Chronic Coronary Occlusion, Coronary Artery Disease, Coronary Artery Stenosis, Coronary Disease, Coronary Restenosis, Myocardial Ischemia, Stent Thrombosis, Unprotected Left Main Coronary Artery Disease, Vascular Disease
Conditions
Keywords
Drug eluting stents, Stents, Unprotected Left Main Coronary Artery Disease, Coronary artery bypass graft surgery
Brief summary
To establish the safety and efficacy of the commercially approved XIENCE Family Stent System (inclusive of XIENCE PRIME, XIENCE V, XIENCE Xpedition and XIENCE PRO \[for use outside the United States \[OUS\] only\]) in subjects with unprotected left main coronary artery disease by comparing to coronary artery bypass graft surgery.
Interventions
Those patients receiving the XIENCE PRIME™ EECSS or XIENCE V® EECSS or XIENCE Xpedition™ EECSS or XIENCE PRO EECSS
Those patients receiving CABG
Sponsors
Study design
Eligibility
Inclusion criteria
\* Inclusion criteria for RCT: * Unprotected left main coronary artery (ULMCA) disease with angiographic diameter stenosis (DS) ≥70% requiring revascularization, or * ULMCA disease with agniographic DS \>=50% but \< 70% requiring revascularization, with one or more of the following present: * Non-invasive evidence of ischemia referable to a hemodynamically significant left main lesion (large area of ischemia in both the LAD and LCX territories, or in either the LAD or LCX territory in the absence of other obstructive coronary artery disease to explain the LAD or LCX defect), or stress-induced hypotension or stress-induced fall in LVEF, or stress-induced transient ischemic dilatation of the left ventricle or stress-induced thallium/technetiumlung uptake, and/or * IVUS minimum lumen area (MLA) \<= 6.0mm2, and/or * Fractional Flow Reserve (FFR) \<=0.80 * Left Main Equivalent Disease * Clinical and anatomic eligibility for both PCI and CABG * Silent ischemia, stable angina, unstable angina or recent MI * Ability to sign informed consent and comply with all study procedures including follow-up for at least three years
Exclusion criteria
\* Clinical
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 5 years | All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | In-hospital (≤ 7 days of index-procedure) | All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection). |
| Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | In-hospital (≤ 7 days of index-procedure) | All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection). |
| Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | In-hospital (≤ 7 days of index-procedure) | All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Specifically, any unexpected death even in subjects with coexisting potentially fatal non-cardiac disease (e.g. cancer, infection) should be classified as cardiac. • Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment. • Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause. • Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma. |
| Number of Participants With Protocol Defined MI | In-hospital (≤ 7 days of post index procedure) | Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG. -Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. |
| Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | In-hospital (≤ 7 days of index-procedure) | Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection). Ischemic (Non-hemorrhagic): A stroke caused by an arterial obstruction due to either a thrombotic (e.g., large vessel disease/atherosclerotic or small vessel disease/lacunar) or embolic etiology. Hemorrhagic: A stroke due to a hemorrhage in the brain as documented by neuroimaging or autopsy. This category will include strokes due to primary intracerebral hemorrhage (intraparenchymal or intraventricular), ischemic strokes with hemorrhagic transformation (i.e., no evidence of hemorrhage on an initial imaging study but appearance on a subsequent scan), subdural hematoma,\* and primary subarachnoid hemorrhage. * All subdural hematomas that develop during the clinical trial should be recorded and classified as either traumatic versus nontraumatic. |
| Number of Participants With Disability Following Stroke Event | 90 days ± 2 weeks | In case of an event of stroke disability at 90-days±2 weeks will be an overall measurement of severity of stroke as assessed by modified Rankin Scale (mRS) scale. Stroke disability will be classified using an adaptation of the modified Rankin Scale as follows, the assessment of which will be based on the Modified Rankin Disability Questionnaire. Scale 0; No stroke symptoms at all. (May have other complaints) Scale 1; No significant disability; symptoms present but no physical or other limitations. Scale 2; Slight disability; limitations in participation in usual social roles, but independent for activities of daily living (ADL) Scale 3; Some need for assistance but able to walk without assistance Scale 4; Moderately severe disability; need for assistance with some basic ADL, but not requiring constant care Scale 5; Severe disability; requiring constant nursing care and attention. |
| Number of Participants With Ischemia Driven Revascularizations (TLR,TVR and Non-TVR) | In-hospital (≤ 7 days of index-procedure) | A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; or * Ischemic ECG changes at rest in a distribution consistent with the target vessel; or * Typical ischemic symptoms referable to the target lesion; or * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; or * Fractional Flow Reserve (FFR) of the target lesion ≤ 0.80 |
| Number of Participants With Ischemia Driven Revascularizations | 0 to 30 days | A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; or * Ischemic ECG changes at rest in a distribution consistent with the target vessel; or * Typical ischemic symptoms referable to the target lesion; or * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; or * Fractional Flow Reserve (FFR) of the target lesion ≤ 0.80 |
| Number of Participants With All Revascularizations (Ischemia-driven or Non Ischemia-driven) | In-hospital (≤ 7 days of index-procedure) | * A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; * Ischemic ECG changes at rest in a distribution consistent with the target vessel; * Typical ischemic symptoms referable to the target lesion; * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; * FFR of the target lesion ≤ 0.80 * A non target vessel revascularization will be considered ischemia-driven if any lesion the non target vessel has a diameter stenosis ≥ 50% by QCA with any of the above criteria for ischemia met. |
| Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 0 to 30 days | * A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; * Ischemic ECG changes at rest in a distribution consistent with the target vessel; * Typical ischemic symptoms referable to the target lesion; * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; * FFR of the target lesion ≤ 0.80 * A non target vessel revascularization will be considered ischemia-driven if any lesion the non target vessel has a diameter stenosis ≥ 50% by QCA with any of the above criteria for ischemia met. |
| Number of Participants With Graft Stenosis or Occlusion | In-hospital (≤ 7 days of index-procedure) | Graft stenosis or occlusion is defined as Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft. |
| Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable | Early (0-30 days) | Definite stent thrombosis occurred by either angiographic/pathologic confirmation of stent thrombosis. Angiographic confirmation:The presence of a thrombus that originates in the stent or in the segment 5 mm proximal or distal to the stent&presence of at least 1 of the following criteria within a 48-hour time window: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive thrombus * Occlusive thrombus. Pathological confirmation: Evidence of recent thrombus within the stent determined at autopsy or via examination of tissue retrieved following thrombectomy. Probable stent thrombosis may occur after intracoronary stenting due to: * Unexplained death within first 30 days * Irrespective of the time after the index procedure,any MI that is related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation of stent thrombosis&in the absence of any other obvious cause. |
| Number of Participants With Stent Thrombosis (ARC Definition) Definite/ Probable | Subacute (1-30 days) | Definite stent thrombosis occurred by either angiographic/pathologic confirmation of stent thrombosis. Angiographic confirmation:The presence of a thrombus that originates in the stent or in the segment 5 mm proximal or distal to the stent&presence of at least 1 of the following criteria within a 48-hour time window: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive thrombus * Occlusive thrombus. Pathological confirmation: Evidence of recent thrombus within the stent determined at autopsy or via examination of tissue retrieved following thrombectomy. Probable stent thrombosis may occur after intracoronary stenting due to: * Unexplained death within first 30 days * Irrespective of the time after the index procedure,any MI that is related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation of stent thrombosis&in the absence of any other obvious cause. |
| Number of Participants With Requirement for Blood Product Transfusion | 30 days | All TIMI definitions take into account blood transfusions, so that hemoglobin and hematocrit values are adjusted by 1 g/dl or 3%, respectively, for each unit of blood transfused. Therefore, the true change in hemoglobin or hematocrit if there has been an intervening transfusion between two blood measurements is calculated as follows: * Δ Hemoglobin = \[baseline Hgb - post-transfusion Hgb\] + \[number of transfused units\]; * Δ Hematocrit = \[baseline Hct - post-transfusion Hct\] + \[number of transfused units X 3\]. |
| Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding | 30 days | Bleeding will be classified by the TIMI hemorrhage classification Severity: Major: * Intracranial hemorrhage * A ≥5 g/dL decrease in the hemoglobin concentration * A ≥15% absolute decrease in the hematocrit Minor: * Observed blood loss: * A ≥ 3 g/dL decrease in the hemoglobin concentration * A ≥ 10% absolute decrease in the hematocrit * No observed blood loss: * A ≥ 4 g/dL decrease in the hemoglobin concentration * A ≥ 12% absolute decrease in the hematocrit Minimal: • Any clinically overt sign of hemorrhage (including imaging) that is associated with a \< 3 g/dL decrease in hemoglobin concentration or \< 9% decrease in the hematocrit. |
| Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding | 30 days | Type 0: No bleeding Type 1: Bleeding that is not actionable&does not cause the patient to seek unscheduled performance of studies,hospitalization,or treatment by a healthcare professional Type 2: Any overt, actionable sign of hemorrhage that does not fit the criteria for type 3,4,or 5 but does meet at least 1 of the following criteria:requiring nonsurgical, medical intervention by a healthcare professional; leading to hospitalization or increased level of care; prompting evaluation. Type 3 Type 3a * Overt bleeding plus hemoglobin drop of 3 to \< 5 g/dL * Any transfusion with overt bleeding Type 3b * Overt bleeding plus hemoglobin drop ≥5 g/dL\* * Cardiac tamponade * Bleeding requiring surgical intervention for control * Bleeding requiring intravenous vasoactive agents Type 3c * Intracranial hemorrhage * Subcategories confirmed by autopsy or imaging or lumbar puncture * Intraocular bleed compromising vision Type 4: CABG-related bleeding Type 5: Fatal bleeding |
| Number of Participants With Major Adverse Events (MAE) | 30 days | * death * myocardial infarction * stroke * Transfusion of ≥2 units of blood * TIMI major or minor bleeding * major arrhythmia * unplanned coronary revascularization for ischemia * any unplanned surgery or therapeutic radiologic procedure * renal failure * sternal wound dehiscence * infection requiring antibiotics for treatment * intubation for \> 48 hours * post-pericardiotomy syndrome |
| Number of Participants With Complete Revascularization (Residual = 0) | At Baseline | 1. Complete anatomic revascularization requires revascularization of all vessels ≥2.0 mm reference vessel diameter with a DS ≥60% (both as measured by core angiographic laboratory analysis). -While this will be the pre-specified criteria for anatomically significant lesions, sensitivity analysis will be performed using different criteria (e.g. ≥2.5 mm vessels, DS ≥70%, etc.) 2. From the baseline angiogram, the angiographic core lab will identify and designate those lesions and vessels requiring revascularization in all subjects according to this definition, prior to knowledge of the extent of actual revascularization. 3. Following PCI, the angiographic core lab will determine the extent of revascularization (vessels with TIMI 2or3 flow post procedure with a core laboratory DS \<50% considered successfully revascularized). 4. Following CABG, the angiographic core lab will determine the extent of revascularization or if there is a repeat angiogram during the index hospitalization. |
| Number of Participants With Definite Stent Thrombosis (ST) or Symptomatic Graft Occlusion | In-hospital (≤ 7 days of post index procedure) | \- Definite ST occurred by either angiographic/pathologic confirmation of ST. Angiographic confirmation:The presence of a thrombus that originates in the stent/in the segment 5mm proximal/distal to the stent&presence of at least 1 of the following criteria within 48-hours: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive &occlusive thrombus Pathological confirmation:Evidence of recent thrombus within the stent determined at autopsy/via examination of tissue retrieved following thrombectomy. -Symptomatic graft occlusion: Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft. |
| Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion | 1 year | \- Definite ST occurred by either angiographic/pathologic confirmation of ST. Angiographic confirmation:The presence of a thrombus that originates in the stent/in the segment 5mm proximal/distal to the stent&presence of at least 1 of the following criteria within 48-hours: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive &occlusive thrombus Pathological confirmation:Evidence of recent thrombus within the stent determined at autopsy/via examination of tissue retrieved following thrombectomy. -Symptomatic graft occlusion: Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft. |
| Percentage of Participants With Major Adverse Events (MAE) | In-hospital | Composite of death, myocardial infarction, stroke, transfusion of ≥ 2 units of blood, major arrhythmia, unplanned coronary revascularization for ischemia, any unplanned surgery or radiologic procedure, renal failure, sternal wound dehiscence, infection requiring antibiotics for treatment, intubation for \> 48 hours, or post-pericardiotomy syndrome. |
Countries
United States
Participant flow
Recruitment details
A total of 1905 subjects were randomized (Percutaneous Coronary Intervention (PCI): 948 & Coronary Artery Bypass Graft (CABG) 957) between September 29, 2010 and March 6, 2014. Five hundred and forty-nine (549) subjects were from 56 U.S. sites and 1356 subjects were from 70 international sites,for a total of 126 enrolling sites.
Pre-assignment details
The original EXCEL study consisted of a randomized clinical trial (RCT) (n=2600) & a Universal Registry (n=1000). In February 2014,a decision was made to cap enrollment in the RCT at approximately 1900.The change in scope of the study design was not due to any device or subject safety issues.
Participants by arm
| Arm | Count |
|---|---|
| Percutaneous Coronary Intervention (PCI) Those patients receiving the XIENCE PRIME™ EECSS or XIENCE V® EECSS or XIENCE Xpedition™ EECSS or XIENCE PRO EECSS | 948 |
| Coronary Artery Bypass Graft (CABG) Those patients receiving Coronary Artery Bypass Graft (CABG) | 957 |
| Total | 1,905 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 53 | 61 |
| Overall Study | Withdrawal by Subject | 11 | 34 |
Baseline characteristics
| Characteristic | Coronary Artery Bypass Graft (CABG) | Total | Percutaneous Coronary Intervention (PCI) |
|---|---|---|---|
| Age, Continuous | 65.9 years STANDARD_DEVIATION 9.5 | 66.0 years STANDARD_DEVIATION 9.6 | 66.0 years STANDARD_DEVIATION 9.6 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 23 Participants | 44 Participants | 21 Participants |
| Race (NIH/OMB) Black or African American | 28 Participants | 64 Participants | 36 Participants |
| Race (NIH/OMB) More than one race | 20 Participants | 36 Participants | 16 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 33 Participants | 64 Participants | 31 Participants |
| Race (NIH/OMB) White | 853 Participants | 1697 Participants | 844 Participants |
| Region of Enrollment Australia | 9 Participants | 15 Participants | 6 Participants |
| Region of Enrollment Canada | 100 Participants | 203 Participants | 103 Participants |
| Region of Enrollment Europe | 541 Participants | 1075 Participants | 534 Participants |
| Region of Enrollment South America | 28 Participants | 48 Participants | 20 Participants |
| Region of Enrollment Southeast Asia | 8 Participants | 15 Participants | 7 Participants |
| Region of Enrollment United States | 271 Participants | 549 Participants | 278 Participants |
| Sex: Female, Male Female | 742 Participants | 1464 Participants | 722 Participants |
| Sex: Female, Male Male | 215 Participants | 441 Participants | 226 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 119 / 948 | 89 / 957 |
| other Total, other adverse events | 791 / 948 | 831 / 957 |
| serious Total, serious adverse events | 535 / 948 | 550 / 957 |
Outcome results
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke
All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).
Time frame: 5 years
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 203 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 176 Participants |
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke
All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).
Time frame: In-hospital (≤ 7 days of index-procedure)
Population: ITT population. Subjects without the required follow-up are excluded from the time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 40 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 77 Participants |
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke
All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).
Time frame: 30 days
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 46 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 75 Participants |
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke
All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).
Time frame: 0 to 6 months
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 66 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 97 Participants |
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke
All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).
Time frame: 0 to 1 year
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 80 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 106 Participants |
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke
All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).
Time frame: 0 to 2 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 115 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 122 Participants |
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke
All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).
Time frame: 0 to 3 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 137 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 135 Participants |
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke
All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).
Time frame: 0 to 4 years
Population: ITT population
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 173 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 154 Participants |
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke
All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).
Time frame: 0 to 5 years
Population: ITT population
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 203 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke | 176 Participants |
Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death)
All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Specifically, any unexpected death even in subjects with coexisting potentially fatal non-cardiac disease (e.g. cancer, infection) should be classified as cardiac. • Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment. • Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause. • Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Time frame: 0 to 5 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 119 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 89 Participants |
Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death)
All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Specifically, any unexpected death even in subjects with coexisting potentially fatal non-cardiac disease (e.g. cancer, infection) should be classified as cardiac. • Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment. • Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause. • Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Time frame: In-hospital (≤ 7 days of index-procedure)
Population: ITT population. Subjects without the required follow-up are excluded from the time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 4 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 12 Participants |
Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death)
All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Specifically, any unexpected death even in subjects with coexisting potentially fatal non-cardiac disease (e.g. cancer, infection) should be classified as cardiac. • Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment. • Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause. • Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Time frame: 0 to 30 days
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 9 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 10 Participants |
Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death)
All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Specifically, any unexpected death even in subjects with coexisting potentially fatal non-cardiac disease (e.g. cancer, infection) should be classified as cardiac. • Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment. • Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause. • Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Time frame: 0 to 6 months
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 19 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 23 Participants |
Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death)
All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Specifically, any unexpected death even in subjects with coexisting potentially fatal non-cardiac disease (e.g. cancer, infection) should be classified as cardiac. • Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment. • Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause. • Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Time frame: 0 to 1 year
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 31 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 33 Participants |
Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death)
All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Specifically, any unexpected death even in subjects with coexisting potentially fatal non-cardiac disease (e.g. cancer, infection) should be classified as cardiac. • Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment. • Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause. • Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Time frame: 0 to 2 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 54 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 44 Participants |
Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death)
All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Specifically, any unexpected death even in subjects with coexisting potentially fatal non-cardiac disease (e.g. cancer, infection) should be classified as cardiac. • Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment. • Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause. • Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Time frame: 0 to 3 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 74 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 54 Participants |
Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death)
All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Specifically, any unexpected death even in subjects with coexisting potentially fatal non-cardiac disease (e.g. cancer, infection) should be classified as cardiac. • Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment. • Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause. • Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Time frame: 0 to 4 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 95 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All-cause Mortality (Cardiac Death and Non-cardiac Death) | 68 Participants |
Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven)
* A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; * Ischemic ECG changes at rest in a distribution consistent with the target vessel; * Typical ischemic symptoms referable to the target lesion; * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; * FFR of the target lesion ≤ 0.80 * A non target vessel revascularization will be considered ischemia-driven if any lesion the non target vessel has a diameter stenosis ≥ 50% by QCA with any of the above criteria for ischemia met.
Time frame: 0 to 5 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 153 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 92 Participants |
Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven)
* A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; * Ischemic ECG changes at rest in a distribution consistent with the target vessel; * Typical ischemic symptoms referable to the target lesion; * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; * FFR of the target lesion ≤ 0.80 * A non target vessel revascularization will be considered ischemia-driven if any lesion the non target vessel has a diameter stenosis ≥ 50% by QCA with any of the above criteria for ischemia met.
Time frame: 0 to 4 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 146 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 83 Participants |
Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven)
* A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; * Ischemic ECG changes at rest in a distribution consistent with the target vessel; * Typical ischemic symptoms referable to the target lesion; * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; * FFR of the target lesion ≤ 0.80 * A non target vessel revascularization will be considered ischemia-driven if any lesion the non target vessel has a diameter stenosis ≥ 50% by QCA with any of the above criteria for ischemia met.
Time frame: 0 to 3 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 116 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 68 Participants |
Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven)
* A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; * Ischemic ECG changes at rest in a distribution consistent with the target vessel; * Typical ischemic symptoms referable to the target lesion; * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; * FFR of the target lesion ≤ 0.80 * A non target vessel revascularization will be considered ischemia-driven if any lesion the non target vessel has a diameter stenosis ≥ 50% by QCA with any of the above criteria for ischemia met.
Time frame: 0 to 2 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 97 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 57 Participants |
Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven)
* A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; * Ischemic ECG changes at rest in a distribution consistent with the target vessel; * Typical ischemic symptoms referable to the target lesion; * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; * FFR of the target lesion ≤ 0.80 * A non target vessel revascularization will be considered ischemia-driven if any lesion the non target vessel has a diameter stenosis ≥ 50% by QCA with any of the above criteria for ischemia met.
Time frame: 0 to 1 year
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 63 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 42 Participants |
Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven)
* A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; * Ischemic ECG changes at rest in a distribution consistent with the target vessel; * Typical ischemic symptoms referable to the target lesion; * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; * FFR of the target lesion ≤ 0.80 * A non target vessel revascularization will be considered ischemia-driven if any lesion the non target vessel has a diameter stenosis ≥ 50% by QCA with any of the above criteria for ischemia met.
Time frame: 0 to 6 months
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 29 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 30 Participants |
Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven)
* A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; * Ischemic ECG changes at rest in a distribution consistent with the target vessel; * Typical ischemic symptoms referable to the target lesion; * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; * FFR of the target lesion ≤ 0.80 * A non target vessel revascularization will be considered ischemia-driven if any lesion the non target vessel has a diameter stenosis ≥ 50% by QCA with any of the above criteria for ischemia met.
Time frame: 0 to 30 days
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 7 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Revascularizations (Ischemia Driven and Not Ischemia Driven) | 13 Participants |
Number of Participants With All Revascularizations (Ischemia-driven or Non Ischemia-driven)
* A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; * Ischemic ECG changes at rest in a distribution consistent with the target vessel; * Typical ischemic symptoms referable to the target lesion; * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; * FFR of the target lesion ≤ 0.80 * A non target vessel revascularization will be considered ischemia-driven if any lesion the non target vessel has a diameter stenosis ≥ 50% by QCA with any of the above criteria for ischemia met.
Time frame: In-hospital (≤ 7 days of index-procedure)
Population: ITT population. Subjects without the required follow-up are excluded from the time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Revascularizations (Ischemia-driven or Non Ischemia-driven) | 3 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Revascularizations (Ischemia-driven or Non Ischemia-driven) | 12 Participants |
Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke)
Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection). Ischemic (Non-hemorrhagic): A stroke caused by an arterial obstruction due to either a thrombotic (e.g., large vessel disease/atherosclerotic or small vessel disease/lacunar) or embolic etiology. Hemorrhagic: A stroke due to a hemorrhage in the brain as documented by neuroimaging or autopsy. This category will include strokes due to primary intracerebral hemorrhage (intraparenchymal or intraventricular), ischemic strokes with hemorrhagic transformation (i.e., no evidence of hemorrhage on an initial imaging study but appearance on a subsequent scan), subdural hematoma,\* and primary subarachnoid hemorrhage. * All subdural hematomas that develop during the clinical trial should be recorded and classified as either traumatic versus nontraumatic.
Time frame: 0 to 6 months
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 9 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 16 Participants |
Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke)
Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection). Ischemic (Non-hemorrhagic): A stroke caused by an arterial obstruction due to either a thrombotic (e.g., large vessel disease/atherosclerotic or small vessel disease/lacunar) or embolic etiology. Hemorrhagic: A stroke due to a hemorrhage in the brain as documented by neuroimaging or autopsy. This category will include strokes due to primary intracerebral hemorrhage (intraparenchymal or intraventricular), ischemic strokes with hemorrhagic transformation (i.e., no evidence of hemorrhage on an initial imaging study but appearance on a subsequent scan), subdural hematoma,\* and primary subarachnoid hemorrhage. * All subdural hematomas that develop during the clinical trial should be recorded and classified as either traumatic versus nontraumatic.
Time frame: In-hospital (≤ 7 days of index-procedure)
Population: ITT population. Subjects without the required follow-up are excluded from the time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 4 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 13 Participants |
Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke)
Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection). Ischemic (Non-hemorrhagic): A stroke caused by an arterial obstruction due to either a thrombotic (e.g., large vessel disease/atherosclerotic or small vessel disease/lacunar) or embolic etiology. Hemorrhagic: A stroke due to a hemorrhage in the brain as documented by neuroimaging or autopsy. This category will include strokes due to primary intracerebral hemorrhage (intraparenchymal or intraventricular), ischemic strokes with hemorrhagic transformation (i.e., no evidence of hemorrhage on an initial imaging study but appearance on a subsequent scan), subdural hematoma,\* and primary subarachnoid hemorrhage. * All subdural hematomas that develop during the clinical trial should be recorded and classified as either traumatic versus nontraumatic.
Time frame: 0 to 30 days
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 6 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 12 Participants |
Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke)
Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection). Ischemic (Non-hemorrhagic): A stroke caused by an arterial obstruction due to either a thrombotic (e.g., large vessel disease/atherosclerotic or small vessel disease/lacunar) or embolic etiology. Hemorrhagic: A stroke due to a hemorrhage in the brain as documented by neuroimaging or autopsy. This category will include strokes due to primary intracerebral hemorrhage (intraparenchymal or intraventricular), ischemic strokes with hemorrhagic transformation (i.e., no evidence of hemorrhage on an initial imaging study but appearance on a subsequent scan), subdural hematoma,\* and primary subarachnoid hemorrhage. * All subdural hematomas that develop during the clinical trial should be recorded and classified as either traumatic versus nontraumatic.
Time frame: 0 to 1 year
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 10 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 18 Participants |
Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke)
Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection). Ischemic (Non-hemorrhagic): A stroke caused by an arterial obstruction due to either a thrombotic (e.g., large vessel disease/atherosclerotic or small vessel disease/lacunar) or embolic etiology. Hemorrhagic: A stroke due to a hemorrhage in the brain as documented by neuroimaging or autopsy. This category will include strokes due to primary intracerebral hemorrhage (intraparenchymal or intraventricular), ischemic strokes with hemorrhagic transformation (i.e., no evidence of hemorrhage on an initial imaging study but appearance on a subsequent scan), subdural hematoma,\* and primary subarachnoid hemorrhage. * All subdural hematomas that develop during the clinical trial should be recorded and classified as either traumatic versus nontraumatic.
Time frame: 0 to 2 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 17 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 22 Participants |
Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke)
Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection). Ischemic (Non-hemorrhagic): A stroke caused by an arterial obstruction due to either a thrombotic (e.g., large vessel disease/atherosclerotic or small vessel disease/lacunar) or embolic etiology. Hemorrhagic: A stroke due to a hemorrhage in the brain as documented by neuroimaging or autopsy. This category will include strokes due to primary intracerebral hemorrhage (intraparenchymal or intraventricular), ischemic strokes with hemorrhagic transformation (i.e., no evidence of hemorrhage on an initial imaging study but appearance on a subsequent scan), subdural hematoma,\* and primary subarachnoid hemorrhage. * All subdural hematomas that develop during the clinical trial should be recorded and classified as either traumatic versus nontraumatic.
Time frame: 0 to 3 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 21 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 28 Participants |
Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke)
Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection). Ischemic (Non-hemorrhagic): A stroke caused by an arterial obstruction due to either a thrombotic (e.g., large vessel disease/atherosclerotic or small vessel disease/lacunar) or embolic etiology. Hemorrhagic: A stroke due to a hemorrhage in the brain as documented by neuroimaging or autopsy. This category will include strokes due to primary intracerebral hemorrhage (intraparenchymal or intraventricular), ischemic strokes with hemorrhagic transformation (i.e., no evidence of hemorrhage on an initial imaging study but appearance on a subsequent scan), subdural hematoma,\* and primary subarachnoid hemorrhage. * All subdural hematomas that develop during the clinical trial should be recorded and classified as either traumatic versus nontraumatic.
Time frame: 0 to 4 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 23 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 30 Participants |
Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke)
Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection). Ischemic (Non-hemorrhagic): A stroke caused by an arterial obstruction due to either a thrombotic (e.g., large vessel disease/atherosclerotic or small vessel disease/lacunar) or embolic etiology. Hemorrhagic: A stroke due to a hemorrhage in the brain as documented by neuroimaging or autopsy. This category will include strokes due to primary intracerebral hemorrhage (intraparenchymal or intraventricular), ischemic strokes with hemorrhagic transformation (i.e., no evidence of hemorrhage on an initial imaging study but appearance on a subsequent scan), subdural hematoma,\* and primary subarachnoid hemorrhage. * All subdural hematomas that develop during the clinical trial should be recorded and classified as either traumatic versus nontraumatic.
Time frame: 0 to 5 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 26 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With All Stroke (Ischemic Stroke, and Hemorrhagic Stroke) | 33 Participants |
Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding
Type 0: no bleeding Type 1: bleeding that is not actionable&does not cause the patient to seek unscheduled performance of studies,hospitalization,or treatment by a healthcare professional Type 2: any overt, actionable sign of hemorrhage that does not fit the criteria for type 3,4,or 5 but does meet at least 1 of the following criteria:requiring nonsurgical, medical intervention by a healthcare professional; leading to hospitalization or increased level of care; prompting evaluation. Type 3 Type 3a * Overt bleeding plus hemoglobin drop of 3 to \< 5 g/dL * Any transfusion with overt bleeding Type 3b * Overt bleeding plus hemoglobin drop ≥5 g/dL\* * Cardiac tamponade * Bleeding requiring surgical intervention for control * Bleeding requiring intravenous vasoactive agents Type 3c * Intracranial hemorrhage * Subcategories confirmed by autopsy or imaging or lumbar puncture * Intraocular bleed compromising vision Type 4: CABG-related bleeding Type 5: fatal bleeding
Time frame: 4 years
Population: ITT Population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding | 112 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding | 147 Participants |
Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding
Type 0: no bleeding Type 1: bleeding that is not actionable&does not cause the patient to seek unscheduled performance of studies,hospitalization,or treatment by a healthcare professional Type 2: any overt, actionable sign of hemorrhage that does not fit the criteria for type 3,4,or 5 but does meet at least 1 of the following criteria:requiring nonsurgical, medical intervention by a healthcare professional; leading to hospitalization or increased level of care; prompting evaluation. Type 3 Type 3a * Overt bleeding plus hemoglobin drop of 3 to \< 5 g/dL * Any transfusion with overt bleeding Type 3b * Overt bleeding plus hemoglobin drop ≥5 g/dL\* * Cardiac tamponade * Bleeding requiring surgical intervention for control * Bleeding requiring intravenous vasoactive agents Type 3c * Intracranial hemorrhage * Subcategories confirmed by autopsy or imaging or lumbar puncture * Intraocular bleed compromising vision Type 4: CABG-related bleeding Type 5: fatal bleeding
Time frame: 5 years
Population: ITT Population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding | 113 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding | 153 Participants |
Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding
Type 0: No bleeding Type 1: Bleeding that is not actionable&does not cause the patient to seek unscheduled performance of studies,hospitalization,or treatment by a healthcare professional Type 2: Any overt, actionable sign of hemorrhage that does not fit the criteria for type 3,4,or 5 but does meet at least 1 of the following criteria:requiring nonsurgical, medical intervention by a healthcare professional; leading to hospitalization or increased level of care; prompting evaluation. Type 3 Type 3a * Overt bleeding plus hemoglobin drop of 3 to \< 5 g/dL * Any transfusion with overt bleeding Type 3b * Overt bleeding plus hemoglobin drop ≥5 g/dL\* * Cardiac tamponade * Bleeding requiring surgical intervention for control * Bleeding requiring intravenous vasoactive agents Type 3c * Intracranial hemorrhage * Subcategories confirmed by autopsy or imaging or lumbar puncture * Intraocular bleed compromising vision Type 4: CABG-related bleeding Type 5: Fatal bleeding
Time frame: 30 days
Population: ITT Population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding | 69 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding | 123 Participants |
Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding
Type 0: no bleeding Type 1: bleeding that is not actionable&does not cause the patient to seek unscheduled performance of studies,hospitalization,or treatment by a healthcare professional Type 2: any overt, actionable sign of hemorrhage that does not fit the criteria for type 3,4,or 5 but does meet at least 1 of the following criteria:requiring nonsurgical, medical intervention by a healthcare professional; leading to hospitalization or increased level of care; prompting evaluation. Type 3 Type 3a * Overt bleeding plus hemoglobin drop of 3 to \< 5 g/dL * Any transfusion with overt bleeding Type 3b * Overt bleeding plus hemoglobin drop ≥5 g/dL\* * Cardiac tamponade * Bleeding requiring surgical intervention for control * Bleeding requiring intravenous vasoactive agents Type 3c * Intracranial hemorrhage * Subcategories confirmed by autopsy or imaging or lumbar puncture * Intraocular bleed compromising vision Type 4: CABG-related bleeding Type 5: fatal bleeding
Time frame: 3 years
Population: ITT Population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding | 109 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding | 145 Participants |
Number of Participants With Complete Revascularization (Residual = 0)
1. Complete anatomic revascularization requires revascularization of all vessels ≥2.0 mm reference vessel diameter with a DS ≥60% (both as measured by core angiographic laboratory analysis). -While this will be the pre-specified criteria for anatomically significant lesions, sensitivity analysis will be performed using different criteria (e.g. ≥2.5 mm vessels, DS ≥70%, etc.) 2. From the baseline angiogram, the angiographic core lab will identify and designate those lesions and vessels requiring revascularization in all subjects according to this definition, prior to knowledge of the extent of actual revascularization. 3. Following PCI, the angiographic core lab will determine the extent of revascularization (vessels with TIMI 2or3 flow post procedure with a core laboratory DS \<50% considered successfully revascularized). 4. Following CABG, the angiographic core lab will determine the extent of revascularization or if there is a repeat angiogram during the index hospitalization.
Time frame: At Baseline
Population: Not all PCI patients have Baseline and Post-PCI Syntax score assessment.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Complete Revascularization (Residual = 0) | 259 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Complete Revascularization (Residual = 0) | 10 Participants |
Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia
Death: * Cardiac death is defined as any death in which a cardiac cause cannot be excluded. (This includes but is not limited to acute myocardial infarction, cardiac perforation/pericardial tamponade, arrhythmia or conduction abnormality,cerebrovascular accident within 30 days of the procedure or cerebrovascular accident suspected of being related to the procedure, death due to complication of the procedure, including bleeding, vascular repair, transfusion reaction, or bypass surgery). * Non-cardiac death is defined as a death not due to cardiac causes (as defined above). Myocardial Infarction (MI) -Q wave MI: Development of new, pathological Q wave on the ECG. -Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Unplanned revascularization for ischemia: Any repeat revascularization of either a target vessel or non-target vessel with any of the above criteria for ischemia met.
Time frame: 0 to 3 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 213 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 176 Participants |
Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia
All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).
Time frame: In-hospital (≤ 7 days of index-procedure)
Population: ITT population. Subjects without the required follow-up are excluded from the time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 40 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 82 Participants |
Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia
All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).
Time frame: 0 to 30 days
Population: ITT population. Subjects without the required follow-up are excluded from the time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 46 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 80 Participants |
Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia
All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).
Time frame: 0 to 6 months
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 79 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 112 Participants |
Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia
All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).
Time frame: 0 to 1 year
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 121 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 129 Participants |
Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia
Death: * Cardiac death is defined as any death in which a cardiac cause cannot be excluded. (This includes but is not limited to acute myocardial infarction, cardiac perforation/pericardial tamponade, arrhythmia or conduction abnormality,cerebrovascular accident within 30 days of the procedure or cerebrovascular accident suspected of being related to the procedure, death due to complication of the procedure, including bleeding, vascular repair, transfusion reaction, or bypass surgery). * Non-cardiac death is defined as a death not due to cardiac causes (as defined above). Myocardial Infarction (MI) -Q wave MI: Development of new, pathological Q wave on the ECG. -Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Unplanned revascularization for ischemia: Any repeat revascularization of either a target vessel or non-target vessel with any of the above criteria for ischemia met.
Time frame: 0 to 5 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 290 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 228 Participants |
Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia
Death: * Cardiac death is defined as any death in which a cardiac cause cannot be excluded. (This includes but is not limited to acute myocardial infarction, cardiac perforation/pericardial tamponade, arrhythmia or conduction abnormality,cerebrovascular accident within 30 days of the procedure or cerebrovascular accident suspected of being related to the procedure, death due to complication of the procedure, including bleeding, vascular repair, transfusion reaction, or bypass surgery). * Non-cardiac death is defined as a death not due to cardiac causes (as defined above). Myocardial Infarction (MI) -Q wave MI: Development of new, pathological Q wave on the ECG. -Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Unplanned revascularization for ischemia: Any repeat revascularization of either a target vessel or non-target vessel with any of the above criteria for ischemia met.
Time frame: 0 to 4 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 260 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 203 Participants |
Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia
All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).
Time frame: 0 to 2 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 177 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia | 154 Participants |
Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion
\- Definite ST occurred by either angiographic/pathologic confirmation of ST. Angiographic confirmation:The presence of a thrombus that originates in the stent/in the segment 5mm proximal/distal to the stent&presence of at least 1 of the following criteria within 48-hours: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive &occlusive thrombus Pathological confirmation:Evidence of recent thrombus within the stent determined at autopsy/via examination of tissue retrieved following thrombectomy. -Symptomatic graft occlusion: Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft.
Time frame: 3 years
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion | 7 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion | 48 Participants |
Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion
\- Definite ST occurred by either angiographic/pathologic confirmation of ST. Angiographic confirmation:The presence of a thrombus that originates in the stent/in the segment 5mm proximal/distal to the stent&presence of at least 1 of the following criteria within 48-hours: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive &occlusive thrombus Pathological confirmation:Evidence of recent thrombus within the stent determined at autopsy/via examination of tissue retrieved following thrombectomy. -Symptomatic graft occlusion: Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft.
Time frame: 5 years
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion | 10 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion | 58 Participants |
Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion
\- Definite ST occurred by either angiographic/pathologic confirmation of ST. Angiographic confirmation:The presence of a thrombus that originates in the stent/in the segment 5mm proximal/distal to the stent&presence of at least 1 of the following criteria within 48-hours: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive &occlusive thrombus Pathological confirmation:Evidence of recent thrombus within the stent determined at autopsy/via examination of tissue retrieved following thrombectomy. -Symptomatic graft occlusion: Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft.
Time frame: 2 years
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion | 5 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion | 43 Participants |
Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion
\- Definite ST occurred by either angiographic/pathologic confirmation of ST. Angiographic confirmation:The presence of a thrombus that originates in the stent/in the segment 5mm proximal/distal to the stent&presence of at least 1 of the following criteria within 48-hours: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive &occlusive thrombus Pathological confirmation:Evidence of recent thrombus within the stent determined at autopsy/via examination of tissue retrieved following thrombectomy. -Symptomatic graft occlusion: Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft.
Time frame: 1 year
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion | 3 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion | 33 Participants |
Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion
\- Definite ST occurred by either angiographic/pathologic confirmation of ST. Angiographic confirmation:The presence of a thrombus that originates in the stent/in the segment 5mm proximal/distal to the stent&presence of at least 1 of the following criteria within 48-hours: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive &occlusive thrombus Pathological confirmation:Evidence of recent thrombus within the stent determined at autopsy/via examination of tissue retrieved following thrombectomy. -Symptomatic graft occlusion: Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft.
Time frame: 4 years
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion | 10 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion | 53 Participants |
Number of Participants With Definite Stent Thrombosis (ST) or Symptomatic Graft Occlusion
\- Definite ST occurred by either angiographic/pathologic confirmation of ST. Angiographic confirmation:The presence of a thrombus that originates in the stent/in the segment 5mm proximal/distal to the stent&presence of at least 1 of the following criteria within 48-hours: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive &occlusive thrombus Pathological confirmation:Evidence of recent thrombus within the stent determined at autopsy/via examination of tissue retrieved following thrombectomy. -Symptomatic graft occlusion: Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft.
Time frame: In-hospital (≤ 7 days of post index procedure)
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Definite Stent Thrombosis (ST) or Symptomatic Graft Occlusion | 1 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Definite Stent Thrombosis (ST) or Symptomatic Graft Occlusion | 11 Participants |
Number of Participants With Disability Following Stroke Event
In case of an event of stroke disability at 90-days±2 weeks will be an overall measurement of severity of stroke as assessed by modified Rankin Scale (mRS) scale. Stroke disability will be classified using an adaptation of the modified Rankin Scale as follows, the assessment of which will be based on the Modified Rankin Disability Questionnaire. Scale 0; No stroke symptoms at all. (May have other complaints) Scale 1; No significant disability; symptoms present but no physical or other limitations. Scale 2; Slight disability; limitations in participation in usual social roles, but independent for activities of daily living (ADL) Scale 3; Some need for assistance but able to walk without assistance Scale 4; Moderately severe disability; need for assistance with some basic ADL, but not requiring constant care Scale 5; Severe disability; requiring constant nursing care and attention.
Time frame: 90 days ± 2 weeks
Population: ITT population. Analysis population includes subjects who had follow-up data at that time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Disability Following Stroke Event | 6 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Disability Following Stroke Event | 9 Participants |
Number of Participants With Graft Stenosis or Occlusion
Graft stenosis or occlusion is defined as Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft.
Time frame: 0 to 3 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Graft Stenosis or Occlusion | 0 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Graft Stenosis or Occlusion | 48 Participants |
Number of Participants With Graft Stenosis or Occlusion
Graft stenosis or occlusion is defined as Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft.
Time frame: In-hospital (≤ 7 days of index-procedure)
Population: ITT population. Subjects without the required follow-up are excluded from the time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Graft Stenosis or Occlusion | 0 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Graft Stenosis or Occlusion | 11 Participants |
Number of Participants With Graft Stenosis or Occlusion
Graft stenosis or occlusion is defined as Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft.
Time frame: 0 to 30 days
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Graft Stenosis or Occlusion | 0 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Graft Stenosis or Occlusion | 11 Participants |
Number of Participants With Graft Stenosis or Occlusion
Graft stenosis or occlusion is defined as Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft.
Time frame: 0 to 6 months
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Graft Stenosis or Occlusion | 0 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Graft Stenosis or Occlusion | 25 Participants |
Number of Participants With Graft Stenosis or Occlusion
Graft stenosis or occlusion is defined as Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft.
Time frame: 0 to 1 year
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Graft Stenosis or Occlusion | 0 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Graft Stenosis or Occlusion | 33 Participants |
Number of Participants With Graft Stenosis or Occlusion
Graft stenosis or occlusion is defined as Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft.
Time frame: 0 to 2 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Graft Stenosis or Occlusion | 0 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Graft Stenosis or Occlusion | 43 Participants |
Number of Participants With Graft Stenosis or Occlusion
Graft stenosis or occlusion is defined as Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft.
Time frame: 0 to 4 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Graft Stenosis or Occlusion | 0 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Graft Stenosis or Occlusion | 53 Participants |
Number of Participants With Graft Stenosis or Occlusion
Graft stenosis or occlusion is defined as Ischemic symptoms in the presence of ≥50% diameter stenosis in a coronary bypass graft.
Time frame: 0 to 5 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Graft Stenosis or Occlusion | 0 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Graft Stenosis or Occlusion | 58 Participants |
Number of Participants With Ischemia Driven Revascularizations
A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; or * Ischemic ECG changes at rest in a distribution consistent with the target vessel; or * Typical ischemic symptoms referable to the target lesion; or * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; or * Fractional Flow Reserve (FFR) of the target lesion ≤ 0.80
Time frame: 0 to 2 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Ischemia Driven Revascularizations | 95 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Ischemia Driven Revascularizations | 56 Participants |
Number of Participants With Ischemia Driven Revascularizations
A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; or * Ischemic ECG changes at rest in a distribution consistent with the target vessel; or * Typical ischemic symptoms referable to the target lesion; or * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; or * Fractional Flow Reserve (FFR) of the target lesion ≤ 0.80
Time frame: 0 to 4 years
Population: ITT population
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Ischemia Driven Revascularizations | 143 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Ischemia Driven Revascularizations | 81 Participants |
Number of Participants With Ischemia Driven Revascularizations
A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; or * Ischemic ECG changes at rest in a distribution consistent with the target vessel; or * Typical ischemic symptoms referable to the target lesion; or * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; or * Fractional Flow Reserve (FFR) of the target lesion ≤ 0.80
Time frame: 0 to 5 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Ischemia Driven Revascularizations | 150 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Ischemia Driven Revascularizations | 88 Participants |
Number of Participants With Ischemia Driven Revascularizations
A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; or * Ischemic ECG changes at rest in a distribution consistent with the target vessel; or * Typical ischemic symptoms referable to the target lesion; or * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; or * Fractional Flow Reserve (FFR) of the target lesion ≤ 0.80
Time frame: 0 to 1 year
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Ischemia Driven Revascularizations | 62 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Ischemia Driven Revascularizations | 40 Participants |
Number of Participants With Ischemia Driven Revascularizations
A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; or * Ischemic ECG changes at rest in a distribution consistent with the target vessel; or * Typical ischemic symptoms referable to the target lesion; or * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; or * Fractional Flow Reserve (FFR) of the target lesion ≤ 0.80
Time frame: 0 to 30 days
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Ischemia Driven Revascularizations | 6 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Ischemia Driven Revascularizations | 13 Participants |
Number of Participants With Ischemia Driven Revascularizations
A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; or * Ischemic ECG changes at rest in a distribution consistent with the target vessel; or * Typical ischemic symptoms referable to the target lesion; or * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; or * Fractional Flow Reserve (FFR) of the target lesion ≤ 0.80
Time frame: 0 to 6 months
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Ischemia Driven Revascularizations | 28 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Ischemia Driven Revascularizations | 29 Participants |
Number of Participants With Ischemia Driven Revascularizations
A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; or * Ischemic ECG changes at rest in a distribution consistent with the target vessel; or * Typical ischemic symptoms referable to the target lesion; or * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; or * Fractional Flow Reserve (FFR) of the target lesion ≤ 0.80
Time frame: 0 to 3 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Ischemia Driven Revascularizations | 114 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Ischemia Driven Revascularizations | 67 Participants |
Number of Participants With Ischemia Driven Revascularizations (TLR,TVR and Non-TVR)
A target lesion (vessel) revascularization will be considered ischemia-driven if the target lesion diameter stenosis is ≥ 50% by QCA (analysis segment measurement, involving the lesion itself and 5 mm of proximal and/or distal margin) and any of the following criteria for ischemia are met: * A positive functional study corresponding to the area served by the target lesion; or * Ischemic ECG changes at rest in a distribution consistent with the target vessel; or * Typical ischemic symptoms referable to the target lesion; or * IVUS of the target lesion with a minimal lumen area (MLA) of ≤ 4 mm\^2 for non left main lesions or ≤ 6 mm\^2 for left main lesions. If the lesions are de novo (i.e. not restenotic), the * plaque burden must also be ≥ 60%; or * Fractional Flow Reserve (FFR) of the target lesion ≤ 0.80
Time frame: In-hospital (≤ 7 days of index-procedure)
Population: ITT population. Subjects without the required follow-up are excluded from the time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Ischemia Driven Revascularizations (TLR,TVR and Non-TVR) | 3 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Ischemia Driven Revascularizations (TLR,TVR and Non-TVR) | 12 Participants |
Number of Participants With Major Adverse Events (MAE)
* death * myocardial infarction * stroke * Transfusion of ≥2 units of blood * TIMI major or minor bleeding * major arrhythmia * unplanned coronary revascularization for ischemia * any unplanned surgery or therapeutic radiologic procedure * renal failure * sternal wound dehiscence * infection requiring antibiotics for treatment * intubation for \> 48 hours * post-pericardiotomy syndrome
Time frame: 30 days
Population: ITT Population.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Major Adverse Events (MAE) | Transfusion of >= 2 units blood | 38 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Major Adverse Events (MAE) | Unplanned surgery/therapeutic radiologic procedure | 12 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Major Adverse Events (MAE) | Death | 9 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Major Adverse Events (MAE) | Renal failure | 6 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Major Adverse Events (MAE) | TIMI major or minor bleeding | 35 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Major Adverse Events (MAE) | Sternal wound dehiscence | 0 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Major Adverse Events (MAE) | Stroke | 6 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Major Adverse Events (MAE) | Infection requiring antibiotics for treatment | 24 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Major Adverse Events (MAE) | Myocardial infarction | 37 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Major Adverse Events (MAE) | Intubation for > 48 hours | 4 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Major Adverse Events (MAE) | Unplanned coronary revascularization for ischemia | 6 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Major Adverse Events (MAE) | Post-pericardiotomy syndrome | 0 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Major Adverse Events (MAE) | Major arrhythmia | 20 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Major Adverse Events (MAE) | Post-pericardiotomy syndrome | 4 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Major Adverse Events (MAE) | Death | 10 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Major Adverse Events (MAE) | Myocardial infarction | 59 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Major Adverse Events (MAE) | Stroke | 12 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Major Adverse Events (MAE) | Transfusion of >= 2 units blood | 163 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Major Adverse Events (MAE) | TIMI major or minor bleeding | 85 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Major Adverse Events (MAE) | Major arrhythmia | 154 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Major Adverse Events (MAE) | Unplanned coronary revascularization for ischemia | 13 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Major Adverse Events (MAE) | Unplanned surgery/therapeutic radiologic procedure | 39 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Major Adverse Events (MAE) | Renal failure | 24 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Major Adverse Events (MAE) | Sternal wound dehiscence | 19 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Major Adverse Events (MAE) | Infection requiring antibiotics for treatment | 133 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Major Adverse Events (MAE) | Intubation for > 48 hours | 28 Participants |
Number of Participants With Protocol Defined MI
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG. -Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves.
Time frame: 0 to 6 months
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Protocol Defined MI | 46 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Protocol Defined MI | 68 Participants |
Number of Participants With Protocol Defined MI
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG. -Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves.
Time frame: In-hospital (≤ 7 days of post index procedure)
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Protocol Defined MI | 34 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Protocol Defined MI | 58 Participants |
Number of Participants With Protocol Defined MI
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG. -Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves.
Time frame: 0 to 4 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Protocol Defined MI | 86 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Protocol Defined MI | 81 Participants |
Number of Participants With Protocol Defined MI
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG. -Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves.
Time frame: 0 to 3 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Protocol Defined MI | 74 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Protocol Defined MI | 78 Participants |
Number of Participants With Protocol Defined MI
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG. -Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves.
Time frame: 0 to 2 years
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Protocol Defined MI | 64 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Protocol Defined MI | 73 Participants |
Number of Participants With Protocol Defined MI
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG. -Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves.
Time frame: 0 to 1 year
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Protocol Defined MI | 53 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Protocol Defined MI | 68 Participants |
Number of Participants With Protocol Defined MI
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG. -Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves.
Time frame: 0 to 30 days
Population: ITT population.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Protocol Defined MI | 37 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Protocol Defined MI | 59 Participants |
Number of Participants With Protocol Defined MI
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG. -Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves.
Time frame: 0 to 5 years
Population: ITT population
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Protocol Defined MI | 95 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Protocol Defined MI | 84 Participants |
Number of Participants With Requirement for Blood Product Transfusion
All TIMI definitions take into account blood transfusions, so that hemoglobin and hematocrit values are adjusted by 1 g/dl or 3%, respectively, for each unit of blood transfused. Therefore, the true change in hemoglobin or hematocrit if there has been an intervening transfusion between two blood measurements is calculated as follows: * Δ Hemoglobin = \[baseline Hgb - post-transfusion Hgb\] + \[number of transfused units\]; * Δ Hematocrit = \[baseline Hct - post-transfusion Hct\] + \[number of transfused units X 3\].
Time frame: 3 years
Population: ITT population. Analysis population includes subjects who had follow-up data at that time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Requirement for Blood Product Transfusion | 48 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Requirement for Blood Product Transfusion | 129 Participants |
Number of Participants With Requirement for Blood Product Transfusion
All TIMI definitions take into account blood transfusions, so that hemoglobin and hematocrit values are adjusted by 1 g/dl or 3%, respectively, for each unit of blood transfused. Therefore, the true change in hemoglobin or hematocrit if there has been an intervening transfusion between two blood measurements is calculated as follows: * Δ Hemoglobin = \[baseline Hgb - post-transfusion Hgb\] + \[number of transfused units\]; * Δ Hematocrit = \[baseline Hct - post-transfusion Hct\] + \[number of transfused units X 3\].
Time frame: 4 years
Population: ITT population. Analysis population includes subjects who had follow-up data at that time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Requirement for Blood Product Transfusion | 52 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Requirement for Blood Product Transfusion | 130 Participants |
Number of Participants With Requirement for Blood Product Transfusion
All TIMI definitions take into account blood transfusions, so that hemoglobin and hematocrit values are adjusted by 1 g/dl or 3%, respectively, for each unit of blood transfused. Therefore, the true change in hemoglobin or hematocrit if there has been an intervening transfusion between two blood measurements is calculated as follows: * Δ Hemoglobin = \[baseline Hgb - post-transfusion Hgb\] + \[number of transfused units\]; * Δ Hematocrit = \[baseline Hct - post-transfusion Hct\] + \[number of transfused units X 3\].
Time frame: 5 years
Population: ITT population. Analysis population includes subjects who had follow-up data at that time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Requirement for Blood Product Transfusion | 52 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Requirement for Blood Product Transfusion | 131 Participants |
Number of Participants With Requirement for Blood Product Transfusion
All TIMI definitions take into account blood transfusions, so that hemoglobin and hematocrit values are adjusted by 1 g/dl or 3%, respectively, for each unit of blood transfused. Therefore, the true change in hemoglobin or hematocrit if there has been an intervening transfusion between two blood measurements is calculated as follows: * Δ Hemoglobin = \[baseline Hgb - post-transfusion Hgb\] + \[number of transfused units\]; * Δ Hematocrit = \[baseline Hct - post-transfusion Hct\] + \[number of transfused units X 3\].
Time frame: 30 days
Population: ITT population. Analysis population includes subjects who had follow-up data at that time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Requirement for Blood Product Transfusion | 30 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Requirement for Blood Product Transfusion | 120 Participants |
Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable
Definite stent thrombosis occurred by either angiographic/pathologic confirmation of stent thrombosis. Angiographic confirmation:The presence of a thrombus that originates in the stent or in the segment 5 mm proximal or distal to the stent&presence of at least 1 of the following criteria within a 48-hour time window: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive thrombus * Occlusive thrombus. Pathological confirmation: Evidence of recent thrombus within the stent determined at autopsy or via examination of tissue retrieved following thrombectomy. Probable stent thrombosis may occur after intracoronary stenting due to: * Unexplained death within first 30 days * Irrespective of the time after the index procedure,any MI that is related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation of stent thrombosis&in the absence of any other obvious cause.
Time frame: Late (>30 days - 1 year)
Population: ITT population.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable | Definite | 0 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable | Probable | 1 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable | Definite | 0 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable | Probable | 0 Participants |
Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable
Definite stent thrombosis occurred by either angiographic/pathologic confirmation of stent thrombosis. Angiographic confirmation:The presence of a thrombus that originates in the stent or in the segment 5 mm proximal or distal to the stent&presence of at least 1 of the following criteria within a 48-hour time window: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive thrombus * Occlusive thrombus. Pathological confirmation: Evidence of recent thrombus within the stent determined at autopsy or via examination of tissue retrieved following thrombectomy. Probable stent thrombosis may occur after intracoronary stenting due to: * Unexplained death within first 30 days * Irrespective of the time after the index procedure,any MI that is related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation of stent thrombosis&in the absence of any other obvious cause.
Time frame: Acute (<= 24 hours)
Population: ITT population.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable | Definite | 1 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable | Probable | 0 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable | Definite | 0 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable | Probable | 0 Participants |
Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable
Definite stent thrombosis occurred by either angiographic/pathologic confirmation of stent thrombosis. Angiographic confirmation:The presence of a thrombus that originates in the stent or in the segment 5 mm proximal or distal to the stent&presence of at least 1 of the following criteria within a 48-hour time window: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive thrombus * Occlusive thrombus. Pathological confirmation: Evidence of recent thrombus within the stent determined at autopsy or via examination of tissue retrieved following thrombectomy. Probable stent thrombosis may occur after intracoronary stenting due to: * Unexplained death within first 30 days * Irrespective of the time after the index procedure,any MI that is related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation of stent thrombosis&in the absence of any other obvious cause.
Time frame: Early (0-30 days)
Population: ITT population. Subjects without the required follow-up are excluded from the time period.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable | Probable | 4 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable | Definite | 3 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable | Probable | 0 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/Probable | Definite | 0 Participants |
Number of Participants With Stent Thrombosis (ARC Definition) Definite/ Probable
Definite stent thrombosis occurred by either angiographic/pathologic confirmation of stent thrombosis. Angiographic confirmation:The presence of a thrombus that originates in the stent or in the segment 5 mm proximal or distal to the stent&presence of at least 1 of the following criteria within a 48-hour time window: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive thrombus * Occlusive thrombus. Pathological confirmation: Evidence of recent thrombus within the stent determined at autopsy or via examination of tissue retrieved following thrombectomy. Probable stent thrombosis may occur after intracoronary stenting due to: * Unexplained death within first 30 days * Irrespective of the time after the index procedure,any MI that is related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation of stent thrombosis&in the absence of any other obvious cause.
Time frame: Subacute (1-30 days)
Population: ITT population. Subjects without the required follow-up are excluded from the time period.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/ Probable | Definite | 2 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/ Probable | Probable | 4 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/ Probable | Definite | 0 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/ Probable | Probable | 0 Participants |
Number of Participants With Stent Thrombosis (ARC Definition) Definite/ Probable
Definite stent thrombosis occurred by either angiographic/pathologic confirmation of stent thrombosis. Angiographic confirmation:The presence of a thrombus that originates in the stent or in the segment 5 mm proximal or distal to the stent&presence of at least 1 of the following criteria within a 48-hour time window: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes * Typical rise&fall in cardiac biomarkers * Non-occlusive thrombus * Occlusive thrombus. Pathological confirmation: Evidence of recent thrombus within the stent determined at autopsy or via examination of tissue retrieved following thrombectomy. Probable stent thrombosis may occur after intracoronary stenting due to: * Unexplained death within first 30 days * Irrespective of the time after the index procedure,any MI that is related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation of stent thrombosis&in the absence of any other obvious cause.
Time frame: Very late (>1 year)
Population: ITT population.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/ Probable | Definite | 3 Participants |
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/ Probable | Probable | 1 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/ Probable | Definite | 0 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Stent Thrombosis (ARC Definition) Definite/ Probable | Probable | 0 Participants |
Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding
Bleeding will be classified by the TIMI hemorrhage classification Severity: Major: * Intracranial hemorrhage * A ≥5 g/dL decrease in the hemoglobin concentration * A ≥15% absolute decrease in the hematocrit Minor: * Observed blood loss: * A ≥ 3 g/dL decrease in the hemoglobin concentration * A ≥ 10% absolute decrease in the hematocrit * No observed blood loss: * A ≥ 4 g/dL decrease in the hemoglobin concentration * A ≥ 12% absolute decrease in the hematocrit Minimal: • Any clinically overt sign of hemorrhage (including imaging) that is associated with a \< 3 g/dL decrease in hemoglobin concentration or \< 9% decrease in the hematocrit.
Time frame: 5 years
Population: ITT population. Analysis population includes subjects who had follow-up data at that time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding | 119 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding | 137 Participants |
Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding
Bleeding will be classified by the TIMI hemorrhage classification Severity: Major: * Intracranial hemorrhage * A ≥5 g/dL decrease in the hemoglobin concentration * A ≥15% absolute decrease in the hematocrit Minor: * Observed blood loss: * A ≥ 3 g/dL decrease in the hemoglobin concentration * A ≥ 10% absolute decrease in the hematocrit * No observed blood loss: * A ≥ 4 g/dL decrease in the hemoglobin concentration * A ≥ 12% absolute decrease in the hematocrit Minimal: • Any clinically overt sign of hemorrhage (including imaging) that is associated with a \< 3 g/dL decrease in hemoglobin concentration or \< 9% decrease in the hematocrit.
Time frame: 4 years
Population: ITT population. Analysis population includes subjects who had follow-up data at that time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding | 119 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding | 133 Participants |
Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding
Bleeding will be classified by the TIMI hemorrhage classification Severity: Major: * Intracranial hemorrhage * A ≥5 g/dL decrease in the hemoglobin concentration * A ≥15% absolute decrease in the hematocrit Minor: * Observed blood loss: * A ≥ 3 g/dL decrease in the hemoglobin concentration * A ≥ 10% absolute decrease in the hematocrit * No observed blood loss: * A ≥ 4 g/dL decrease in the hemoglobin concentration * A ≥ 12% absolute decrease in the hematocrit Minimal: • Any clinically overt sign of hemorrhage (including imaging) that is associated with a \< 3 g/dL decrease in hemoglobin concentration or \< 9% decrease in the hematocrit.
Time frame: 3 years
Population: ITT population. Analysis population includes subjects who had follow-up data at that time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding | 114 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding | 132 Participants |
Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding
Bleeding will be classified by the TIMI hemorrhage classification Severity: Major: * Intracranial hemorrhage * A ≥5 g/dL decrease in the hemoglobin concentration * A ≥15% absolute decrease in the hematocrit Minor: * Observed blood loss: * A ≥ 3 g/dL decrease in the hemoglobin concentration * A ≥ 10% absolute decrease in the hematocrit * No observed blood loss: * A ≥ 4 g/dL decrease in the hemoglobin concentration * A ≥ 12% absolute decrease in the hematocrit Minimal: • Any clinically overt sign of hemorrhage (including imaging) that is associated with a \< 3 g/dL decrease in hemoglobin concentration or \< 9% decrease in the hematocrit.
Time frame: 30 days
Population: ITT population. Analysis population includes subjects who had follow-up data at that time period.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding | 35 Participants |
| Coronary Artery Bypass Graft (CABG) | Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding | 85 Participants |
Percentage of Participants With Major Adverse Events (MAE)
Composite of death, myocardial infarction, stroke, transfusion of ≥ 2 units of blood, major arrhythmia, unplanned coronary revascularization for ischemia, any unplanned surgery or radiologic procedure, renal failure, sternal wound dehiscence, infection requiring antibiotics for treatment, intubation for \> 48 hours, or post-pericardiotomy syndrome.
Time frame: In-hospital
Population: ITT Population.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Percutaneous Coronary Intervention (PCI) | Percentage of Participants With Major Adverse Events (MAE) | Transfusion of >= 2 units blood | 3.5 Percentage of participants |
| Percutaneous Coronary Intervention (PCI) | Percentage of Participants With Major Adverse Events (MAE) | Unplanned surgery/therapeutic radiologic procedure | 1.0 Percentage of participants |
| Percutaneous Coronary Intervention (PCI) | Percentage of Participants With Major Adverse Events (MAE) | Stroke | 0.4 Percentage of participants |
| Percutaneous Coronary Intervention (PCI) | Percentage of Participants With Major Adverse Events (MAE) | Renal failure | 0.6 Percentage of participants |
| Percutaneous Coronary Intervention (PCI) | Percentage of Participants With Major Adverse Events (MAE) | TIMI major or minor bleeding | 3.0 Percentage of participants |
| Percutaneous Coronary Intervention (PCI) | Percentage of Participants With Major Adverse Events (MAE) | Sternal wound dehiscence | 0.0 Percentage of participants |
| Percutaneous Coronary Intervention (PCI) | Percentage of Participants With Major Adverse Events (MAE) | Myocardial infarction | 3.6 Percentage of participants |
| Percutaneous Coronary Intervention (PCI) | Percentage of Participants With Major Adverse Events (MAE) | Infection requiring antibiotics for treatment | 1.2 Percentage of participants |
| Percutaneous Coronary Intervention (PCI) | Percentage of Participants With Major Adverse Events (MAE) | Major arrhythmia | 1.8 Percentage of participants |
| Percutaneous Coronary Intervention (PCI) | Percentage of Participants With Major Adverse Events (MAE) | Intubation for > 48 hours | 0.4 Percentage of participants |
| Percutaneous Coronary Intervention (PCI) | Percentage of Participants With Major Adverse Events (MAE) | Death | 0.4 Percentage of participants |
| Percutaneous Coronary Intervention (PCI) | Percentage of Participants With Major Adverse Events (MAE) | Post-pericardiotomy syndrome | 0.0 Percentage of participants |
| Percutaneous Coronary Intervention (PCI) | Percentage of Participants With Major Adverse Events (MAE) | Unplanned coronary revascularization for ischemia | 0.3 Percentage of participants |
| Coronary Artery Bypass Graft (CABG) | Percentage of Participants With Major Adverse Events (MAE) | Post-pericardiotomy syndrome | 0.2 Percentage of participants |
| Coronary Artery Bypass Graft (CABG) | Percentage of Participants With Major Adverse Events (MAE) | Death | 1.3 Percentage of participants |
| Coronary Artery Bypass Graft (CABG) | Percentage of Participants With Major Adverse Events (MAE) | Stroke | 1.4 Percentage of participants |
| Coronary Artery Bypass Graft (CABG) | Percentage of Participants With Major Adverse Events (MAE) | Transfusion of >= 2 units blood | 17.1 Percentage of participants |
| Coronary Artery Bypass Graft (CABG) | Percentage of Participants With Major Adverse Events (MAE) | TIMI major or minor bleeding | 9.3 Percentage of participants |
| Coronary Artery Bypass Graft (CABG) | Percentage of Participants With Major Adverse Events (MAE) | Major arrhythmia | 14.7 Percentage of participants |
| Coronary Artery Bypass Graft (CABG) | Percentage of Participants With Major Adverse Events (MAE) | Unplanned coronary revascularization for ischemia | 1.3 Percentage of participants |
| Coronary Artery Bypass Graft (CABG) | Percentage of Participants With Major Adverse Events (MAE) | Unplanned surgery/therapeutic radiologic procedure | 3.7 Percentage of participants |
| Coronary Artery Bypass Graft (CABG) | Percentage of Participants With Major Adverse Events (MAE) | Renal failure | 2.4 Percentage of participants |
| Coronary Artery Bypass Graft (CABG) | Percentage of Participants With Major Adverse Events (MAE) | Sternal wound dehiscence | 1.0 Percentage of participants |
| Coronary Artery Bypass Graft (CABG) | Percentage of Participants With Major Adverse Events (MAE) | Infection requiring antibiotics for treatment | 8.8 Percentage of participants |
| Coronary Artery Bypass Graft (CABG) | Percentage of Participants With Major Adverse Events (MAE) | Intubation for > 48 hours | 3.0 Percentage of participants |
| Coronary Artery Bypass Graft (CABG) | Percentage of Participants With Major Adverse Events (MAE) | Myocardial infarction | 6.2 Percentage of participants |