ID
5095
Beskrivning
ODM derived from http://clinicaltrials.gov/show/NCT01179984
Länk
http://clinicaltrials.gov/show/NCT01179984
Nyckelord
Versioner (3)
- 2013-12-06 2013-12-06 - Martin Dugas
- 2014-04-19 2014-04-19 - Julian Varghese
- 2021-09-27 2021-09-27 -
Uppladdad den
19 april 2014
DOI
För en begäran logga in.
Licens
Creative Commons BY 4.0
Modellkommentarer :
Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.
Itemgroup-kommentar för :
Item-kommentar för :
Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.
Eligibility NCT01179984 Peripheral Vascular Disease
Eligibility
- StudyEvent: Eligibility
Beskrivning
Ausschlusskriterien
Alias
- UMLS CUI 2011AA
- CL425201
Beskrivning
The subject is unable or unwilling to provide informed consent or is unable or unwilling to comply with the study follow-up procedure and visits.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0021430
Beskrivning
The subject has claudication or critical limb ischemia described as Rutherford Category1 1 (mild claudication), 5 (minor tissue loss) or 6 (major tissue loss).
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C2945599
- SNOMED CT 2011_0131
- 255604002
- UMLS CUI 2011AA
- C0311395
- SNOMED CT 2011_0131
- 275520000
- MedDRA 14.1
- 10009240
- UMLS CUI 2011AA
- C1142264
- MedDRA 14.1
- 10058069
- UMLS CUI 2011AA
- C0205165
- SNOMED CT 2011_0131
- 255606000
- UMLS CUI 2011AA
- C0205164
- SNOMED CT 2011_0131
- 255603008
- UMLS CUI 2011AA
- C0040300
- SNOMED CT 2011_0131
- 85756007
- UMLS CUI 2011AA
- C1517945
Beskrivning
The subject has a known contraindication (including allergic reaction) or sensitivity to antiplatelet/anticoagulant medications, nickel, titanium or tantalum.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C1301624
- SNOMED CT 2011_0131
- 397745006
- UMLS CUI 2011AA
- C0020517
- SNOMED CT 2011_0131
- 418634005
- ICD-10-CM Version 2010
- T78.40
- UMLS CUI 2011AA
- C0085826
- SNOMED CT 2011_0131
- 372560006
- UMLS CUI 2011AA
- C0003280
- SNOMED CT 2011_0131
- 372862008
- UMLS CUI 2011AA
- C0028013
- SNOMED CT 2011_0131
- 33396006
- LOINC Version 232
- MTHU003538
- UMLS CUI 2011AA
- C0040302
- SNOMED CT 2011_0131
- 1166006
- LOINC Version 232
- MTHU014132
- UMLS CUI 2011AA
- C0039297
- SNOMED CT 2011_0131
- 45215009
Beskrivning
The subject has a known sensitivity to contrast media that is not amenable to pretreatment with steroids or/and antihistamines.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0020517
- SNOMED CT 2011_0131
- 418634005
- ICD-10-CM Version 2010
- T78.40
- UMLS CUI 2011AA
- C0009924
- SNOMED CT 2011_0131
- 385420005
- UMLS CUI 2011AA
- C0332197
- SNOMED CT 2011_0131
- 2667000
- UMLS CUI 2011AA
- C0814423
- UMLS CUI 2011AA
- C0149783
- SNOMED CT 2011_0131
- 297279009
- MedDRA 14.1
- 10062117
- UMLS CUI 2011AA
- C1504374
- MedDRA 14.1
- 10063542
Beskrivning
The subject has a history of bleeding diatheses or coagulopathy.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- CL421546
- SNOMED CT 2011_0131
- 392521001
- UMLS CUI 2011AA
- C1458140
- SNOMED CT 2011_0131
- 248250000
- MedDRA 14.1
- 10005134
- UMLS CUI 2011AA
- C0005779
- SNOMED CT 2011_0131
- 64779008
- MedDRA 14.1
- 10009802
- ICD-10-CM Version 2010
- D68.9
Beskrivning
The subject has concomitant renal failure with a creatinine of >2.5 mg/dL.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- CL415222
- UMLS CUI 2011AA
- C1565489
- MedDRA 14.1
- 10038474
- UMLS CUI 2011AA
- C0010294
- SNOMED CT 2011_0131
- 15373003
- MedDRA 14.1
- 10011358
- LOINC Version 232
- 38483-4
Beskrivning
The subject has concomitant hepatic insufficiency, thrombophlebitis, uremia, systemic lupus erythematosus (SLE), or deep vein thrombosis (DVT) at the time of the study procedure.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- CL415222
- UMLS CUI 2011AA
- C1306571
- SNOMED CT 2011_0131
- 59927004
- MedDRA 14.1
- 10056542
- UMLS CUI 2011AA
- C0040046
- SNOMED CT 2011_0131
- 64156001
- MedDRA 14.1
- 10043570
- UMLS CUI 2011AA
- C0041948
- SNOMED CT 2011_0131
- 44730006
- MedDRA 14.1
- 10046369
- ICD-10-CM Version 2010
- N19
- UMLS CUI 2011AA
- C0024141
- SNOMED CT 2011_0131
- 55464009
- MedDRA 14.1
- 10042945
- ICD-10-CM Version 2010
- M32.9
- ICD-9-CM Version 2011
- 710.0
- UMLS CUI 2011AA
- C0149871
- SNOMED CT 2011_0131
- 128053003
- MedDRA 14.1
- 10051055
- ICD-10-CM Version 2010
- I82.40
Beskrivning
The subject is receiving dialysis or immunosuppressive therapy.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C1514756
- UMLS CUI 2011AA
- C0011946
- SNOMED CT 2011_0131
- 108241001
- MedDRA 14.1
- 10061105
- UMLS CUI 2011AA
- C0021079
- SNOMED CT 2011_0131
- 86553008
Beskrivning
The subject is participating in an investigational drug or another investigational device study.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0679823
- HL7 V3 2006_05
- PART
- UMLS CUI 2011AA
- C0013230
- UMLS CUI 2011AA
- C0205394
- SNOMED CT 2011_0131
- 74964007
- UMLS CUI 2011AA
- C2346570
- UMLS CUI 2011AA
- C0008976
- SNOMED CT 2011_0131
- 110465008
Beskrivning
The subject has another medical condition, which, in the opinion of the investigator, may cause him/her to be non-compliant with the protocol, confound the data interpretation, or is associated with limited life expectancy of < two years.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C1699700
- HL7 V3 2006_05
- MEDCCAT
- UMLS CUI 2011AA
- C0231347
- SNOMED CT 2011_0131
- 45704003
- UMLS CUI 2011AA
- C2348563
- UMLS CUI 2011AA
- C0521102
- SNOMED CT 2011_0131
- 78235001
- UMLS CUI 2011AA
- C1511726
- UMLS CUI 2011AA
- C0459471
- SNOMED CT 2011_0131
- 280452008
- LOINC Version 232
- MTHU003869
- UMLS CUI 2011AA
- C0332281
- SNOMED CT 2011_0131
- 47429007
- UMLS CUI 2011AA
- C0439801
- SNOMED CT 2011_0131
- 255469002
- UMLS CUI 2011AA
- C0023671
- LOINC Version 232
- LP75025-4
Beskrivning
The subject has extensive peripheral vascular disease, which, in the opinion of the investigator, precludes safe insertion of an introducer sheath.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0205231
- SNOMED CT 2011_0131
- 41118005
- UMLS CUI 2011AA
- C0085096
- SNOMED CT 2011_0131
- 400047006
- MedDRA 14.1
- 10034636
- LOINC Version 232
- MTHU020791
- ICD-10-CM Version 2010
- I73.9
- ICD-9-CM Version 2011
- 443.9
- UMLS CUI 2011AA
- C0332196
- SNOMED CT 2011_0131
- 77765009
- UMLS CUI 2011AA
- C1883719
- UMLS CUI 2011AA
- C0456642
- SNOMED CT 2011_0131
- 277312002
Beskrivning
The target lesion(s) is located within an aneurysm or associated with an aneurysm in the vessel segment either proximal or distal to the target lesion(s).
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C2986546
- UMLS CUI 2011AA
- C0450429
- SNOMED CT 2011_0131
- 246267002
- UMLS CUI 2011AA
- C0332281
- SNOMED CT 2011_0131
- 47429007
- UMLS CUI 2011AA
- C0002940
- SNOMED CT 2011_0131
- 432119003
- MedDRA 14.1
- 10002329
- ICD-10-CM Version 2010
- I72.9
- ICD-9-CM Version 2011
- 442.9
- UMLS CUI 2011AA
- C0005847
- SNOMED CT 2011_0131
- 59820001
- LOINC Version 232
- MTHU020168
- UMLS CUI 2011AA
- C0441635
- SNOMED CT 2011_0131
- 264193005
Beskrivning
The subject has angiographic evidence of poor inflow, which would be deemed inadequate to support a vascular bypass graft.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- CL378222
- SNOMED CT 2011_0131
- 77343006
- MedDRA 14.1
- 10050062
- UMLS CUI 2011AA
- C0332120
- SNOMED CT 2011_0131
- 18669006
- UMLS CUI 2011AA
- C2700379
- UMLS CUI 2011AA
- C0678861
- UMLS CUI 2011AA
- C0205412
- SNOMED CT 2011_0131
- 71978007
- UMLS CUI 2011AA
- C1521721
- UMLS CUI 2011AA
- C0863745
- MedDRA 14.1
- 10052090
Beskrivning
The subject is diagnosed with septicemia at the time of the study procedure.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0011900
- SNOMED CT 2011_0131
- 439401001
- LOINC Version 232
- MTHU008876
- UMLS CUI 2011AA
- C0036690
- SNOMED CT 2011_0131
- 105592009
- MedDRA 14.1
- 10040089
- LOINC Version 232
- MTHU020833
- ICD-10-CM Version 2010
- A41.9
- ICD-9-CM Version 2011
- 038.9
- CTCAE 1105E
- E11560
- UMLS CUI 2011AA
- C2348558
Beskrivning
Patients with a stent previously implanted into the target vessel.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0038257
- SNOMED CT 2011_0131
- 65818007
- UMLS CUI 2011AA
- C0205156
- SNOMED CT 2011_0131
- 9130008
- UMLS CUI 2011AA
- C0021102
- SNOMED CT 2011_0131
- 40388003
- UMLS CUI 2011AA
- C0449618
- SNOMED CT 2011_0131
- 246325009
Beskrivning
Bilateral disease in the native SFA and/or proximal popliteal artery where both limbs meet the inclusion/exclusion criteria and it is planned to treat both limbs within 30 days. Note: One limb may be enrolled in the study, but only if the second limb is planned to be treated after the 30-day follow-up visit has taken place. The limb that may be enrolled has to be the limb with the more severe lesion and the reasons for treating this specific limb will need to be stated in the CRF.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C1511113
- UMLS CUI 2011AA
- C0302891
- SNOMED CT 2011_0131
- 263818007
- UMLS CUI 2011AA
- C0447106
- SNOMED CT 2011_0131
- 181349008
- UMLS CUI 2011AA
- C0205107
- SNOMED CT 2011_0131
- 40415009
- UMLS CUI 2011AA
- C1278953
- SNOMED CT 2011_0131
- 181350008
- UMLS CUI 2011AA
- C1706086
- UMLS CUI 2011AA
- C0015385
- SNOMED CT 2011_0131
- 66019005
- LOINC Version 232
- MTHU001429
- UMLS CUI 2011AA
- C1550543
- HL7 V3 2006_05
- FLFS
- UMLS CUI 2011AA
- CL425202
- UMLS CUI 2011AA
- CL425201
- UMLS CUI 2011AA
- C1301732
- SNOMED CT 2011_0131
- 397943006
- UMLS CUI 2011AA
- C0039798
Similar models
Eligibility
- StudyEvent: Eligibility
397669002 (SNOMED CT 2011_0131)
C1522577 (UMLS CUI 2011AA)
C2700391 (UMLS CUI 2011AA)
C0589121 (UMLS CUI 2011AA)
185389009 (SNOMED CT 2011_0131)
248152002 (SNOMED CT 2011_0131)
F (HL7 V3 2006_05)
C1148523 (UMLS CUI 2011AA)
C0237399 (UMLS CUI 2011AA)
C0027552 (UMLS CUI 2011AA)
410525008 (SNOMED CT 2011_0131)
C0430057 (UMLS CUI 2011AA)
167254001 (SNOMED CT 2011_0131)
10036577 (MedDRA 14.1)
C0430061 (UMLS CUI 2011AA)
166435006 (SNOMED CT 2011_0131)
134436002 (SNOMED CT 2011_0131)
C0439801 (UMLS CUI 2011AA)
255469002 (SNOMED CT 2011_0131)
C0311395 (UMLS CUI 2011AA)
275520000 (SNOMED CT 2011_0131)
10009240 (MedDRA 14.1)
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
C1299393 (UMLS CUI 2011AA)
371924009 (SNOMED CT 2011_0131)
C0475224 (UMLS CUI 2011AA)
255426005 (SNOMED CT 2011_0131)
C0234253 (UMLS CUI 2011AA)
52598005 (SNOMED CT 2011_0131)
10059073 (MedDRA 14.1)
C1261287 (UMLS CUI 2011AA)
C0333186 (UMLS CUI 2011AA)
43026009 (SNOMED CT 2011_0131)
CL354751 (UMLS CUI 2011AA)
26036001 (SNOMED CT 2011_0131)
10029990 (MedDRA 14.1)
C0814423 (UMLS CUI 2011AA)
C2936666 (UMLS CUI 2011AA)
5431005 (SNOMED CT 2011_0131)
10057787 (MedDRA 14.1)
CL371838 (UMLS CUI 2011AA)
255619001 (SNOMED CT 2011_0131)
CL415147 (UMLS CUI 2011AA)
C0441635 (UMLS CUI 2011AA)
264193005 (SNOMED CT 2011_0131)
246325009 (SNOMED CT 2011_0131)
C1706462 (UMLS CUI 2011AA)
C1301886 (UMLS CUI 2011AA)
81827009 (SNOMED CT 2011_0131)
MTHU002654 (LOINC Version 232)
C0814634 (UMLS CUI 2011AA)
C0039798 (UMLS CUI 2011AA)
C0038257 (UMLS CUI 2011AA)
65818007 (SNOMED CT 2011_0131)
276138003 (SNOMED CT 2011_0131)
GE (HL7 V3 2006_05)
C0205447 (UMLS CUI 2011AA)
38112003 (SNOMED CT 2011_0131)
C0005847 (UMLS CUI 2011AA)
59820001 (SNOMED CT 2011_0131)
MTHU020168 (LOINC Version 232)
C0806140 (UMLS CUI 2011AA)
MTHU009126 (LOINC Version 232)
C0016504 (UMLS CUI 2011AA)
56459004 (SNOMED CT 2011_0131)
MTHU002679 (LOINC Version 232)
C0456079 (UMLS CUI 2011AA)
276625007 (SNOMED CT 2011_0131)
C0448227 (UMLS CUI 2011AA)
113225006 (SNOMED CT 2011_0131)
C0223895 (UMLS CUI 2011AA)
6417001 (SNOMED CT 2011_0131)
255604002 (SNOMED CT 2011_0131)
C0311395 (UMLS CUI 2011AA)
275520000 (SNOMED CT 2011_0131)
10009240 (MedDRA 14.1)
C1142264 (UMLS CUI 2011AA)
10058069 (MedDRA 14.1)
C0205165 (UMLS CUI 2011AA)
255606000 (SNOMED CT 2011_0131)
C0205164 (UMLS CUI 2011AA)
255603008 (SNOMED CT 2011_0131)
C0040300 (UMLS CUI 2011AA)
85756007 (SNOMED CT 2011_0131)
C1517945 (UMLS CUI 2011AA)
397745006 (SNOMED CT 2011_0131)
C0020517 (UMLS CUI 2011AA)
418634005 (SNOMED CT 2011_0131)
T78.40 (ICD-10-CM Version 2010)
C0085826 (UMLS CUI 2011AA)
372560006 (SNOMED CT 2011_0131)
C0003280 (UMLS CUI 2011AA)
372862008 (SNOMED CT 2011_0131)
C0028013 (UMLS CUI 2011AA)
33396006 (SNOMED CT 2011_0131)
MTHU003538 (LOINC Version 232)
C0040302 (UMLS CUI 2011AA)
1166006 (SNOMED CT 2011_0131)
MTHU014132 (LOINC Version 232)
C0039297 (UMLS CUI 2011AA)
45215009 (SNOMED CT 2011_0131)
418634005 (SNOMED CT 2011_0131)
T78.40 (ICD-10-CM Version 2010)
C0009924 (UMLS CUI 2011AA)
385420005 (SNOMED CT 2011_0131)
C0332197 (UMLS CUI 2011AA)
2667000 (SNOMED CT 2011_0131)
C0814423 (UMLS CUI 2011AA)
C0149783 (UMLS CUI 2011AA)
297279009 (SNOMED CT 2011_0131)
10062117 (MedDRA 14.1)
C1504374 (UMLS CUI 2011AA)
10063542 (MedDRA 14.1)
392521001 (SNOMED CT 2011_0131)
C1458140 (UMLS CUI 2011AA)
248250000 (SNOMED CT 2011_0131)
10005134 (MedDRA 14.1)
C0005779 (UMLS CUI 2011AA)
64779008 (SNOMED CT 2011_0131)
10009802 (MedDRA 14.1)
D68.9 (ICD-10-CM Version 2010)
C1565489 (UMLS CUI 2011AA)
10038474 (MedDRA 14.1)
C0010294 (UMLS CUI 2011AA)
15373003 (SNOMED CT 2011_0131)
10011358 (MedDRA 14.1)
38483-4 (LOINC Version 232)
C1306571 (UMLS CUI 2011AA)
59927004 (SNOMED CT 2011_0131)
10056542 (MedDRA 14.1)
C0040046 (UMLS CUI 2011AA)
64156001 (SNOMED CT 2011_0131)
10043570 (MedDRA 14.1)
C0041948 (UMLS CUI 2011AA)
44730006 (SNOMED CT 2011_0131)
10046369 (MedDRA 14.1)
N19 (ICD-10-CM Version 2010)
C0024141 (UMLS CUI 2011AA)
55464009 (SNOMED CT 2011_0131)
10042945 (MedDRA 14.1)
M32.9 (ICD-10-CM Version 2010)
710.0 (ICD-9-CM Version 2011)
C0149871 (UMLS CUI 2011AA)
128053003 (SNOMED CT 2011_0131)
10051055 (MedDRA 14.1)
I82.40 (ICD-10-CM Version 2010)
C0011946 (UMLS CUI 2011AA)
108241001 (SNOMED CT 2011_0131)
10061105 (MedDRA 14.1)
C0021079 (UMLS CUI 2011AA)
86553008 (SNOMED CT 2011_0131)
PART (HL7 V3 2006_05)
C0013230 (UMLS CUI 2011AA)
C0205394 (UMLS CUI 2011AA)
74964007 (SNOMED CT 2011_0131)
C2346570 (UMLS CUI 2011AA)
C0008976 (UMLS CUI 2011AA)
110465008 (SNOMED CT 2011_0131)
MEDCCAT (HL7 V3 2006_05)
C0231347 (UMLS CUI 2011AA)
45704003 (SNOMED CT 2011_0131)
C2348563 (UMLS CUI 2011AA)
C0521102 (UMLS CUI 2011AA)
78235001 (SNOMED CT 2011_0131)
C1511726 (UMLS CUI 2011AA)
C0459471 (UMLS CUI 2011AA)
280452008 (SNOMED CT 2011_0131)
MTHU003869 (LOINC Version 232)
C0332281 (UMLS CUI 2011AA)
47429007 (SNOMED CT 2011_0131)
C0439801 (UMLS CUI 2011AA)
255469002 (SNOMED CT 2011_0131)
C0023671 (UMLS CUI 2011AA)
LP75025-4 (LOINC Version 232)
41118005 (SNOMED CT 2011_0131)
C0085096 (UMLS CUI 2011AA)
400047006 (SNOMED CT 2011_0131)
10034636 (MedDRA 14.1)
MTHU020791 (LOINC Version 232)
I73.9 (ICD-10-CM Version 2010)
443.9 (ICD-9-CM Version 2011)
C0332196 (UMLS CUI 2011AA)
77765009 (SNOMED CT 2011_0131)
C1883719 (UMLS CUI 2011AA)
C0456642 (UMLS CUI 2011AA)
277312002 (SNOMED CT 2011_0131)
C0450429 (UMLS CUI 2011AA)
246267002 (SNOMED CT 2011_0131)
C0332281 (UMLS CUI 2011AA)
47429007 (SNOMED CT 2011_0131)
C0002940 (UMLS CUI 2011AA)
432119003 (SNOMED CT 2011_0131)
10002329 (MedDRA 14.1)
I72.9 (ICD-10-CM Version 2010)
442.9 (ICD-9-CM Version 2011)
C0005847 (UMLS CUI 2011AA)
59820001 (SNOMED CT 2011_0131)
MTHU020168 (LOINC Version 232)
C0441635 (UMLS CUI 2011AA)
264193005 (SNOMED CT 2011_0131)
77343006 (SNOMED CT 2011_0131)
10050062 (MedDRA 14.1)
C0332120 (UMLS CUI 2011AA)
18669006 (SNOMED CT 2011_0131)
C2700379 (UMLS CUI 2011AA)
C0678861 (UMLS CUI 2011AA)
C0205412 (UMLS CUI 2011AA)
71978007 (SNOMED CT 2011_0131)
C1521721 (UMLS CUI 2011AA)
C0863745 (UMLS CUI 2011AA)
10052090 (MedDRA 14.1)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
C0036690 (UMLS CUI 2011AA)
105592009 (SNOMED CT 2011_0131)
10040089 (MedDRA 14.1)
MTHU020833 (LOINC Version 232)
A41.9 (ICD-10-CM Version 2010)
038.9 (ICD-9-CM Version 2011)
E11560 (CTCAE 1105E)
C2348558 (UMLS CUI 2011AA)
65818007 (SNOMED CT 2011_0131)
C0205156 (UMLS CUI 2011AA)
9130008 (SNOMED CT 2011_0131)
C0021102 (UMLS CUI 2011AA)
40388003 (SNOMED CT 2011_0131)
C0449618 (UMLS CUI 2011AA)
246325009 (SNOMED CT 2011_0131)
C0302891 (UMLS CUI 2011AA)
263818007 (SNOMED CT 2011_0131)
C0447106 (UMLS CUI 2011AA)
181349008 (SNOMED CT 2011_0131)
C0205107 (UMLS CUI 2011AA)
40415009 (SNOMED CT 2011_0131)
C1278953 (UMLS CUI 2011AA)
181350008 (SNOMED CT 2011_0131)
C1706086 (UMLS CUI 2011AA)
C0015385 (UMLS CUI 2011AA)
66019005 (SNOMED CT 2011_0131)
MTHU001429 (LOINC Version 232)
C1550543 (UMLS CUI 2011AA)
FLFS (HL7 V3 2006_05)
CL425202 (UMLS CUI 2011AA)
CL425201 (UMLS CUI 2011AA)
C1301732 (UMLS CUI 2011AA)
397943006 (SNOMED CT 2011_0131)
C0039798 (UMLS CUI 2011AA)