment eligibility will be evaluated by a Vascular Team process (angiologist, vascular surgeon, cardiologist). Optimal pharmacotherapy will be administered according to the current guidelines.

Symptomatic and asymptomatic patients with peripheral artery disease requiring endovascular treatment for high risk stenosis (soft plaque, highly calcific plaque) per Vascular Team assessment.

A group of 30-50 consecutive patients meeting inclusion and exclusion criteria will be enrolled.

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Conditions studied

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In context

Vascular Diseases

1,027 studies on the registry are indexed under Vascular Diseases; 167 are open to participants now.

This study's planned enrollment of 50 is below the median of 200 across 301 observational studies indexed under Vascular Diseases.

Browse Vascular Diseases studies →

Lead sponsor

John Paul II Hospital, Krakow is the lead sponsor of 15 studies on the registry; 6 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with peripheral artery stenosis evaluated by Vascular Team with endovascular treatment recommendation and high risk morphology plaque

Eligibility criteria

General

Inclusion Criteria:

  • Patients older than 18 years, eligible for peripheral artery stenting after Vascular Team evaluation, according to local standards
  • Written, informed consent to participate
  • Agreement to attend protocol required (standard) follow up visits and examinations

Exclusion Criteria:

  • Life expectancy \<1 year (e.g. active neoplastic disease).
  • Chronic kidney disease with creatinine > 3.0 mg/dL.
  • Myocardial infarction in 72 hours proceeding the stenting procedure (if possible, postponing the procedure)
  • Pregnancy (positive pregnancy test)
  • Coagulopathy.
  • History of uncontrolled contrast media intolerance

Angiographic

Inclusion Criteria:

  • De novo lesion in major arteries or grafts connecting arteries
  • Stenosis eligible for endovascular treatment per Vascular Team evaluation (according to current standards and guidelines)
  • High risk morphology stenosis (per 2 independent, experienced operators)

Exclusion Criteria:

  • Chronic total occlusion not amenable to re-canalization
  • Stent in the target vessel/lesion
  • Anatomic variants precluding stent implantation
  • Mobile (free-floating) plaque elements in aorta or arteries proximal to target lesion
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
50 participants (estimated)
Patient registry
No

Groups and cohorts

  • MicroNet covered stenting (interventional)

    MicroNet covered stent implantation for increased risk arterial lesions beyond the carotid bifurcation

    Device: MicroNet covered stent implantation in the increased risk arterial lesions beyond the carotid bifurcation

Interventions

  • DeviceMicroNet covered stent implantation in the increased risk arterial lesions beyond the carotid bifurcation

    Implantation of the MicroNet covered stent in the increased risk arterial lesions beyond the carotid bifurcation as per Vascular Team recommendation

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What researchers measure

Primary outcomes

  1. Rate of procedural success

    Procedural success, defined as technical success (successful delivery and implantation of the stent) AND residual stenosis ≤ 30% of vessel lumen diameter AND clinical success (no peri-procedural complications)

    Time frame: Up to 48 hours after procedure or until hospital discharge, whichever came first.

Secondary outcomes

  1. Number of In-hospital MACNE (Major Adverse Cardiovascular or Neurological Events)

    In-hospital MACNE (death, stroke, myocardial infarction, acute limb or target organ ischemia)

    Time frame: Up to 48 hours after procedure or until hospital discharge, whichever came first.

  2. Number of MACNE at 30 days

    MACNE at 30 days (death, stroke, myocardial infarction, acute limb or target organ ischemia)

    Time frame: At 30 days after procedure

  3. Number of MACNE at 6 months

    MACNE at 6 months (death, stroke, myocardial infarction, acute limb or target organ ischemia)

    Time frame: At 6 months after procedure

  4. Rate of peri-procedural complications

    Any peri-procedural complications until 48 hrs

    Time frame: Up to 48 hours after procedure

  5. Duplex Ultrasound Peak Systolic Velocity (PSV) and End Diastolic Velocity (EDV) in the stented segment at discharge

    Peak Systolic Velocity (PSV) and End Diastolic Velocity (EDV) on ultrasound evaluation of the stented segment (if accessible)

    Time frame: 24 hours after procedure

  6. Duplex Ultrasound Peak Systolic Velocity (PSV) and End Diastolic Velocity (EDV) in the stented segment at 6 months

    Peak Systolic Velocity (PSV) and End Diastolic Velocity (EDV) on ultrasound evaluation of the stented segment (if accessible)

    Time frame: At 6 months after procedure

  7. Duplex Ultrasound Peak Systolic Velocity (PSV) and End Diastolic Velocity (EDV) in target vessel at 12 months

    Peak Systolic Velocity (PSV) and End Diastolic Velocity (EDV) on ultrasound evaluation of the stented segment (if accessible)

    Time frame: At 12 months after procedure

  8. Vessel patency in CT angiography at 6 months

    Vessel patency in CT angiography (if not contraindicated) at 6 months

    Time frame: At 6 months after procedure

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Study locations

1 of 1 sites recruiting
  • Department of Cardiac and Vascular Diseases, The John Paul II Hospital
    Kraków, Maloplska 31-202, Poland
    Recruiting
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 2, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04461717
Lead sponsor
John Paul II Hospital, Krakow
Responsible party
Sponsor
First posted
Jul 8, 2020
Start date
Feb 27, 2020
Primary completion
Feb 28, 2021 (estimated)
Completion
Feb 28, 2021 (estimated)
Last update
Sep 2, 2020

Study contacts

Piotr Musialek, MD, DPhil
Contact
p.musialek@szpitaljp2.krakow.pl
+48126142287
Piotr Musialek, MD, DPhil
principal investigator · John Paul II Hospital, Krakow

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Aug 2020. You cannot join it, but the record below documents what was studied.

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