iohexol has been researched along with Peripheral Arterial Disease in 7 studies
Iohexol: An effective non-ionic, water-soluble contrast agent which is used in myelography, arthrography, nephroangiography, arteriography, and other radiographic procedures. Its low systemic toxicity is the combined result of low chemotoxicity and low osmolality.
iohexol : A benzenedicarboxamide compound having N-(2,3-dihydroxypropyl)carbamoyl groups at the 1- and 3-positions, iodo substituents at the 2-, 4- and 6-positions and an N-(2,3-dihydroxypropyl)acetamido group at the 5-position.
Peripheral Arterial Disease: Lack of perfusion in the EXTREMITIES resulting from atherosclerosis. It is characterized by INTERMITTENT CLAUDICATION, and an ANKLE BRACHIAL INDEX of 0.9 or less.
Excerpt | Relevance | Reference |
---|---|---|
" This presented a management challenge as the patient had experienced 2 episodes of delayed anaphylaxis to Omnipaque (iohexol) RCM, and based on a literature review, there was no known or established precedent on a safe procedure in these situations." | 7.88 | Successful Graded Dose Challenge to Iodixanol Radiocontrast Media in a Patient With Delayed Anaphylaxis to Iohexol. ( Cohen, B; Edelman, D; Garg, K; Jariwala, S; Soffer, G; Toh, J, 2018) |
"Paclitaxel has several chemical properties, which make it ideal for local drug delivery including its hydrophobicity, ability to concentrate into the arterial intima layer and prolonged effect on cells even after brief exposure periods." | 6.52 | Local delivery of paclitaxel in the treatment of peripheral arterial disease. ( Lansky, AJ; Mena, C; Ng, VG; Pietras, C, 2015) |
" This presented a management challenge as the patient had experienced 2 episodes of delayed anaphylaxis to Omnipaque (iohexol) RCM, and based on a literature review, there was no known or established precedent on a safe procedure in these situations." | 3.88 | Successful Graded Dose Challenge to Iodixanol Radiocontrast Media in a Patient With Delayed Anaphylaxis to Iohexol. ( Cohen, B; Edelman, D; Garg, K; Jariwala, S; Soffer, G; Toh, J, 2018) |
"Paclitaxel has several chemical properties, which make it ideal for local drug delivery including its hydrophobicity, ability to concentrate into the arterial intima layer and prolonged effect on cells even after brief exposure periods." | 2.52 | Local delivery of paclitaxel in the treatment of peripheral arterial disease. ( Lansky, AJ; Mena, C; Ng, VG; Pietras, C, 2015) |
"Contrast-induced encephalopathy (CIE) is a rare complication of angiography." | 1.48 | Contrast-induced encephalopathy after percutaneous peripheral intervention. ( Ağca, M; Çakmak, EÖ; Geçmen, Ç; İzgi, İA; Kahyaoğlu, M, 2018) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 0 (0.00) | 29.6817 |
2010's | 6 (85.71) | 24.3611 |
2020's | 1 (14.29) | 2.80 |
Authors | Studies |
---|---|
Patel, A | 1 |
Irani, FG | 1 |
Pua, U | 1 |
Tay, KH | 1 |
Chong, TT | 1 |
Leong, S | 1 |
Chan, ES | 1 |
Tan, GWL | 1 |
Burgmans, MC | 1 |
Zhuang, KD | 1 |
Quek, LHH | 1 |
Kwan, J | 1 |
Damodharan, K | 1 |
Gogna, A | 1 |
Tan, BP | 1 |
Too, CW | 1 |
Chan, SXJM | 1 |
Chng, SP | 1 |
Yuan, W | 1 |
Tan, BS | 1 |
Soffer, G | 1 |
Cohen, B | 1 |
Toh, J | 1 |
Edelman, D | 1 |
Garg, K | 1 |
Jariwala, S | 1 |
Kahyaoğlu, M | 1 |
Ağca, M | 1 |
Çakmak, EÖ | 1 |
Geçmen, Ç | 1 |
İzgi, İA | 1 |
Serhal, A | 1 |
Koktzoglou, I | 1 |
Edelman, RR | 1 |
Ng, VG | 1 |
Mena, C | 1 |
Pietras, C | 1 |
Lansky, AJ | 1 |
Kendrick, DE | 1 |
Allemang, MT | 1 |
Gosling, AF | 1 |
Nagavalli, A | 1 |
Kim, AH | 1 |
Nishino, S | 1 |
Parikh, SA | 1 |
Bezerra, HG | 1 |
Kashyap, VS | 1 |
Masuda, T | 1 |
Funama, Y | 1 |
Nakaura, T | 1 |
Imada, N | 1 |
Sato, T | 1 |
Okimoto, T | 1 |
Awai, K | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
Randomized Controlled Trial of MAGIcTouch - Sirolimus Coated BALloon Versus Standard Balloon Angioplasty in The Treatment of Below The Knee Arterial Disease[NCT06182397] | 368 participants (Anticipated) | Interventional | 2024-01-15 | Not yet recruiting | |||
A Randomized Trial Comparing the Drug-Eluting Stent (DES) Below-the-Knee (BTK) Vascular Stent System (DES BTK Vascular Stent System) vs Percutaneous Transluminal Angioplasty (PTA) Treating Infrapopliteal Lesions in Subjects With Critical Limb Ischemia[NCT03551496] | Phase 3 | 201 participants (Actual) | Interventional | 2018-08-31 | Active, not recruiting | ||
Optical Imaging Measurement of Intravascular Solution Efficacy Trial[NCT01743872] | 23 participants (Actual) | Interventional | 2012-09-30 | Completed | |||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
The primary safety endpoint assesses freedom from major adverse events (MAE) at 12 months post-procedure. (MAE is defined as: above ankle amputation in index limb; major re-intervention; and perioperative (30 day) mortality) (NCT03551496)
Timeframe: 12 months
Intervention | Participants (Count of Participants) |
---|---|
DES BTK | 109 |
Conventional PTA | 61 |
Hospitalizations related to Critical Limb Ischemia (CLI) due to target lesion revascularization (TLR)/target vessel revascularization (TVR) or Target Limb Major Amputation or Procedure/Device related Adverse Events (NCT03551496)
Timeframe: Up to 30 days post procedure
Intervention | Participants (Count of Participants) |
---|---|
DES BTK | 2 |
Conventional PTA | 3 |
Assisted primary patency defined as the percentage (%) of lesions without clinically-driven TLR and those with clinically-driven TLR (not due to complete occlusion or by-pass) which show flow by DUS without restenosis. (NCT03551496)
Timeframe: 12 months post procedure
Intervention | Participants (Count of Participants) |
---|---|
DES BTK | 75 |
Conventional PTA | 41 |
Wounds assessed for healed status by Independent Wound Assessors, blinded to randomized treatment. (NCT03551496)
Timeframe: 12 months post procedure
Intervention | Participants (Count of Participants) |
---|---|
DES BTK | 34 |
Conventional PTA | 15 |
"Clinically-driven target lesion revascularization is defined as any surgical or percutaneous intervention to the target lesion after the index procedure if:~Occurring within 5mm proximal or distal to the original treatment segment with diameter stenosis ≥50% by quantitative angiography and if participant has recurrent symptoms OR~In-lesion diameter stenosis less than 50% might also be considered a MAE by the CEC if the subject has recurrent symptoms.~Recurrent symptoms are defined as having ≥ 1 change in Rutherford Classification or associated with decreased ABI/TBI of ≥20% or ≥ 0.15 in the treated segment." (NCT03551496)
Timeframe: 12 months post procedure
Intervention | Participants (Count of Participants) |
---|---|
DES BTK | 21 |
Conventional PTA | 10 |
Hemodynamic improvement is defined as improvement of ankle-brachial index (ABI) by ≥0.10 or to an ABI ≥0.90 as compared to pre-procedure value without the need for repeat revascularization. (NCT03551496)
Timeframe: 12 months post procedure
Intervention | Participants (Count of Participants) |
---|---|
DES BTK | 59 |
Conventional PTA | 28 |
Rates of amputation of the lower limb at the ankle level or above (NCT03551496)
Timeframe: 12 months post procedure
Intervention | Participants (Count of Participants) |
---|---|
DES BTK | 3 |
Conventional PTA | 1 |
Twelve-Month Primary Patency defined as a binary endpoint to be determined via duplex ultrasound (DUS) measuring flow at the 12-month follow-up visit, in the absence of clinically-driven target lesion revascularization (TLR) or bypass of the target lesion. Data table consists of the number of participants with flow as assessed by DUS. (NCT03551496)
Timeframe: 12 months
Intervention | Participants (Count of Participants) |
---|---|
DES BTK | 70 |
Conventional PTA | 38 |
"Endpoint determined to be a success when there is an improvement in Rutherford Classification of one or more categories as compared to pre-procedure without the need for repeat TLR. Rutherford Classifications:~i. Category 0 - Asymptomatic ii. Category 1 - Mild claudication iii. Category 2 - Moderate claudication iv. Category 3 - Severe claudication v. Category 4 - Ischemic rest pain vi. Category 5 - Minor tissue loss - nonhealing ulcer, focal gangrene vii. Category 6 - Major tissue loss - extending above transmetatarsal (TM) level" (NCT03551496)
Timeframe: 12 months post procedure
Intervention | Participants (Count of Participants) |
---|---|
DES BTK | 80 |
Conventional PTA | 36 |
Adverse events (AEs) to be classified as major (defined as above ankle amputation of the index limb, major re-intervention (new bypass graft, jump/interposition graft, or thrombectomy/thrombolysis) and perioperative (30 day) mortality), serious, non-serious, unanticipated, procedure-related and device-related. (NCT03551496)
Timeframe: 12 months post procedure
Intervention | Participants (Count of Participants) | |||||
---|---|---|---|---|---|---|
Serious | Non serious | Major | Unanticipated | Device-Related | Procedure-Related | |
Conventional PTA | 51 | 37 | 3 | 0 | 6 | 16 |
DES BTK | 82 | 84 | 10 | 0 | 16 | 21 |
The EQ-5D is a descriptive system of health-related quality-of-life states consisting of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) each of which can take 1 of 5 responses. The responses record 5 levels of severity (no problems/slight problems/moderate problems/severe problems/extreme problems) within a particular EQ-5D dimension). The levels are assigned a numeric code 1-5 (eg, 1= no problems and 5= extreme problems). (NCT03551496)
Timeframe: 12 months post procedure
Intervention | Participants (Count of Participants) | ||||
---|---|---|---|---|---|
Mobility Improvement | Self-Care Improvement | Usual Activities Improvement | Pain/Discomfort Improvement | Anxiety/Depression Improvement | |
Conventional PTA | 16 | 8 | 17 | 18 | 12 |
DES BTK | 40 | 19 | 32 | 48 | 28 |
Changes in quality of life is measured using the Vascular Quality of Life (VascuQol) questionnaire, which is a 25 item questionnaire used to measure the quality-of-life in patients with lower limb ischemia. The tool is sub-divided into 5 domains: pain, symptoms, activities, social and emotional. (NCT03551496)
Timeframe: 12 months post procedure
Intervention | Participants (Count of Participants) | ||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Improvement in pain in leg (or foot) when walking | Improvement in worried that I might injure my leg | Improvement in cold feet have given | Improvement in ability to exercise or to play sports | Improvement in legs felt tired or weak | Improvement in restricted in spending time with friends or relatives | Improvement in pain in the foot (or leg) after going to bed at night | Improvement in pins and needles or numbness in leg (or foot) have caused | Improvement in the distance I can walk has improved | Improvement in ability to walk | Improvement in being (or becoming) housebound has concerned | Improvement in concerned about having poor circulation in legs | Improvement in pain in the foot (or leg) when resting | Improvement in ability to climb stairs | Improvement in ability to participate in social activities | Improvement in ability to do routine household work | Improvement in ulcers or sores on my leg (or foot) caused pain or distress | Improvement in the range of activities that would have liked to do | Improvement in problems caused by poor circulation made feel frustrated | Improvement in pain in the leg (or foot) given | Improvement in felt guilty about relying on friends or relatives | Improvement in ability to go shopping or carry bags | Improvement in worried in danger of losing a part of leg or foot | Improvement in distance I can walk became less | Improvement in depressed about the poor circulation in legs | |
Conventional PTA | 27 | 21 | 26 | 21 | 26 | 18 | 31 | 26 | 17 | 25 | 28 | 26 | 31 | 20 | 23 | 22 | 15 | 26 | 29 | 30 | 28 | 21 | 28 | 25 | 28 |
DES BTK | 61 | 42 | 50 | 56 | 55 | 44 | 58 | 53 | 39 | 59 | 42 | 68 | 67 | 47 | 49 | 54 | 45 | 58 | 60 | 63 | 47 | 50 | 58 | 48 | 57 |
The metric of image quality was the clear imaging field (CIF), which was defined as a cross section in which ≥270° of the vessel wall architecture was visualized. This has been used previously to quantify adequacy of clearance in OCT image comparison. Two independent observers, blinded to the flush medium used, analyzed all OCT frames in each pullback sequence. Any disagreement >10% was resolved with a consensus re-evaluation at a later time point by the same reviewers. Each individual cross section was assigned a designation of quality or insufficient quality; thus, a quality image proportion was generated for each run by taking the mean of each observer's determinations (NCT01743872)
Timeframe: 1 month
Intervention | Clear imaging field (CIF) proportion (Mean) |
---|---|
Contrast Injection | .702 |
Dextran Injection | .872 |
CO2 Injection | .10 |
Heparinized Saline | .743 |
(NCT01743872)
Timeframe: 1 month
Intervention | percentage of plaque composition (Number) | |||
---|---|---|---|---|
Fibrotic, % | Calcific, % | Lipid, % | Normal, % | |
Contrast Injection | 57.9 | 6.9 | 9.1 | 24.4 |
Dextran Injection | 62.1 | 5.5 | 6.3 | 25.6 |
Heparinized Saline | 63.0 | 5.4 | 6.5 | 22.9 |
Overall | 61.0 | 6.0 | 7.3 | 24.3 |
1 review available for iohexol and Peripheral Arterial Disease
Article | Year |
---|---|
Local delivery of paclitaxel in the treatment of peripheral arterial disease.
Topics: Angioplasty, Balloon; Clinical Trials as Topic; Drug Evaluation, Preclinical; Drug-Eluting Stents; G | 2015 |
2 trials available for iohexol and Peripheral Arterial Disease
Article | Year |
---|---|
Randomized Controlled Trial Comparing Drug-coated Balloon Angioplasty versus Conventional Balloon Angioplasty for Treating Below-the-Knee Arteries in Critical Limb Ischemia: The SINGA-PACLI Trial.
Topics: Angiography; Angioplasty, Balloon; Contrast Media; Double-Blind Method; Drug Delivery Systems; Femal | 2021 |
Dextran or Saline Can Replace Contrast for Intravascular Optical Coherence Tomography in Lower Extremity Arteries.
Topics: Aged; Carbon Dioxide; Contrast Media; Dextrans; Endovascular Procedures; Feasibility Studies; Female | 2016 |
4 other studies available for iohexol and Peripheral Arterial Disease
Article | Year |
---|---|
Successful Graded Dose Challenge to Iodixanol Radiocontrast Media in a Patient With Delayed Anaphylaxis to Iohexol.
Topics: Aged, 80 and over; Anaphylaxis; Angiography; Anti-Allergic Agents; Contrast Media; Drug Administrati | 2018 |
Contrast-induced encephalopathy after percutaneous peripheral intervention.
Topics: Aged; Angiography; Blindness; Brain Diseases; Contrast Media; Humans; Iohexol; Male; Peripheral Arte | 2018 |
Feasibility of Image Fusion for Concurrent MRI Evaluation of Vessel Lumen and Vascular Calcifications in Peripheral Arterial Disease.
Topics: Aged; Aged, 80 and over; Computed Tomography Angiography; Contrast Media; Feasibility Studies; Femal | 2019 |
CT Angiography of Suspected Peripheral Artery Disease: Comparison of Contrast Enhancement in the Lower Extremities of Patients Undergoing and Those Not Undergoing Hemodialysis.
Topics: Aged; Ankle Brachial Index; Computed Tomography Angiography; Contrast Media; Female; Humans; Iohexol | 2017 |