Coronary Artery Disease
Conditions
Keywords
Coronary Artery Disease, Robotic Coronary Artery Bypass Surgery, Percutaneous Coronary Intervention, Hybrid Coronary Revascularization
Brief summary
The primary objective of this study is to assess the safety and effectiveness of same sitting, simultaneous hybrid robotic assisted coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) in the treatment of obstructive multivessel coronary artery disease. A secondary objective is the assessment and standardization of optimal operator techniques and comparative study of patients undergoing CABG during study period.
Detailed description
The study population will consist of patients with multivessel coronary artery disease requiring CABG with suitable anatomy for combination CABG and PCI of non-bypassed arteries. The primary endpoint of this feasibility study is a 30-day composite of major adverse clinical events including death, repeat revascularization, stroke and/or myocardial infarction. The secondary endpoints include: 1. Successful completion of same sitting CABG and coronary stent procedure 2. Successful completion of CABG and PCI during single hospitalization 3. Achievement of complete revascularization 4. Patency of the LIMA and stented vessels as determined by coronary angiography at time of procedures or prior to discharge and by cardiac Computed Tomographic Angiography (CTA) or coronary angiography at 1 year. 5. Stent thrombosis at 24 hours (acute), 30 days (sub acute), and 1 year (late) 6. One-year composite clinical event endpoints of major clinical events including death, repeat revascularization, myocardial infarction, and freedom from angina 7. Comparative analysis of hospital, 30 day, and 1 year events of hybrid CABG patients compared to consecutive patients undergoing off pump CABG with standard thoracotomy during study period
Interventions
PROCEDUREHybrid CABG/PCI
Same sitting hybrid, robotic CABG/PCI
PROCEDUREOff Pump CABG
Standard of Care Off Pump CABG
Sponsors
Pinnacle Health Cardiovascular Institute
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Requirement for CABG * Anatomy and body habitus suitable for Robotic CABG * Requirement of revascularization of arteries amendable for PCI but not accessable by Robotic CABG
Exclusion criteria
* Need for emergent CABG
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint of this feasibility study is a 30-day composite of major adverse clinical events including death, repeat revascularization, stroke and/or myocardial infarction. | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| One-year composite clinical event endpoints of major clinical events. Comparative analysis of consecutive patients undergoing off pump CABG with standard thoracotomy during study period. | 1 year |
Countries
United States
Outcome results
None listed