Leg artery showdown: bypass vs. balloon for blockages
NCT ID NCT05216731
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares two treatments for long blockages (15-25 cm) in the leg's main artery. One is bypass surgery, which uses a vein or artificial tube to reroute blood flow. The other is a less invasive procedure using a balloon to open the artery, often with a stent. The trial will enroll 290 adults with leg pain when walking (claudication) to see which treatment keeps the artery open longer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If this trial succeeds, it could show which treatment (bypass surgery or a less invasive procedure) works better for keeping leg arteries open in people with long blockages.
- What could go wrong
- This is a mid-stage trial with 290 people, so results may not apply to everyone. Both procedures have risks like infection, bleeding, or the artery re-blocking.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 290 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2025
- Expected to finish
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May 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult patient * Effective contraception for the duration of research for fertile women of childbearing age * Unilateral Rutherford 2 or 3 symptomatic Lower Extremity Artery Disease (LEAD) arteritic patient with a lesion of the superficial femoral artery Trans-Atlantic Inter-Society Consensus (TASC) C or D between 15 and 25 cm * Patient eligible for bypass surgery and endovascular procedure * No alteration of the upstream flow (iliac flow preserved or restored) * Patient with at least one patent artery below the knee * Patient informed and having signed the information and consent form to participate in the study Exclusion Criteria: * Known pregnancy or breastfeeding * Iliac flow altered upstream * History of surgery or stent on the affected superficial femoral artery * Concomitant bacteremia (positive blood cultures in the 7 days preceding the procedure) * Known intolerance to antiaggregants or heparin * Contraindication to the endovascular procedure (severe renal failure contraindicating the injection of contrast product despite prior hydration, known severe allergy to iodinated contrast product \[unless the center chooses to use carbon dioxide injection\]) or bypass surgery (cardiovascular, respiratory or other comorbidities, contraindicating general anesthesia, local contraindications for bypass: skin lesion at the operative site) * No affiliation to a social security regime or to another social protection regime * Patient deprived of liberty or under legal protection (guardianship, trusteeship) * Inability, according to the investigator, to understand or refusal to sign the informed consent to participate in the study (non-French speaking patient, cognitive disorders) * Ongoing participation in another research protocol Participation in non-interventional research is authorized Secondary exclusion criterion: * Negative opinion from the anesthesiologist-resuscitator at the end of the pre-anesthetic consultation * Positive pregnancy test from the pre-operative laboratory test (result received after obtaining consent, but before the surgical procedure)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
7 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHU - Hôpitaux de Bordeaux
ACTIVE_NOT_RECRUITINGBordeaux, 33 000, France
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CHU Carémeau
NOT_YET_RECRUITINGNîmes, 30 029, France
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CHU de Nice
ACTIVE_NOT_RECRUITINGNice, 06 001, France
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CHU de Poitiers
RECRUITINGPoitiers, 86 000, France
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CHU de Rangueil
ACTIVE_NOT_RECRUITINGToulouse, 31 400, France
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Centre hospitalier René Dubos
ACTIVE_NOT_RECRUITINGCergy-Pontoise, 95 300, France
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Hôpital Ambroise Paré, APHP
ACTIVE_NOT_RECRUITINGBoulogne-Billancourt, 92 100, France
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Hôpital Bichat - Claude Bernard, APHP
ACTIVE_NOT_RECRUITINGParis, 75 018, France
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Hôpital Edouard Herriot
ACTIVE_NOT_RECRUITINGLyon, 69 003, France
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Hôpital Européen Georges Pompidou, APHP
ACTIVE_NOT_RECRUITINGParis, 75 015, France
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Hôpital François Mitterrand
RECRUITINGDijon, 21 000, France
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Hôpital Henri Mondor, APHP
RECRUITINGCréteil, 94 010, France
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Hôpital La Pitié-Salpêtrière, APHP
NOT_YET_RECRUITINGParis, 75013, France
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Hôpital de la Cavale Blanche
ACTIVE_NOT_RECRUITINGBrest, 29 200, France
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Hôpital de la Timone, APHP
NOT_YET_RECRUITINGMarseille, 13 005, France
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Institut Lorrain du Cœur et des Vaisseaux Louis Mathieu
NOT_YET_RECRUITINGVandœuvre-lès-Nancy, 54 511, France