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D007511: Ischemia

Developed by Shray Alag, The Harker School
Sections: Correlations, Clinical Trials, and HPO

Correlations computed by analyzing all clinical trials.

Navigate: Clinical Trials and HPO


Correlated Drug Terms (31)


Name (Synonyms) Correlation
drug229 Ad5FGF-4 Wiki 0.35
drug166 AVP 4 Wiki 0.35
drug167 AVP I Wiki 0.35
Name (Synonyms) Correlation
drug4768 Xpert Pro stent Wiki 0.35
drug3074 Pacel BPC Wiki 0.35
drug3133 Percutaneous Transluminal Angioplasty (PTA) Device Wiki 0.35
drug3851 Saline placebo Wiki 0.35
drug2679 Motivational social support from nurse with additional support from significant other Wiki 0.35
drug3075 Pacel FDPC Wiki 0.35
drug2082 Immunfluorescence Wiki 0.35
drug788 COVID 19 impact Wiki 0.35
drug424 Attention control Wiki 0.35
drug311 Angiography Wiki 0.35
drug2678 Motivational social support from nurse Wiki 0.35
drug3466 QFR Wiki 0.35
drug4319 Telemedicine visit Wiki 0.35
drug2538 Mechanical Trombectomy Wiki 0.35
drug2081 Immune response study Wiki 0.35
drug1431 ESPRIT™ BTK Device Wiki 0.35
drug197 Absolute Pro LL stent Wiki 0.35
drug4343 Temsirolimus Wiki 0.35
drug3376 PressureWire X Wiki 0.35
drug4184 Supera 7.5 OD stent Wiki 0.35
drug2488 MULTI-LINK 8 SV stent Wiki 0.35
drug2487 MULTI-LINK 8 LL stent Wiki 0.35
drug4764 XIENCE PRIME BTK stent Wiki 0.35
drug2489 MULTI-LINK 8 stent Wiki 0.35
drug168 AVP II Wiki 0.35
drug2099 In-person postoperative visit Wiki 0.35
drug554 Baricitinib Wiki 0.12
drug3195 Placebo Wiki 0.01

Correlated MeSH Terms (13)


Name (Synonyms) Correlation
D003324 Coronary Artery Disease NIH 0.47
D023921 Coronary Stenosis NIH 0.35
D023903 Coronary Restenosis NIH 0.35
Name (Synonyms) Correlation
D060050 Angina, Stable NIH 0.35
D009203 Myocardial Ischemia NIH 0.30
D000787 Angina Pectoris NIH 0.25
D006331 Heart Diseases NIH 0.18
D058729 Peripheral Arterial Disease NIH 0.18
D003327 Coronary Disease NIH 0.13
D007238 Infarction NIH 0.10
D020521 Stroke NIH 0.09
D004617 Embolism NIH 0.08
D004630 Emergencies NIH 0.06

Correlated HPO Terms (6)


Name (Synonyms) Correlation
HP:0001677 Coronary artery atherosclerosis HPO 0.47
HP:0005145 Coronary artery stenosis HPO 0.35
HP:0001658 Myocardial infarction HPO 0.30
Name (Synonyms) Correlation
HP:0001681 Angina pectoris HPO 0.25
HP:0004950 Peripheral arterial stenosis HPO 0.13
HP:0001297 Stroke HPO 0.09

Clinical Trials

Navigate: Correlations   HPO

There are 8 clinical trials


1 A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Multicenter, Phase 3 Study to Evaluate the Safety and Efficacy of Ad5FGF-4 in Patients With Refractory Angina Due to Myocardial Ischemia

The purpose of this study is to determine whether a single intracoronary infusion of an adenovirus serotype 5 virus expressing the gene for human fibroblast growth factor-4 (Ad5FGF-4) is effective in improving angina-limited exercise duration, angina functional class, frequency of angina attacks, frequency of nitroglycerin usage, and quality of life. Half of the study participants will receive Ad5FGF-4, and half will receive placebo. The primary endpoint is the change from baseline to Month 6 in Exercise Tolerance Test (ETT) duration. Long-term safety of Ad5FGF-4 will also be assessed.

NCT02928094
Conditions
  1. Angina, Stable
Interventions
  1. Biological: Ad5FGF-4
  2. Biological: Placebo
MeSH:Angina Pectoris Myocardial Ischemia Coronary Artery Disease Angina, Stable Ischemia
HPO:Angina pectoris Coronary artery atherosclerosis Myocardial infarction

Primary Outcomes

Description: Modified Bruce Protocol with exercise duration limited by angina or angina equivalent

Measure: Change in Exercise Tolerance Test (ETT) duration

Time: Baseline and Month 6

Secondary Outcomes

Description: Canadian Cardiovascular Society (CCS) angina classification

Measure: Change in patient functional status (CCS class)

Time: Baseline and Month 6

Description: Average weekly angina episodes

Measure: Change in weekly angina frequency

Time: Baseline and Month 6

Description: Average weekly nitroglycerin usage

Measure: Change in weekly nitroglycerin usage

Time: Baseline and Month 6

Description: Seattle Angina Questionnaire

Measure: Change in quality of life

Time: Baseline and Month 6

Description: Adverse events and clinical laboratory testing

Measure: Safety of Ad5FGF-4

Time: Through Month 6

Description: Occurrence of clinically significant events

Measure: Long-term safety of Ad5FGF-4

Time: Through Month 60
2 Comparison of Quantitative Flow Ratio Guided and Angiography Guided Percutaneous InterVention in Patients With cORonary Artery Disease (The FAVOR III China Study)

The overall purpose of the FAVOR III China trial is to investigate if a strategy of quantitative flow ratio (QFR)-guided percutaneous coronary intervention (PCI) yields superior clinical outcome and cost-effectiveness compared to a strategy of standard coronary angiography-guided PCI in evaluation of patients with coronary artery disease.

NCT03656848
Conditions
  1. Coronary Artery Disease
  2. Myocardial Ischaemia
  3. Coronary Circulation
  4. Coronary Stenosis
  5. Percutaneous Coronary Intervention
Interventions
  1. Diagnostic Test: QFR
  2. Diagnostic Test: Angiography
MeSH:Coronary Artery Disease Myocardial Ischemia Coronary Disease Coronary Stenosis Ischemia
HPO:Coronary artery atherosclerosis Coronary artery stenosis Myocardial infarction

Primary Outcomes

Description: A composite of all-cause mortality, any myocardial infarction and any ischemia-driven revascularization

Measure: MACE

Time: 1 year

Secondary Outcomes

Description: all-cause mortality, any spontaneous myocardial infarction and any ischemia-driven revascularization

Measure: MACE excluding peri-procedural MI (Major secondary endpoint)

Time: 1 year

Description: Cardiovascular, non-cardiovascular and undetermined death

Measure: Death

Time: 1 month, 6 months, 1 year, 2 years and 3 years

Description: Target vessel related and non-target vessel related MI

Measure: MI

Time: 1 month, 6 months, 1 year, 2 years and 3 years

Description: The ischemia driven and non-ischemia driven TVR

Measure: Target vessel revascularization (TVR)

Time: 1 month, 6 months, 1 year, 2 years and 3 years

Description: The The ischemia driven and non-ischemia driven Revascularization

Measure: Any coronary artery revascularization

Time: 1 month, 6 months, 1 year, 2 years and 3 years

Description: Definite and probable stent thrombosis during acute, sub-acute, late, and very late phase according to the Academic Research Consortium (ARC)-2

Measure: Definite or probable stent thrombosis

Time: 1 month, 6 months, 1 year, 2 years and 3 years

Description: PCI strategy changes following QFR and three-dimension quantitative coronary angiography (3D-QCA)

Measure: The PCI strategy changes based on the QFR and 3D-QCA

Time: During the procedure

Description: Costs include direct clinical costs during the initial hospitalization and other resources used, main cardiovascular medication expenses, and outpatient and/or hospitalization expenses associated with MACE.

Measure: Cost during 1-year follow-up

Time: 1 month, 6 months, 1 year

Description: QALYs determined using EuroQol five dimensions questionnaire (EQ-5D) in official Chinese version, to assess the quality of life.

Measure: Quality-adjusted-life-years (QALYs) index

Time: 1 month, 6 months, 1 year
3 A Randomized Controlled Trial to Reduce Hopelessness Through Enhanced Physical Activity in Adults With Ischemic Heart Disease

After a 30-year decline, heart disease is projected to increase up to 18% by 2030. Participation rates in cardiac rehabilitation remain extremely low and hopeless individuals are less likely to participate. This innovative study has the potential to advance science, improve patient care, and improve patient outcomes by demonstrating the effectiveness of the Heart Up! program to increase physical activity and reduce hopelessness in patients with heart disease. Hopelessness is associated with a 3.4 times increased risk of mortality or nonfatal myocardial infarction in patients with ischemic heart disease (IHD), independent of depression. Hopelessness has been identified in 27-52% of patients with IHD and can persist for up to 12 months after hospital discharge. Hopelessness, a negative outlook and sense of helplessness toward the future, can be a temporary response to an event (state) or a habitual outlook (trait). Hopelessness is associated with decreased physical functioning and lower physical activity (PA) levels in individuals with IHD. While research has investigated strategies to increase PA among IHD patients in general, the study team is the only group to design an intervention to promote PA specifically in hopeless IHD patients. The purpose of this randomized controlled trial is to establish the effectiveness of our 6-week mHealth intervention (Heart Up!) to promote increased PA in hopeless patients with IHD. A total of 225 hopeless IHD patients will be enrolled from a large community teaching hospital in the Midwest. Patients will be randomized (75 per group) to one of three groups: 1) motivational social support (MSS) from a nurse, 2) MSS from a nurse with additional significant other support (SOS), or 3) attention control (AC). It is hypothesized that 1) The MSS with SOS group will have the greatest increase in average minutes of moderate to vigorous PA per day at 8 and 24 weeks as compared to the MSS only or AC groups; 2) Greater increase in minutes of moderate to vigorous PA per day will be associated with decreased state hopelessness levels from baseline to weeks 8 and 24; and 3) Increased social support and increased motivation will mediate the effects of Heart Up! on a greater increase in moderate to vigorous PA at 8 and 24 weeks. The findings from this study could transform care for IHD patients who are hopeless by promoting self-management of important PA goals that can contribute to better health outcomes.

NCT03907891
Conditions
  1. Ischemic Heart Disease
  2. Hopelessness
  3. Physical Activity
  4. Motivation
  5. Social Support
  6. Covid19
Interventions
  1. Behavioral: Motivational social support from nurse
  2. Behavioral: Motivational social support from nurse with additional support from significant other
  3. Behavioral: Attention control
MeSH:Heart Diseases Myocardial Ischemia Coronary Artery Disease Ischemia
HPO:Coronary artery atherosclerosis Myocardial infarction

Primary Outcomes

Description: Mean minutes/day moderate to vigorous physical activity

Measure: ActiGraph GT9X Link Accelerometer

Time: Month 12

Description: Participant's report of current level of state hopelessness. Total score range= 1 (better) to 4 (worse).

Measure: State-Trait Hopelessness Scale

Time: Month 12

Secondary Outcomes

Description: Participant's report of exercise self-regulation level. Total score range= 1 (worse) to 7 (better).

Measure: Exercise Self-Regulation Questionnaire

Time: Month 12

Description: Participant's report of perceived social support level. Total score range= 1 (worse) to 30 (better).

Measure: ENRICHD Social Support Inventory

Time: Month 12

Other Outcomes

Description: Comorbidity score based on medical record abstraction. Total score range= 0 (better) to 100 (worse).

Measure: Charlson Comorbidity Index

Time: Week 1

Description: Participant's report of participation level with exercise in home, community or cardiac rehabilitation program

Measure: Cardiac Rehabilitation Exercise Participation Tool

Time: Month 12

Description: Participant's report of mean level of depressive symptoms. Total score range= 0 (better) to 27 (worse).

Measure: Patient Health Questionnaire-9

Time: Month 12

Description: Participant's report of mean level of well-being. Total score range= 4 (better) to 20 (worse).

Measure: PROMIS-29

Time: Month 12

Description: Participant's report of mean level state and trait hope. Total score range= 8 (worse) to 64 (better).

Measure: Snyder State Trait Scales

Time: Month 12

Description: Participant's report of mean level of quality of life. Total score range= 1 (better) to 5 (worse).

Measure: EuroQol (EQ-5d-5L)

Time: Month 12

Description: Participant's report of COVID-19 symptoms, diagnosis, testing, and social distancing. No score range (14 items).

Measure: Multi-Ethnic Study of Atherosclerosis (MESA) COVID-19 Questionnaire

Time: Month 12

Description: Participant's report of impact on routine; income/ employment; access to food, medical and mental health care, extended family; and stress. No range (12 items)

Measure: Coronavirus Impact Scale

Time: Month 12
4 LIFE-BTK (pivotaL Investigation of saFety and Efficacy of BRS Treatment-Below The Knee) Randomized Controlled Trial

Pre-market clinical evaluation of the everolimus eluting ESPRIT™ BTK System for the planned treatment of narrowed infrapopliteal lesions.

NCT04227899
Conditions
  1. Critical Limb Ischemia (CLI)
Interventions
  1. Device: ESPRIT™ BTK Device
  2. Device: Percutaneous Transluminal Angioplasty (PTA) Device
MeSH:Ischemia

Primary Outcomes

Description: It includes freedom from: above ankle amputation in index limb, 100% total occlusion of target vessel and clinically-driven target lesion revascularization (CD-TLR).

Measure: Composite of Limb Salvage and Primary Patency at 6 Months

Time: At 6 months

Description: MALE includes above ankle amputation in index limb, major re-intervention at 6 months and POD includes perioperative (30 day) mortality.

Measure: Freedom from MALE+POD (Major Adverse Limb Event + Peri-Operative Death)

Time: At 30 days (for POD) and 6 months (for MALE)

Secondary Outcomes

Description: Successful target lesion treatment is defined as final diameter stenosis < 30% with final number of run-off vessels equivalent to or greater than number of run-off vessels at pre-procedure, with no residual dissection NHLBI grade ≥ type C, and no transient or sustained angiographic complications (e.g. distal embolization, perforation, thrombosis). Achieved using balloons plus ESPRIT BTK in the treatment arm and balloons in the control arm. This is defined on a per lesion basis.

Measure: Number of Participants with Acute Procedure Success

Time: Immediately after the procedure

Description: Device success is defined on a per device basis, as the achievement of successful delivery and deployment of the study device(s) at the intended target lesion and successful withdrawal of the delivery catheter.

Measure: Number of Participants with Device Success

Time: During the procedure

Description: Technical success is defined on a per lesion basis as the attainment of a final residual stenosis of < 30% at the intended target lesion(s) following use of the study device(s). Standard pre-dilatation catheters and post-dilatation catheters (if applicable) may be used. Bailout at lesion level does not impact technical success if the above criteria are met.

Measure: Number of Participants with Technical Success

Time: During the procedure

Description: Clinical success is defined on a per patient basis, as the attainment of a final residual stenosis of < 30% using the study device(s) and/or any adjunctive device at all intended target lesion(s) without complications within 2 days after the index procedure or at hospital discharge, whichever is sooner.

Measure: Number of Participants with Clinical Success

Time: Within 2 days after the index procedure or at hospital discharge

Description: Acute gain is defined as the difference between post- and preprocedural minimal lumen diameter (MLD).

Measure: Number of Participants with Angiographic acute gain (in-segment)

Time: Immediately after the procedure

Description: Acute gain is defined as the difference between post- and preprocedural minimal lumen diameter (MLD). Angiographic acute gain (in-device) will be assessed for ESPRIT arm only

Measure: Number of Participants with Angiographic acute gain (in-device)

Time: Immediately after the procedure

Description: Composite of Limb Salvage and Primary Patency includes freedom from: above ankle amputation in index limb, 100% total occlusion of target vessel and clinically-driven target lesion revascularization (CD-TLR).

Measure: Composite of Limb Salvage and Primary Patency

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Description: MALE includes above ankle amputation in index limb, major re-interventions at 1 month, 3 months, 6 months, 1 year and annually through 5 years, and POD includes perioperative (30 day) mortality.

Measure: Freedom From MALE+POD (Major Adverse Limb Event + Peri-Operative Death)

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Measure: Freedom From Major Amputation and Clinically-driven Target Lesion Revascularization (CD-TLR)

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Measure: Freedom From Above Ankle Amputation

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Description: Freedom from re-narrowing of the artery following the alleviation of a previous narrowing. It is defined as the presence of a hemodynamically significant restenosis (≥ 50%), as determined by angiography.

Measure: Freedom From Restenosis

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Measure: Number of Amputation-free Survival

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Description: All-cause Death composed of cardiac death, vascular death and non-cardiovascular death

Measure: Number of All-cause Death

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Description: Arterial thrombosis is defined as a total occlusion documented by duplex ultrasound and/or angiography at the site of the treated lesion with or without symptoms. Acute thrombosis: 0 - 24 hours post study procedure Subacute thrombosis: > 24 hours - 30 days post study procedure Late thrombosis: 31 days - 1 year post-procedure Very late thrombosis: > 1 year post-procedure Thrombosis should be reported as a cumulative value at the different time points and with the different separate time points. Time 0 is defined as the time point after the arterial sheath has been removed and the subject has left the interventional lab.

Measure: Number of Participants with Arterial Thrombosis

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Description: Major Limb Re-interventions includes the creation of a new bypass graft, bypass graft revision, the use of thrombectomy or thrombolysis, or revascularization

Measure: Number of Participants with Major Re-intervention on index limb

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Description: Primary assisted patency is defined as patency of the target lesion following endovascular reintervention at the target vessel site in case of symptomatic restenosis

Measure: Primary Assisted Patency

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Description: Secondary patency is defined as patency of the target lesion after treatment of a (re)occlusion of the index lesion

Measure: Secondary Patency

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Description: CD-TLR is the repeat intervention on the target lesion due to recurrent symptoms AND stenosis > 70% by angiography

Measure: Number of Participants with Clinically-driven Target Lesion Revascularization (CD-TLR)

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Measure: Number of Participants with Clinically-driven Target Vessel Revascularization (CD-TVR)

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Measure: Number of Participants with Clinically-driven Target Vessel Revascularization Distal to the Target Lesion

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Measure: Number of Participants with Clinically-driven Target Vessel Revascularization Proximal to the Target Lesion

Time: At 1 month, 3 months, 6 months, 1 year and annually through 5 years

Description: Wound assessment will be performed to determine whether the wound is improving (i.e. healing), not changing, or worsening.

Measure: Target Wound Assessment for Healing

Time: At 14 days, 30 days, 42 days and 90 days

Description: Wound Assessment for Infection will be performed to determine the clinical indication of the presence or absence of infection.

Measure: Target Wound Assessment for Infection

Time: At 14 days, 30 days, 42 days and 90 days

Description: The Rutherford Becker scale is a classification system for claudication and limb ischemia. Categories and Clinical Description: Category 0 = Asymptomatic, no hemodynamically significant occlusive disease Grade I (Category 1 = Mild claudication, Category 2 = Moderate claudication, Category 3 = Severe claudication) Grade II (Category 4 = Ischemic rest pain) Grade III (Category 5 = Minor tissue loss, non-healing ulcer, or focal gangrene with diffuse pedal ischemia, Category 6 = Major tissue loss, extending above transmetatarsal level, functional foot no longer salvageable).

Measure: Measurement of subject's Rutherford Becker Clinical Category, and change from baseline for the treated limb

Time: At baseline,1 month, 3 months, 6 months, 1 year and annually through 5 years
5 Endovascular Thrombectomy in COVID-19 Infected Patients: Intrahospital and Peri-operative Outcomes

About 5% of COVID-19 patients may present symptoms related to acute ischemic stroke (AIS). Treatment-management and outcomes related to mechanical thrombectomy (MT) for COVID-19 infected patients harboring large vessel occlusion is largely unknown. This multicentric study aims to investigate morbidity, mortality and neurological outcomes after MT performed in patients with COVID-19 infection.

NCT04406090
Conditions
  1. Ischemic Stroke
  2. Covid 19
Interventions
  1. Other: Mechanical Trombectomy
MeSH:Stroke Ischemia
HPO:Stroke

Primary Outcomes

Description: Intrahospital mortality after MT for COVID-19 infected patients harboring large vessel occlusion

Measure: Intrahospital mortality

Time: 1day

Description: short-term morbidity after MT for COVID-19 infected patients harboring large vessel occlusion

Measure: short-term morbidity

Time: 1 day

Secondary Outcomes

Description: Angiographic success after MT for COVID-19 infected patients harboring large vessel occlusion

Measure: Angiographic success

Time: 1 day
6 Temsirolimus Adventitial Delivery to Improve ANGioplasty and/or Atherectomy Revascularization Outcomes Below the Knee: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Effect of Temsirolimus Perivascular Injection 0.1 mg/mL on the Incidence of Ischemia-Driven Major Amputation, Clinically Driven Target Lesion Revascularization, and Clinically Relevant Target Lesion Occlusion After Revascularization of Lesions Below the Knee in Patients With Symptomatic Rutherford 3-5 Peripheral Artery Disease

A multicenter, randomized, double-blind, placebo-controlled trial to evaluate the effect of Temsirolimus Perivascular Injection 0.1 mg/mL on the incidence of ischemia-driven major amputation, clinically driven target lesion revascularization, and clinically relevant target lesion occlusion after revascularization of lesions below the knee in patients with symptomatic Rutherford 3-5 peripheral artery disease. The primary safety endpoint will be gathered at 1-month post-index procedure. The primary efficacy endpoint will be gathered at 6 months post-index procedure. Participants will be followed for up to 5 years post-index procedure.

NCT04433572
Conditions
  1. Peripheral Artery Disease
  2. Critical Limb Ischemia
Interventions
  1. Drug: Temsirolimus
  2. Drug: Saline placebo
MeSH:Peripheral Arterial Disease Ischemia
HPO:Peripheral arterial stenosis

Primary Outcomes

Description: Superiority of treatment vs. control group in the composite freedom from the following: Clinically Relevant Target Lesion Occlusion Clinically Driven Target Lesion Revascularization Ischemia-Driven Major Amputation of the Target Limb

Measure: Freedom from Cinical Relevant Target Lesion Failure

Time: 6 Months

Description: Noninferiority of treatment vs. control groups in the composite freedom from Major Adverse Limb Event (MALE) in the target limb or Perioperative Death (POD)

Measure: MALE + POD

Time: 30 Days

Secondary Outcomes

Description: Superiority of treatment vs. control group in the composite freedom from the following: Target Lesion Occlusion Clinically Driven Target Lesion Revascularization Ischemia-Driven Major Amputation of the target limb

Measure: Freedom from Target Lesion Failure

Time: 6 Months

Description: Death at the following time points

Measure: To determine non-inferiority in long-term mortality rate

Time: 12, 24, 36, 48, 60 months

Description: Composite of all-cause death or MALE of the target limb

Measure: To determine non-inferiority in freedom from all-cause death or major adverse limb event.

Time: 30 days, 6, 12 months

Description: Freedom from death and ischemia-driven major amputation of the target limb

Measure: To determine non-inferiority in amputation-free survival.

Time: 30 days, 6, 12, 24 months

Description: AEs/ARs will be categorized into one of the following: MALE of the target limb Non-MALE target limb SAE/SAR Other SAE/SAR Non-serious AE/AR AEs/ARs will further be classified as: Expected UADE SUSAR AEs/ARs will also be classified for relatedness (definitely, probably, possibly or not) to the following: Revascularization procedure Use of the Bullfrog device The study drug

Measure: Safety and tolerability will be assessed from overall rate of adverse events (subclassified as major, serious, non-serious, unanticipated, revascularization procedure-related, device-related and drug-related).

Time: 30 days, 6, 12, 24 months

Description: Taken individually: Ischemia-driven major amputation of the target limb CD-TLR Clinically relevant target lesion occlusion Any target lesion occlusion

Measure: Change of the individual components of the primary and secondary endpoints (ischemia-driven major amputation, clinically driven target lesion revascularization, clinically relevant target lesion occlusion or all target lesion occlusion)

Time: 6, 12, 24 months

Description: MALE of the target limb

Measure: Freedom from major adverse limb events

Time: 30 days, 6, 12, 24 months

Description: Total size of foot wounds on the target limb, percent and absolute change from baseline Status of foot wounds on the target limb Unassisted wound healing

Measure: Composite of the following wound healing measures

Time: 30 days, 6, 12 months

Description: Unplanned minor amputation rate, overall and by level (forefoot, midfoot, hindfoot)

Measure: Reduction in unplanned minor amputations

Time: 30 days, 6, 12 months

Description: Rutherford category and change from baseline

Measure: Rutherford score improvement

Time: 30 days, 6, 12, 24 months

Description: WIfI category and change from baseline

Measure: WIfI score improvement

Time: 30 days, 6, 12, 24 months

Description: Ankle-brachial index and change from baseline Toe-brachial index and change from baseline Toe pressure and change from baseline

Measure: Composite of hemodynamic improvement measures (ABI, TBI and toe pressure)

Time: 30 days, 6, 12, 24 months

Description: VascuQoL results and change from baseline

Measure: Patient reported quality of life benefits (VascuQoL)

Time: 30 days, 6, 12, 24 months

Description: WIQ results and change from baseline

Measure: Patient reported outcomes (walking impairment questionnaire) benefits

Time: 30 days, 6, 12, 24 months

Description: Primary patency rate Primary assisted patency rate

Measure: Primary and primary assisted patency rates

Time: 30 days, 6, 12, 24 months

Description: Primary sustained clinical improvement rate Secondary sustained clinical improvement rate

Measure: Primary and secondary sustained clinical improvement rates

Time: 30 days, 6, 12, 24 months
7 The Impact of COVID-19 Pandemic on Critical Limb Threatening Ischemia and Emergency Vascular Practice

This is a retrospective analytical study conducted at Vascular and Endovascular surgery Department, Mansoura University Hospital, including all patients admitted at the two periods first six months of 2019 and 2020.To demonstrate the effect of COVID-19 pandemic on the practice of emergency vascular surgery and critical limb threatening ischemia interventions by comparison two periods first six months of 2019 and 2020.

NCT04452682
Conditions
  1. COVID
  2. Critical Limb Ischemia
Interventions
  1. Other: COVID 19 impact
MeSH:Emergencies Ischemia

Primary Outcomes

Description: The ICU admission caused by Pneumonia proved radio-logically at both periods

Measure: The ICU admission with associated Pneumonia

Time: 6 months

Description: percentage of different diagnoses at both periods

Measure: Impact of COVID-19 on the different presentation of vascular surgery at the emergency

Time: 6 months

Secondary Outcomes

Description: Mortality percentages at both periods

Measure: Mortality rates

Time: 6 months
8 Abbott Vascular Medical Device Registry

The AV-MDR is a prospective, non-randomized, open-label, multi-center registry. The purpose of the AV-MDR study is to proactively collect and evaluate clinical data on the usage of the devices in scope within their intended use with the aim of confirming safety and performance throughout their expected lifetime, ensuring the continued acceptability of identified risks, detecting emerging risks on the basis of factual evidence, ensuring the continued acceptability of the benefit-risk ratio, and identifying possible systematic misuse or off-label usage such that the intended use can be verified as appropriate.

NCT04573660
Conditions
  1. Critical Limb Ischemia
  2. Symptomatic Ischemic Heart Disease
  3. Acute Myocardial Infarction
  4. Restenoses, Coronary
  5. Coronary Artery Lesions
  6. Venous Embolism
  7. Arterial Embolism
Interventions
  1. Device: XIENCE PRIME BTK stent
  2. Device: Absolute Pro LL stent
  3. Device: Supera 7.5 OD stent
  4. Device: Xpert Pro stent
  5. Device: Pacel BPC
  6. Device: Pacel FDPC
  7. Device: AVP I
  8. Device: AVP II
  9. Device: AVP 4
  10. Device: PressureWire X
  11. Device: MULTI-LINK 8 stent
  12. Device: MULTI-LINK 8 LL stent
  13. Device: MULTI-LINK 8 SV stent
MeSH:Myocardial Infarction Heart Diseases Embolism Myocardial Ischemia Coronary Artery Disease Coronary Restenosis Infarction Ischemia
HPO:Coronary artery atherosclerosis Myocardial infarction

Primary Outcomes

Description: Composite of all-cause death, amputation, and TLR will be assessed among the patients who receive XIENCE BTK and its competitors.

Measure: Number of participants with composite of all-cause death, amputation, and TLR

Time: During procedure (from the time a guide wire enters the vasculature till the patient leaves cath lab/procedure room)

Description: Composite of all-cause death, amputation, and TLR will be assessed among the patients who receive XIENCE BTK and its competitors.

Measure: Number of participants with composite of all-cause death, amputation, and TLR

Time: 30 days

Description: Composite of all-cause death, amputation, and TLR will be assessed among the patients who receive XIENCE BTK and its competitors.

Measure: Number of participants with composite of all-cause death, amputation, and TLR

Time: 12 months

Description: Composite of all-cause death, amputation, TLR, target lesion occlusion will be assessed among the patients who receive Absolute Pro LongLength (LL), Supera 7.5 Outer Diameter (OD), Xpert Pro and its competitors.

Measure: Number of participants with composite of all-cause death, amputation, TLR, target lesion occlusion

Time: During procedure (from the time a guide wire enters the vasculature till the patient leaves cath lab/procedure room)

Description: Composite of all-cause death, amputation, TLR, target lesion occlusion will be assessed among the patients who receive Absolute Pro LongLength (LL), Supera 7.5 Outer Diameter (OD), Xpert Pro and its competitors.

Measure: Number of participants with composite of all-cause death, amputation, TLR, target lesion occlusion

Time: 30 days

Description: Composite of all-cause death, amputation, TLR, target lesion occlusion will be assessed among the patients who receive Absolute Pro LongLength (LL), Supera 7.5 Outer Diameter (OD), Xpert Pro and its competitors.

Measure: Number of participants with composite of all-cause death, amputation, TLR, target lesion occlusion

Time: 12 months

Description: Composite of potential complications including implant success, occlusion success, migration will be assessed among the patients who receive AVP or AVP II or AVP 4 and its competitors.

Measure: Number of participants with composite of potential complications (Implant success, occlusion success,migration)

Time: During procedure (from the time a guide wire enters the vasculature till the patient leaves cath lab/procedure room)

Description: Composite of occlusion success and migration will be assessed among the patients who receive AVP or AVP II or AVP 4 and its competitors.

Measure: Number of participants with composite of occlusion success and migration

Time: 30 days

Description: Composite of vessel dissection, perforation, and thromboembolism during procedure will be assessed among the patients who receive PressureWire X and its competitors.

Measure: Number of participants with composite of vessel dissection, perforation, and thromboembolism

Time: During procedure (from the time a guide wire enters the vasculature till the patient leaves cath lab/procedure room)

Description: Signal drift (Signal drift between measurements (Pd/Pa** pressure drift >0.03; <0.97 or >1.03) will be assessed among the patients who receive PressureWire X and its competitors.

Measure: Number of participants with signal drift (Signal drift between measurements (Pd/Pa** pressure drift >0.03; <0.97 or >1.03)

Time: During procedure (from the time a guide wire enters the vasculature till the patient leaves cath lab/procedure room)

Description: Loss of capture (average time of loss of capture across patients) will be assessed among the patients who receive Pacel FDPC and its competitors.

Measure: Loss of capture

Time: During procedure (from the time a guide wire enters the vasculature till the patient leaves cath lab/procedure room)

Description: Composite of potential complications (venous thrombosis, pulmonary emboli, arrhythmias, perforation) will be assessed among the patientswho receive Pacel BPC and its competitors.

Measure: Number of participants with composite of potential complications (venous thrombosis, pulmonary emboli, arrhythmias, perforation)

Time: During procedure (from the time a guide wire enters the vasculature till the patient leaves cath lab/procedure room)

Description: Composite of all-cause death, MI or target lesion revascularization(TLR) will be assessed among the patients who receive MULTI-LINK 8or MULTI-LINK 8 LL or MULTI-LINK 8 SV and its competitors.

Measure: Number of participants with composite of all-cause death, MI or target lesion revascularization (TLR)

Time: During procedure (from the time a guide wire enters the vasculature till the patient leaves cath lab/procedure room)

Description: Composite of all-cause death, MI or target lesion revascularization(TLR) will be assessed among the patients who receive MULTI-LINK 8or MULTI-LINK 8 LL or MULTI-LINK 8 SV and its competitors.

Measure: Number of participants with composite of all-cause death, MI or target lesion revascularization (TLR)

Time: 30 days

Description: Composite of all-cause death, MI or target lesion revascularization(TLR) will be assessed among the patients who receive MULTI-LINK 8or MULTI-LINK 8 LL or MULTI-LINK 8 SV and its competitors.

Measure: Number of participants with composite of all-cause death, MI or target lesion revascularization (TLR)

Time: 12 months

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Alphabetical listing of all HPO terms. Navigate: Correlations   Clinical Trials


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Data processed on December 13, 2020.

An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

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