CRUSH PAD: Real-world Outcomes Following Use of Shockwave Intravascular Lithotripsy (IVL) Technology in Calcified Common Femoral Lesions

Last updated: November 3, 2025
Sponsor: Yale University
Overall Status: Active - Recruiting

Phase

N/A

Condition

Circulation Disorders

Vascular Diseases

Intermittent Claudication

Treatment

Shockwave Intravascular Lithotripsy (IVL)

Clinical Study ID

NCT05145478
2000031113
  • Ages > 18
  • All Genders

Study Summary

The primary goal of the study is to obtain effect size data on the use of Shockwave Intravascular Lithotripsy (IVL) technology in calcified common femoral lesions in patients with peripheral artery disease for a series of endpoints, including target lesion revascularization and health status, to enable future planning of comparative effectiveness research.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Subjects presenting with claudication or CLI by Rutherford Clinical Category 2, 3, 4, 5, or 6 of the target limbs

  • Subject is a suitable candidate for angiography and endovascular intervention perthe latest clinical guidelines

  • Patient is scheduled to undergo treatment with Shockwave Intravascular Lithotripsy (IVL) technology followed by standard of care treatment with DCB, BMS, DES at thephysician's discretion.

Angiographic Inclusion Criteria

  • Target lesion that is located in a native, de novo common femoral artery

  • Target lesion reference vessel diameter is between 4.0mm and 7.0mm by visualestimate.

  • Target lesion is ≥70% stenosis by investigator via visual estimate.

  • Target lesion length is ≤50mm for lesions 70-99% stenosed. Target lesion can be allor part of the 50mm treated zone.

  • Chronic total occlusion, lesion length is ≤50mm of the total ≤50 mm target lesion.

  • Calcification is at least moderate defined as presence of fluoroscopic evidence ofcalcification: 1) on parallel sides of the vessel and 2) extending > 50% the lengthof the lesion if lesion is ≥50mm in length; or extending for minimum of 20mm iflesion is <50mm in length.

Exclusion

Exclusion Criteria:

  • Subjects with any medical condition that would make him/her an inappropriatecandidate for treatment with Shockwave Medical Peripheral Lithoplasty® System as perInstructions for Use (IFU) or investigator's opinion.

  • Subject is already enrolled in other investigational (interventional) studies thatwould interfere with study endpoints.

  • Cognitive impairment as documented in medical records

  • Not speaking English or Spanish

  • Currently a prisoner

  • Pregnancy or nursing

  • Estimated survival less than 12 months at the time of screening

  • Prior history of CFA endarterectomy

Study Design

Total Participants: 50
Treatment Group(s): 1
Primary Treatment: Shockwave Intravascular Lithotripsy (IVL)
Phase:
Study Start date:
December 01, 2021
Estimated Completion Date:
June 01, 2027

Study Description

The primary objective of this study is to evaluate the generic health status outcomes and efficacy and safety outcomes following use of the Shockwave Intravascular Lithotripsy (IVL) technology in calcified common femoral lesions in patients with PAD seen in routine clinical practice.

The main testable hypothesis is that the use of IVL is associated with a health status improvement that is equal or higher than the threshold of a minimally clinically important difference on the EQ5D. Preliminarily data will be derived for the primary endpoint target lesion revascularization to enable future planning of larger comparative effectiveness research.

Secondary objectives of the study are to document procedural success following the use of IVL in common femoral lesions, disease stage change, as well as disease-specific health status in the real-world.

Connect with a study center

  • Yale New Haven Health

    New Haven, Connecticut 06510
    United States

    Site Not Available

  • Yale New Haven Health

    New Haven 4839366, Connecticut 4831725 06510
    United States

    Active - Recruiting

  • The Miriam Hospital

    Providence 5224151, Rhode Island 5224323 02906
    United States

    Site Not Available

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