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EXCEL Clinical Trial

Evaluation of XIENCE Versus Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization.

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01205776
Acronym
EXCEL
Enrollment
1905
Registered
2010-09-20
Start date
2010-09-29
Completion date
2019-06-28
Last updated
2020-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

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

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

DEVICEPercutaneous Coronary Intervention

Those patients receiving the XIENCE PRIME™ EECSS or XIENCE V® EECSS or XIENCE Xpedition™ EECSS or XIENCE PRO EECSS

PROCEDURECABG

Those patients receiving CABG

Sponsors

Abbott Medical Devices
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke5 yearsAll 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

MeasureTime frameDescription
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined StrokeIn-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 IschemiaIn-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 MIIn-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 Event90 days ± 2 weeksIn 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 Revascularizations0 to 30 daysA 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 OcclusionIn-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/ProbableEarly (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/ ProbableSubacute (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 Transfusion30 daysAll 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 Bleeding30 daysBleeding 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) Bleeding30 daysType 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 Baseline1. 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 OcclusionIn-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 Occlusion1 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-hospitalComposite 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

ArmCount
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
Total1,905

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up5361
Overall StudyWithdrawal by Subject1134

Baseline characteristics

CharacteristicCoronary Artery Bypass Graft (CABG)TotalPercutaneous Coronary Intervention (PCI)
Age, Continuous65.9 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 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
23 Participants44 Participants21 Participants
Race (NIH/OMB)
Black or African American
28 Participants64 Participants36 Participants
Race (NIH/OMB)
More than one race
20 Participants36 Participants16 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
33 Participants64 Participants31 Participants
Race (NIH/OMB)
White
853 Participants1697 Participants844 Participants
Region of Enrollment
Australia
9 Participants15 Participants6 Participants
Region of Enrollment
Canada
100 Participants203 Participants103 Participants
Region of Enrollment
Europe
541 Participants1075 Participants534 Participants
Region of Enrollment
South America
28 Participants48 Participants20 Participants
Region of Enrollment
Southeast Asia
8 Participants15 Participants7 Participants
Region of Enrollment
United States
271 Participants549 Participants278 Participants
Sex: Female, Male
Female
742 Participants1464 Participants722 Participants
Sex: Female, Male
Male
215 Participants441 Participants226 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
119 / 94889 / 957
other
Total, other adverse events
791 / 948831 / 957
serious
Total, serious adverse events
535 / 948550 / 957

Outcome results

Primary

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke203 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke176 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke40 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke77 Participants
Secondary

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke46 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke75 Participants
p-value: <0.0001Com-Nougue
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke66 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke97 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke80 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke106 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke115 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke122 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke137 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke135 Participants
Secondary

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke173 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke154 Participants
Secondary

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke203 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke176 Participants
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding112 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding147 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding113 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding153 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding69 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding123 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding109 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Bleeding Academic Research Consortium (BARC) Bleeding145 Participants
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia213 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia176 Participants
p-value: 0.011Com-Nougue Approach
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia40 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia82 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia46 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia80 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia79 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia112 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia121 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia129 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia290 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia228 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia260 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia203 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia177 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia154 Participants
Secondary

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion7 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion48 Participants
Secondary

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion10 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion58 Participants
Secondary

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion5 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion43 Participants
Secondary

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion3 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion33 Participants
Secondary

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion10 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Definite Stent Thrombosis or Symptomatic Graft Occlusion53 Participants
Secondary

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)

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Definite Stent Thrombosis (ST) or Symptomatic Graft Occlusion1 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Definite Stent Thrombosis (ST) or Symptomatic Graft Occlusion11 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Disability Following Stroke Event6 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Disability Following Stroke Event9 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Graft Stenosis or Occlusion0 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Graft Stenosis or Occlusion48 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Graft Stenosis or Occlusion0 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Graft Stenosis or Occlusion11 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Graft Stenosis or Occlusion0 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Graft Stenosis or Occlusion11 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Graft Stenosis or Occlusion0 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Graft Stenosis or Occlusion25 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Graft Stenosis or Occlusion0 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Graft Stenosis or Occlusion33 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Graft Stenosis or Occlusion0 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Graft Stenosis or Occlusion43 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Graft Stenosis or Occlusion0 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Graft Stenosis or Occlusion53 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Graft Stenosis or Occlusion0 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Graft Stenosis or Occlusion58 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Ischemia Driven Revascularizations95 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Ischemia Driven Revascularizations56 Participants
Secondary

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Ischemia Driven Revascularizations143 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Ischemia Driven Revascularizations81 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Ischemia Driven Revascularizations150 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Ischemia Driven Revascularizations88 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Ischemia Driven Revascularizations62 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Ischemia Driven Revascularizations40 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Ischemia Driven Revascularizations6 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Ischemia Driven Revascularizations13 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Ischemia Driven Revascularizations28 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Ischemia Driven Revascularizations29 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Ischemia Driven Revascularizations114 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Ischemia Driven Revascularizations67 Participants
Secondary

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.

ArmMeasureValue (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
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Major Adverse Events (MAE)Transfusion of >= 2 units blood38 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Major Adverse Events (MAE)Unplanned surgery/therapeutic radiologic procedure12 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Major Adverse Events (MAE)Death9 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Major Adverse Events (MAE)Renal failure6 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Major Adverse Events (MAE)TIMI major or minor bleeding35 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Major Adverse Events (MAE)Sternal wound dehiscence0 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Major Adverse Events (MAE)Stroke6 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Major Adverse Events (MAE)Infection requiring antibiotics for treatment24 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Major Adverse Events (MAE)Myocardial infarction37 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Major Adverse Events (MAE)Intubation for > 48 hours4 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Major Adverse Events (MAE)Unplanned coronary revascularization for ischemia6 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Major Adverse Events (MAE)Post-pericardiotomy syndrome0 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Major Adverse Events (MAE)Major arrhythmia20 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Major Adverse Events (MAE)Post-pericardiotomy syndrome4 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Major Adverse Events (MAE)Death10 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Major Adverse Events (MAE)Myocardial infarction59 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Major Adverse Events (MAE)Stroke12 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Major Adverse Events (MAE)Transfusion of >= 2 units blood163 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Major Adverse Events (MAE)TIMI major or minor bleeding85 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Major Adverse Events (MAE)Major arrhythmia154 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Major Adverse Events (MAE)Unplanned coronary revascularization for ischemia13 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Major Adverse Events (MAE)Unplanned surgery/therapeutic radiologic procedure39 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Major Adverse Events (MAE)Renal failure24 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Major Adverse Events (MAE)Sternal wound dehiscence19 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Major Adverse Events (MAE)Infection requiring antibiotics for treatment133 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Major Adverse Events (MAE)Intubation for > 48 hours28 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Protocol Defined MI46 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Protocol Defined MI68 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Protocol Defined MI34 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Protocol Defined MI58 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Protocol Defined MI86 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Protocol Defined MI81 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Protocol Defined MI74 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Protocol Defined MI78 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Protocol Defined MI64 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Protocol Defined MI73 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Protocol Defined MI53 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Protocol Defined MI68 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Protocol Defined MI37 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Protocol Defined MI59 Participants
Secondary

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Protocol Defined MI95 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Protocol Defined MI84 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Requirement for Blood Product Transfusion48 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Requirement for Blood Product Transfusion129 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Requirement for Blood Product Transfusion52 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Requirement for Blood Product Transfusion130 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Requirement for Blood Product Transfusion52 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Requirement for Blood Product Transfusion131 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Requirement for Blood Product Transfusion30 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Requirement for Blood Product Transfusion120 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ProbableDefinite0 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ProbableProbable1 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ProbableDefinite0 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ProbableProbable0 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ProbableDefinite1 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ProbableProbable0 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ProbableDefinite0 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ProbableProbable0 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ProbableProbable4 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ProbableDefinite3 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ProbableProbable0 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ProbableDefinite0 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ ProbableDefinite2 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ ProbableProbable4 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ ProbableDefinite0 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ ProbableProbable0 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ ProbableDefinite3 Participants
Percutaneous Coronary Intervention (PCI)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ ProbableProbable1 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ ProbableDefinite0 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Stent Thrombosis (ARC Definition) Definite/ ProbableProbable0 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding119 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding137 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding119 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding133 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding114 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding132 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Percutaneous Coronary Intervention (PCI)Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding35 Participants
Coronary Artery Bypass Graft (CABG)Number of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major or Minor Bleeding85 Participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Percutaneous Coronary Intervention (PCI)Percentage of Participants With Major Adverse Events (MAE)Transfusion of >= 2 units blood3.5 Percentage of participants
Percutaneous Coronary Intervention (PCI)Percentage of Participants With Major Adverse Events (MAE)Unplanned surgery/therapeutic radiologic procedure1.0 Percentage of participants
Percutaneous Coronary Intervention (PCI)Percentage of Participants With Major Adverse Events (MAE)Stroke0.4 Percentage of participants
Percutaneous Coronary Intervention (PCI)Percentage of Participants With Major Adverse Events (MAE)Renal failure0.6 Percentage of participants
Percutaneous Coronary Intervention (PCI)Percentage of Participants With Major Adverse Events (MAE)TIMI major or minor bleeding3.0 Percentage of participants
Percutaneous Coronary Intervention (PCI)Percentage of Participants With Major Adverse Events (MAE)Sternal wound dehiscence0.0 Percentage of participants
Percutaneous Coronary Intervention (PCI)Percentage of Participants With Major Adverse Events (MAE)Myocardial infarction3.6 Percentage of participants
Percutaneous Coronary Intervention (PCI)Percentage of Participants With Major Adverse Events (MAE)Infection requiring antibiotics for treatment1.2 Percentage of participants
Percutaneous Coronary Intervention (PCI)Percentage of Participants With Major Adverse Events (MAE)Major arrhythmia1.8 Percentage of participants
Percutaneous Coronary Intervention (PCI)Percentage of Participants With Major Adverse Events (MAE)Intubation for > 48 hours0.4 Percentage of participants
Percutaneous Coronary Intervention (PCI)Percentage of Participants With Major Adverse Events (MAE)Death0.4 Percentage of participants
Percutaneous Coronary Intervention (PCI)Percentage of Participants With Major Adverse Events (MAE)Post-pericardiotomy syndrome0.0 Percentage of participants
Percutaneous Coronary Intervention (PCI)Percentage of Participants With Major Adverse Events (MAE)Unplanned coronary revascularization for ischemia0.3 Percentage of participants
Coronary Artery Bypass Graft (CABG)Percentage of Participants With Major Adverse Events (MAE)Post-pericardiotomy syndrome0.2 Percentage of participants
Coronary Artery Bypass Graft (CABG)Percentage of Participants With Major Adverse Events (MAE)Death1.3 Percentage of participants
Coronary Artery Bypass Graft (CABG)Percentage of Participants With Major Adverse Events (MAE)Stroke1.4 Percentage of participants
Coronary Artery Bypass Graft (CABG)Percentage of Participants With Major Adverse Events (MAE)Transfusion of >= 2 units blood17.1 Percentage of participants
Coronary Artery Bypass Graft (CABG)Percentage of Participants With Major Adverse Events (MAE)TIMI major or minor bleeding9.3 Percentage of participants
Coronary Artery Bypass Graft (CABG)Percentage of Participants With Major Adverse Events (MAE)Major arrhythmia14.7 Percentage of participants
Coronary Artery Bypass Graft (CABG)Percentage of Participants With Major Adverse Events (MAE)Unplanned coronary revascularization for ischemia1.3 Percentage of participants
Coronary Artery Bypass Graft (CABG)Percentage of Participants With Major Adverse Events (MAE)Unplanned surgery/therapeutic radiologic procedure3.7 Percentage of participants
Coronary Artery Bypass Graft (CABG)Percentage of Participants With Major Adverse Events (MAE)Renal failure2.4 Percentage of participants
Coronary Artery Bypass Graft (CABG)Percentage of Participants With Major Adverse Events (MAE)Sternal wound dehiscence1.0 Percentage of participants
Coronary Artery Bypass Graft (CABG)Percentage of Participants With Major Adverse Events (MAE)Infection requiring antibiotics for treatment8.8 Percentage of participants
Coronary Artery Bypass Graft (CABG)Percentage of Participants With Major Adverse Events (MAE)Intubation for > 48 hours3.0 Percentage of participants
Coronary Artery Bypass Graft (CABG)Percentage of Participants With Major Adverse Events (MAE)Myocardial infarction6.2 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 15, 2026