Choosing an Access for Endovascular Treatment of Femoral-popliteal Segment Occlusions

The aim of this study is to compare the shoulder and femoral approaches used in the endovascular treatment of occlusive lesions of the femoral-popliteal segment of the lower extremity arteries in terms of the frequency of complications. The aim of the study is to answer the following main questions: 1. Does the use of the shoulder approach reduce the overall number of complications compared to the femoral approach? 2. Does the use of the shoulder approach reduce the number of complications requiring surgical intervention compared to the femoral approach? 3. Does the use of a brachial approach reduce the number of technically successful interventions compared to a femoral approach? Researchers will compare the number of complications associated with a brachial approach compared to a femoral approach using closure devices for the revascularization of occlusions in the femoral-popliteal segment of the lower extremity arteries. During the planned revascularization procedure, participants will undergo catheterization of the brachial or common femoral artery. Complications related to radiation therapy will be recorded by doctors within 72 hours after the intervention.

NCT Number	NCT07694050
Lead Sponsor	Pirogov Russian National Research Medical University
Conditions	Occlusion of the Femoral-popliteal Segment, Femoral Access, Brachial Access
Enrollment	304 participants
Start Date	2024-08-01
Primary Completion	2026-06-15 (estimated)
Study Completion	2026-06-18 (estimated)
Updated on ClinicalTrials.gov	2026-07-13