Coronary Artery Disease
Conditions
Keywords
coronary artery disease, percutaneous coronary intervention, anticoagulation
Brief summary
Advances in mechanical intervention (PCI) and anticoagulation therapy have been the cornerstone of treatment of patients with coronary artery disease. However, the large diversity of approaches to anticoagulation during PCI introduces gaps in knowledge regarding management of cardiac patients. As such, we have initiated a national PCI registry to elucidate anticoagulant choice, dosing strategies, case selection dynamics, and clinical outcomes in the Canadian health care environment.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. 18 or more years of age. 2. Undergoing PCI during treatment with LMWH 3. Provision of written and informed consent
Exclusion criteria
1. Language, medical, or psychiatric barriers that preclude understanding of informed consent process. 2. Patients in which the site investigator is unable to comply with completion of study documentation following PCI, i.e. patients with planned transfer to another hospital not participating in the registry. 3. Enrollment in a clinical trial involving another anticoagulant agent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Description of anticoagulant management during PCI and current practices of participating centres will be undertaken | in-hospital |
Secondary
| Measure | Time frame |
|---|---|
| In-hospital safety outcomes including - major, minor bleeding, requirement for transfusion, death, myocardial infarction (or re-MI), myocardial ischemia requiring urgent revascularization, and major bleeding | in-hospital |
| In-hospital angiographic complications: no reflow, thrombus, occlusion of collateral branches, distal embolism, coronary dissection, acute closure of the culprit vessel | in-hospital |
| PCI-related resources utilization during the study period, including cost of PCI and its treatment (e.g. duration of hospital stay, drug costs, costs related to bleeding such as transfusions) | in-hospital |
Countries
Canada