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Comprehensive Limb Evaluation and Arterial Revascularization With Toe Pressure Optimization Registry

Key facts

Where
Bordeaux, FranceSee the site

Where in France

  • Centre hospitalier Universitaire de BordeauxBordeaux, FranceContact: Eric DUCASSE, MD, PhDNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

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Trial details

Who runs it
University Hospital, Bordeaux
Trial code
NCT07014072
Record updated
10 June 2025
Original description
To address the heterogeneity of practices, better understand the outcomes of cricital limb theatening ischemia (CLTI) patients after endovascular interventions, and recognize effective endovascular options for infrapopliteal artery revascularization in CLTI, our prospective registry aims to tackle the critical question of whether intensive toe pressure evaluation, guiding repeat revascularization using predetermined thresholds (<30 mmHg or decrease >10% from immediate postoperative assessment), could optimize outcomes in patients with CLTI.Read full original descriptionShow less

To address the heterogeneity of practices, better understand the outcomes of cricital limb theatening ischemia (CLTI) patients after endovascular interventions, and recognize effective endovascular options for infrapopliteal artery revascularization in CLTI, our prospective registry aims to tackle the critical question of whether intensive toe pressure evaluation, guiding repeat revascularization using predetermined thresholds (<30 mmHg or decrease >10% from immediate postoperative assessment), could optimize outcomes in patients with CLTI.

Inclusion: Age ≥ 18 years; Rutherford category 4 or 5; Wounds limited to toes or forefoot with a salvageable limb; Infrapopliteal lesions (infra-popliteal arteries) with >70% stenosis upon visual assessment during initial angiography.

Exclusion: Previous or planned major amputation of the target limb; Untreated aortoiliac/femoropopliteal stenotic disease limiting flow; History of infrapopliteal bypass on the target limb; Failure of percutaneous transluminal angioplasty of the target limb (technical failure); Absence of angiographic evidence of a patent artery below the ankle ("desert foot"); Lesions located inside or near an arterial aneurysm; Life expectancy < 1 year; Acute limb ischemia; Septicemia or bacteremia.

ClinicalTrials.gov NCT07014072