Clinical trial Recruiting at 4 sites Interventional Ages 18 and up

IVUS-guided revascularization of leg arteries

Official title: Intravascular Ultrasound Imaging Guidance for Optimal Revascularization of Limb Arteries

Run by Baylor Research Institute · NCT07353905 · Data updated 2026-11-12

This trial will test whether using ultrasound inside the blood vessels during minimally invasive treatment of leg arteries improves outcomes for adults with symptomatic peripheral artery disease.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment350 (estimated)
SponsorBaylor Research Institute
Academic / other
Locations6 sites (Dallas, Texas and 5 other locations)
StatusRecruiting
StartedDecember 12, 2025
Main results expectedJanuary 2028
Study endsJuly 2028
Registry record updatedJuly 9, 2026
Trial IDNCT07353905 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (age ≥18) with symptomatic lower extremity PAD (Rutherford class 2–5), angiographic >50% stenosis, and a planned endovascular intervention at an eligible target lesion are ideal candidates.

Probably not a fit

Patients with a prior intervention at the target lesion within 6 months or whose target lesion is the abdominal aorta or inframalleolar below-the-knee arteries are excluded and unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a U.S. prospective multicenter randomized controlled trial comparing intravascular ultrasound (IVUS)-guided versus angiographic-guided lower extremity endovascular intervention in patients with symptomatic peripheral artery disease (Rutherford class 2–5). Participants with target lesions in the iliac, femoropopliteal, profunda, or supramalleolar below-the-knee arteries and angiographic stenosis >50% will be randomized to guidance strategies during intervention. The trial will track clinical outcomes including technical success, vessel patency, limb-related events, and need for repeat procedures over follow-up. The lead sites are Baylor Scott & White Heart Hospitals in Texas in collaboration with Philips Healthcare.

Why it matters

Potential benefit: If successful, using IVUS during leg artery procedures could improve vessel repair accuracy, increase durable patency, and reduce the need for repeat procedures.

How similar studies have gone: IVUS guidance has shown procedural benefits in coronary interventions and some smaller peripheral studies, but large multicenter randomized data for lower extremity PAD are limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥18 years
* Symptomatic LE PAD - Rutherford Class 2-5
* Angiographic evidence of \>50% stenosis
* Undergoing LE peripheral artery intervention
* Target lesion is iliac, femoropopliteal, profunda or supramalleolar below-the-knee arteries (target lesions extending into the abdominal aorta and inframalleolar BTK may be included).

Exclusion Criteria:

* Prior intervention at the target lesion within 6 months
* Target lesion is abdominal aorta or inframalleolar BTK arteries

Where it's running

  • Baylor Scott & White The Heart Hospital - Dallas
    Dallas, Texas, United States
    Recruiting
  • Baylor Scott & White The Heart Hospital - Mckinney
    McKinney, Texas, United States
    Recruiting
  • The Heart Hospital Baylor Plano
    Plano, Texas, United States
    Recruiting
  • Baylor Scott & White The Heart Hospital - Waxahachie
    Waxahachie, Texas, United States
    Recruiting
  • Baylor Scott & White The Heart Hospital - Fort Worth
    Fort Worth, Texas, United States
    Not yet recruiting
  • Baylor Scott & White Medical Center - Temple
    Temple, Texas, United States
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.