Comparison of the Ranger™ Paclitaxel-Coated PTA Balloon Catheter and Uncoated PTA Balloons in Femoropopliteal Arteries

The primary objective of this study is to prove the superior performance of the Ranger™ paclitaxel-coated PTA balloon catheter for angioplasty for femoropopliteal artery lesions when compared to non-coated balloons at six months post-procedure when comparing Late Lumen Loss (LLL). Study statistical hypothesis: The %-mean loss of luminal diameter as assessed by angiography at six months follow-up after treatment of the femoropopliteal artery with Ranger DCB study devices is lower than the %-mean loss of luminal diameter after treatment with uncoated PTA balloon control devices.


Eligibility Criteria:
Inclusion Criteria:

* Subjects must be age 18 or older
* Subject is willing and able to provide informed consent
* Subject is available to attend all required follow-up visits
* Subject has a clinically significant symptomatic leg ischemia requiring treatment
* Subject has a Rutherford clinical category of 2-4
* If the index lesion is restenotic, the prior PTA must have been \>30 days prior to treatment in the current study
* Only one lesion per limb can be treated under this protocol.
* Successful intraluminal wire crossing of the target lesion
* Index lesion is a clinically and hemodynamically significant stenotic or restenotic lesion located in the native nonstented superficial femoral artery or proximal popliteal artery
* Degree of stenosis 70% or more, by visual assessment
* Lesion length between 20 mm and 150 mm
* At least one patent infrapopliteal artery to the foot of the index limb

Exclusion Criteria:

* Subjects who have undergone prior vascular surgery of the femoropopliteal artery in the index limb to treat atherosclerotic disease
* History of major amputation in the same limb as the target lesion
* Presence of aneurysm in the target vessel
* Acute ischemia and/or acute thrombosis in any artery of the lower limbs
* Acute Myocardial Infarction within 30 days before the index procedure
* Persistent, intraluminal thrombus of the proposed target lesion post-thrombolytic therapy
* Known hypersensitivity or contraindication to contrast dye that cannot be adequately pre-medicated
* Known allergies against Paclitaxel or other components of the used medical devices
* Intolerance to antiplatelet, anticoagulant, or thrombolytic medications that would be administered during the trial
* Platelet count \<100,000 mm3 or \>600,000 mm3
* Concomitant renal failure with a serum creatinine \>2.0 mg/dL
* Receiving dialysis or immunosuppressant therapy
* Life expectancy of less than one year
* Women of child-bearing potential must agree to use a reliable method of contraception from the time of screening through 12 months after the index procedure.
* Woman who is pregnant or nursing.
* Previously planned stenting of the index lesion
* Use of adjunctive therapies (debulking, laser, cryoplasty, re-entry devices)
* Planned or expected procedures (cardiac, aorta, peripheral) within 30 days after the index procedure
* Presence of outflow lesions requiring intervention within 30 days of the index procedure
* Perforated vessel as evidenced by extravasation of contrast media
* Heavily calcified target lesions resistant to PTA
* Current participation in another drug or device trial that has not completed the primary endpoint, that may potentially confound the results of this trial, or that would limit the subject's compliance with the follow-up requirements
* Current participation in any study using drug-coated/drug-eluting technologies
* Current participation in any study using drug-coated/drug-eluting technologies
* Target lesion with in-stent restenosis (any stent or stent-graft)