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Not yet recruitingNCT06260475Updated Feb 15, 2024

IUA Committee Research Project on the Management of TASC C and D Aortoiliac Lesions

An observational study in Aortoiliac Atherosclerosis, Aortoiliac Occlusive Disease and Aortoiliac Atherosclerosis With Gangrene, sponsored by Universidade do Porto. Not yet recruiting at 2 sites in Portugal. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-02-15.

Sponsored by Universidade do Porto · Observational

From the registry’s dates

  • Primary completion was expected by Aug 2024, 2 years 2 months ago, but the record still lists the study as not yet recruiting.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
500
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 15 studies in Peripheral Arterial Disease with a site in Portugal — 6 open to participants now, 7 under way, 1 of them phase 3. Peripheral Arterial Disease · Portugal.

Started
2024
with 1 other
Observational
4 of 15
2 open now
Registered
10th of 15
by date
Lead sponsor
2 of 15
Universidade do Porto

Among the 15 studies in Peripheral Arterial Disease with a site in Portugal, this one is one of 2 that started in 2024, is one of 4 observational ones, and was the 10th registered.

Peripheral Arterial Disease

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

This study's planned enrollment of 500 is above the median of 188 across 398 observational studies indexed under Peripheral Arterial Disease.

Browse Peripheral Arterial Disease studies →

Open to participants now

6 of the 15 studies in Peripheral Arterial Disease with a site in Portugal are open now.

All 6 open studies →

A study can be open while its sites in Portugal have not opened yet or have stopped. Only those recruiting at a site in Portugal →

Who these studies take

Of the 192 Peripheral Arterial Disease studies recruiting now, 138 (72%) set no upper age limit and 9 (5%) stop at 75 or younger; 13 take children under 18; 19 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →
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02

Study summary

This study aims to evaluate the clinical, imaging results of endovascular revascularization of the aorto-iliac sector in comparison with aortobifemoral bypass and the hybrid approach, in patients with atherosclerotic disease of the iliac sector classified as type C and D by the TransAtlantic Inter-Society Consensus (TASC II

Read the detailed description

Open surgery repair with Aortobifemoral Bypass (ABF) remains the gold standard revascularization technique in patients with lifestyle-limiting intermittent claudication (IC) and chronic limb-threatening ischemia due to extensive Aortoiliac Occlusive Disease (AIOD), particularly in Trans-Atlantic Inter-Society Consensus II (TASC-II) type D lesions

The ABF procedure has proven safe, effective, and durable, particularly considering its high long-term patency rates (85%-90% at five years and 75%-80% at ten years) despite its significant peri-operative associated morbidity (1). On the other hand, endovascular treatment (EVT) offers an attractive alternative with durable results (four- or 5-year primary and secondary patency rates ranged from 60% to 86% and 80% to 98%, respectively), especially in less extensive AIOD, while also providing less perioperative morbidity, making it generally preferable for patients with more severe comorbid conditions.

Thus, surgical approaches to extensive AIOD have changed considerably over the last years, primarily due to increased EVT, particularly with the uncovered aortoiliac stenting (AIS). While TASC II provides an anatomical framework to compare therapeutic techniques, the advancement of endovascular techniques has led to many trials suggesting that endovascular management of TASC II C and D lesions is a potential alternative treatment to open strategies. It is attractive for patients with high surgical risk, given the substantially less perioperative morbidity and mortality compared to ABF

This study aims to evaluate the clinical, imaging results of endovascular revascularization of the aorto-iliac sector in comparison with aortobifemoral bypass and the hybrid approach, in patients with atherosclerotic disease of the iliac sector classified as type C and D by the TransAtlantic Inter-Society Consensus (TASC II).

03

Conditions studied

  • Aortoiliac Atherosclerosis
  • Aortoiliac Occlusive Disease
  • Aortoiliac Atherosclerosis With Gangrene
  • Aortoiliac Atherosclerosis Without Gangrene
  • Aortoiliac Obstruction
  • Peripheral Arterial Disease
  • Peripheral Vascular Diseases

Keywords

  • peripheral artery disease;
  • aortobifemoral bypass;
  • aortoiliac stenting;
  • preoperative care;
04

Who can participate

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

Study population

Patients undergoing revascularization of the aorto-iliac sector for peripheral arterial disease at any of the center in study starting in January 2016 until December 2023.A consecutive sample will be prepared, containing all patients at the recruiting centers, fulfilling the following criteria

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

  • Patients with peripheral arterial/atherosclerotic disease of the aorto-iliac sector undergoing direct, hybrid or endovascular surgical correction with TransAtlantic Inter-Society Consensus (TASC II) type D classification(12).

    • Age >18 years old

Exclusion criteria

Exclusion Criteria:

  • Synchronous aortoiliac aneurysmatic/ectasic disease (aorta AP diameter >25 mm)
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
500 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients with symptomatic peripheral artery disease and aortoiliac obstrutive disease

    Chronic limb-threatening ischemia or claudicants due to extensive Aortoiliac Occlusive Disease (AIOD), particularly in Trans-Atlantic Inter-Society Consensus II (TASC-II) type C and D lesions

    Procedure: Aortobifemoral bypass · Procedure: aortoiliac stenting

Interventions

  • ProcedureAortobifemoral bypass

    Open surgery with aortic and iliac reconstruction

    Also known as: aortobiliac bypass

  • Procedureaortoiliac stenting

    Endovascular reconstruction of aortic and iliac arterial obstruction: Balloon angioplasty may be performed initially to dilate the narrowed segment of the iliac artery. Subsequently, a stent delivery system is advanced over the wire and positioned across the lesion. The stent is deployed under fluoroscopic guidance to expand and scaffold the diseased artery, restoring blood flow. Vascular - iliac dedicated Stent - any brand

    Also known as: Percutaneous transluminal aortoiliac stenting; Endovascular treatment of aortoiliac occlusive disease

06

What researchers measure

Primary outcomes

  1. Major Amputation

    Amputation above the ankle

    Time frame: through study completion, an average of 3 years

  2. Cardiovascular Death

    Death from cardiovascular disease

    Time frame: through study completion, an average of 3 years

  3. acute myorcardial infartion

    According to the 4th definition of Myocardial infarction

    Time frame: through study completion, an average of 3 years

Secondary outcomes

  1. Major Adverse Limb Events

    Amputation above the ankle, arterial thrombosis of the limb, binary restenosis

    Time frame: through study completion, an average of 3 years

  2. Major adverse cardiovascular events

    acute myocardial infarction; acute heart faillure, cardiovascular death, coronary reintervention

    Time frame: through study completion, an average of 3 years

  3. Death

    Diagnosed by a physician

    Time frame: through study completion, an average of 3 years

Other outcomes

  1. Intensive care unit instay

    Intensive care unit instay - days)

    Time frame: until 30 days

  2. acute kidney injury (AKI)

    AKI according to Riffle criteria

    Time frame: until 30 days

07

Study locations

2 sites
08

References and documents

Publications

  • Jongkind V, Akkersdijk GJ, Yeung KK, Wisselink W. A systematic review of endovascular treatment of extensive aortoiliac occlusive disease. J Vasc Surg. 2010 Nov;52(5):1376-83. doi: 10.1016/j.jvs.2010.04.080. PubMed 20598474 ↗
  • Groot Jebbink E, Holewijn S, Slump CH, Lardenoije JW, Reijnen MMPJ. Systematic Review of Results of Kissing Stents in the Treatment of Aortoiliac Occlusive Disease. Ann Vasc Surg. 2017 Jul;42:328-336. doi: 10.1016/j.avsg.2017.01.009. Epub 2017 Apr 6. PubMed 28390920 ↗

Individual participant data

Plan to share: No — The anonymity and confidentiality of participants will be safeguarded. The patient will be entered without any reference to their name. The participant number will correspond to the clinical information in a separate database, which will only be used for the proposed objective after supervision by the PI and Supervisor. For analysis purposes, the participant number will be deleted. All information entered in the database will be constant in the clinical process. The results may be published in a scientific journal and/or congress. Rules of Ethical Conduct and Good Practices will be observed to ensure compliance with the precepts of the Declaration of Helsinki, the Convention on Human Rights and Biomedicine, the guidelines of the Council for International Organizations of Medical Sciences and the Guide to Good Clinical Practices.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Mar 2024; primary completion for Aug 2024, 5 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 10, 2023
First posted
Feb 15, 2024
StartEst.
Mar 1, 2024
Primary completionEst.
Aug 31, 2024
CompletionEst.
Dec 31, 2024
Last update
Feb 15, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06260475
Collaborators
Clinical Centre of Serbia, University of Padova, University of Bari, University of Trieste, University of Nis, Centro Hospitalar de Vila Nova de Gaia/Espinho, Hospital Centre Hospitalar de Trás-os-Montes e Alto Douro, Centro Hospitalar do Porto
Responsible party
João Rocha Neves (Clinical Professor, Universidade do Porto) — Principal investigator
First posted
Feb 15, 2024
Start date
Mar 1, 2024 (estimated)
Primary completion
Aug 31, 2024 (estimated)
Completion
Dec 31, 2024 (estimated)
Last update
Feb 15, 2024

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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