An observational study in Peripheral Arterial Disease, sponsored by QualiMed Innovative Medizinprodukte GmbH. Not yet recruiting at 4 sites in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-04-05.
Sponsored by QualiMed Innovative Medizinprodukte GmbH · Observational
This study aims to evaluate the safety and performance of the QBX stent system in the treatment of PAD by reporting of peri- and postoperative complications, including major adverse vascular events (MAVE), Vascular Access Site Complications (VASCs) and bleeding at puncture site, and by evaluating the prevalence of Target Vessel Revascularization (TVR), amputations, procedural success, device performance, reduction in percentage diameter stenosis post-procedure compared to pre-procedure, artery patency, return to normal activity, Rutherford and Fontaine classification, quality of life (QoL), Ankle Brachial Index (ABI), and hospital- and patient-related costs in a prospectively maintained database.
1,542 studies on the registry are indexed under Peripheral Arterial Disease; 282 are open to participants now.
This study's planned enrollment of 100 is below the median of 190 across 410 observational studies indexed under Peripheral Arterial Disease.
Browse Peripheral Arterial Disease studies →QualiMed Innovative Medizinprodukte GmbH is the lead sponsor of 4 studies on the registry; 3 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Patients with PAD which are indicated to receive treatment with the QBX balloon-expandable stent and 5/6-French system through a femoral access with the aim to improve the vessel lumen diameter of target lesions (de novo and re-stenoses) in native peripheral arteries, e.g. external iliac artery (EIA), internal iliac artery (IIA), common iliac artery (CIA), superficial femoral artery (SFA) and deep femoral artery (DFA).
Exclusion Criteria:
Device: QBX (5F/6F) Peripheral Balloon Expandable Stent System
The QBX Stent System is a flexible, balloon expandable stent, made of a cobalt chromium alloy manufactured by QualiMed Innovative Medizinprodukte GmbH. The design is suitable for peripheral vessel diameters from 5 to 10 mm. The QBX Stent System is available as 6F and 5F variations where the 6F system is mounted on an 0.035" over-the-wire delivery system, and the 5F is mounted on an 0.018" over-the-wire delivery system. Both are available in a full range of diameters and lengths.
To evaluate the cumulative rate of MAVE.
MAVE is defined as: 1. Device- or procedure-related death; 2. Target Lesion Revascularization (TLR) at 12 months, defined as a repeated procedure (endovascular or open surgery) due to a problem arising from the lesion (+1 cm proximally and distally to include edge phenomena) initially treated; 3. Device-related distal embolization that required hospitalization and/or subsequent intervention.
Time frame: 12-months follow-up
Rate of subjects with Vascular Access Site Complications (VASCs) within the first 24h after the index-procedure
VASCs are defined as: * Hematoma/bleeding requiring transfusion * Arterial/venous occlusion/thrombosis * Severe vasospasm * Intimal injury/dissection * Pseudoaneurysm * Arteriovenous fistula * Vascular perforation or rupture * Arterial embolization distal to treatment site * Neuropathy * Retroperitoneal hematoma
Time frame: 24 hours
Intra-operative complication rate.
Time frame: Index-procedure
Post-operative complication rate.
Time frame: 12-months follow-up
Intra-operative absence of bleeding at puncture site.
Time frame: Index-procedure
Re-occlusion rate.
Re-occlusion is defined as complete occlusion of the target lesion initially treated.
Time frame: 12-months follow-up
Target Vessel Revascularization (TVR) rate.
TVR is defined as a procedure (endovascular or open surgical) due to a problem arising in the target vessel remote from the target lesion(s) initially treated.
Time frame: 12-months follow-up
Amputation rate
Minor (below the ankle) and major (above the ankle) amputation rate at 12 months will be assessed. Major amputation rates must be reported as below-the-knee and above-the-knee amputations.
Time frame: 12-months follow-up
Procedural success.
Procedural success is defined as a combination of technical success, device success and absence of procedural complications.
Time frame: Index-procedure
Technical success
Technical success is defined as successful vascular access and completion of the endovascular procedure and immediate morphological success with less than 30% residual diameter reduction of the treated lesion on completion angiography.
Time frame: Index-procedure
Device success.
Device success is defined as exact deployment of the device according to the instructions for use.
Time frame: Index-procedure
Device performance.
Scored using the following components and a dedicated Scoring System (1: Very good, 2: Good, 3: Sufficient, Poor: 4): * Insertion through introducer sheath * Tracking to target site over guidewire * Crossability through of the lesion * Catheter pushability * Catheter shaft kink resistance * Stent radiopacity * Inflation time to Nominal diameter * Deflation time * Stent apposition * General usability of the QBX device
Time frame: Index-procedure
Reduction in percentage diameter stenosis post-procedure compared to pre-procedure.
Assessed via CT angio.
Time frame: Index-procedure
Artery patency.
A duplex ultrasound will be performed to evaluate artery patency. If reliable duplex ultrasound assessment of artery patency is not possible, ABI is a good indication of patency. If ABI is abnormal and the patient is experiencing symptoms, a CT angio or other imaging module might be performed according to standard of care.
Time frame: 1-month follow-up
Artery patency.
A duplex ultrasound will be performed to evaluate artery patency. If reliable duplex ultrasound assessment of artery patency is not possible, ABI is a good indication of patency. If ABI is abnormal and the patient is experiencing symptoms, a CT angio or other imaging module might be performed according to standard of care.
Time frame: 6-months follow-up
Artery patency.
A duplex ultrasound will be performed to evaluate artery patency. If reliable duplex ultrasound assessment of artery patency is not possible, ABI is a good indication of patency. If ABI is abnormal and the patient is experiencing symptoms, a CT angio or other imaging module might be performed according to standard of care.
Time frame: 12-months follow-up
Return to normal activity.
The number of days until return to normal activities will be assessed.
Time frame: 1-month follow-up
Distribution of Rutherford classes during follow-up as compared to baseline.
The percentage of patients with Rutherford classes 0 to 6 will be determined.
Time frame: 1-month follow-up
Distribution of Rutherford classes during follow-up as compared to baseline.
The percentage of patients with Rutherford classes 0 to 6 will be determined.
Time frame: 6-months follow-up
Distribution of Rutherford classes during follow-up as compared to baseline.
The percentage of patients with Rutherford classes 0 to 6 will be determined.
Time frame: 12-months follow-up
Distribution of Fontaine stages during follow-up as compared to baseline.
The percentage of patients with Fontaine stages I to IV will be determined.
Time frame: 1-month follow-up
Distribution of Fontaine stages during follow-up as compared to baseline.
The percentage of patients with Fontaine stages I to IV will be determined.
Time frame: 6-months follow-up
Distribution of Fontaine stages during follow-up as compared to baseline.
The percentage of patients with Fontaine stages I to IV will be determined.
Time frame: 12-months follow-up
Primary sustained clinical improvement at 12 months.
Primary sustained clinical improvement is defined as sustained upward shift of at least one category on the Rutherford/Fontaine classification without the need for repeated TLR in surviving patients.
Time frame: 12-months follow-up
Secondary sustained clinical improvement at 12 months.
Secondary sustained clinical improvement is defined as sustained upward shift of at least one category on the Rutherford/Fontaine classification including the need for repeated TLR in surviving patients.
Time frame: 12-months follow-up
Improvement in disease-related health status, functioning and quality of life at follow-up as compared to baseline.
This is scored by the Walking Impairment Questionnaire and EQ-5D questionnaire.
Time frame: 1-month follow-up
Improvement in disease-related health status, functioning and quality of life at follow-up as compared to baseline.
This is scored by the Walking Impairment Questionnaire and EQ-5D questionnaire.
Time frame: 6-months follow-up
Improvement in disease-related health status, functioning and quality of life at follow-up as compared to baseline.
This is scored by the Walking Impairment Questionnaire and EQ-5D questionnaire.
Time frame: 12-months follow-up
Ankle Brachial Index (ABI) during follow-up as compared to baseline.
Time frame: 1-month follow-up
Ankle Brachial Index (ABI) during follow-up as compared to baseline.
Time frame: 6-months follow-up
Ankle Brachial Index (ABI) during follow-up as compared to baseline.
Time frame: 12-months follow-up
Occurrence of prolonged hospitalization compared to local standard of care (SOC).
When the patient leaves the hospital after the procedure.
Time frame: Immediately after the procedure
Time taken off from work for the procedure
Consists of: * Initial sick leave after the surgery * Additional sick leave * Leave taken by friends/relatives for patient care
Time frame: 1-month follow-up
This study is not yet recruiting, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.
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QualiMed Innovative Medizinprodukte GmbH