Coronary Artery Disease
Conditions
Brief summary
This study is a non-randomized, prospective, open-label registry to compare the efficacy and safety of Promus Element stents versus first-generation drug-eluting stent (DES) in patients with coronary artery disease.
Detailed description
The Element Stent platform features a proprietary Platinum Chromium Alloy, designed specifically for coronary stents. This alloy, coupled with a new stent architecture, is designed to enable thinner struts, increased flexibility and a lower profile while improving radial strength, recoil and visibility. In addition, the PROMUS Element Stent System incorporates the new Apex™ Dilatation Catheter technology, designed to enhance deliverability to complex lesions. Currently, there have been limited data regarding comparison of PROMUS Element stent with first-generation DES in routine clinical practice. Therefore, we perform large-scale real-world registry of PROMUS Element stents.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients receiving Promus Element stents * The patient or guardian agrees to the study protocol and the schedule of clinical follow-up, and provides informed, written consent, as approved by the appropriate Institutional Review Board/Ethics Committee of the respective clinical site.
Exclusion criteria
* Patients with a mixture of other DESs * Terminal illness with life expectancy \<1 year * Patients with cardiogenic shock
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composite of death, nonfatal myocardial infarction (MI), or ischemic-driven Target- Vessel Revascularization (TVR) | 12 months post stenting procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Myocardial infarction | 30 days | — |
| Composite of death or MI | 30 days | — |
| Composite of cardiac death or MI | 30 days | — |
| Target Vessel Revascularization | 30 days | — |
| Death (all-cause and cardiac) | 30 days | — |
| Stent thrombosis | 30 days | — |
| Procedural success(defined as achievement of a final diameter stenosis of <30% by visual estimation, without the occurrence of death, Q-wave MI, or urgent revascularization during the index hospitalization) | 3 days in average | At discharge from the index hospitalization, participants will be followed for the duration of hospital stay, an expected average of 3 days. |
| Death (all cause and cardiac) | 6 months | — |
| Target lesion revascularization | 30 days | — |
Countries
South Korea