Arterial Occlusive Diseases, Arteriosclerosis, Cardiovascular Diseases, Coronary Artery Disease, Coronary Disease, Heart Diseases, Myocardial Ischemia, Vascular Diseases
Conditions
Brief summary
The purpose of this study is to evaluate patency rates of the external Saphenous Vein Support (eSVS) Mesh Saphenous Vein Grafts (SVG) and Control SVG at 3-6 months and 24 months.
Detailed description
The study will enroll up to 200 patients at up to 6 sites. Patients will be enrolled upon meeting entrance criteria, including obtaining written informed consent. Eligible patients must be clinically indicated for coronary artery bypass grafting (CABG) using autologous saphenous vein grafts (SVG). The study is a prospective, randomized, repeated measure controlled trial based on each patient receiving one control SVG and one external Saphenous Vein Support (eSVS) Mesh treated SVG. Each patient will be their own control.
Interventions
Patients with multi-vessel coronary artery disease who require saphenous vein graft (SVG) coronary artery bypass graft (CABG) surgery of the Right coronary Artery (RCA) and the Circumflex Artery (Cx) due to atherosclerotic coronary artery disease will serve as their own control. They will be randomized to either an SVG+eSVS Mesh to the RCA and an SVG to the Cx or an SVG to the RCA and an SVG+eSVS Mesh to the Cx.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient has been diagnosed with multi-vessel coronary artery disease * Requires Saphenous Vein Graft (SVG) Coronary Artery Bypass Graft (CABG) surgery of the Right Coronary Artery (RCA) and the Circumflex Artery (Cx) systems due to atherosclerotic coronary artery disease * SVGs (eSVS Mesh AND Control) meet size requirements as outlined in eSVS Mesh Instructions for Use * eSVS Mesh implant procedure can be performed as outlined in the eSVS Mesh Instructions for Use * Are able to give their informed consent
Exclusion criteria
* Not able to give informed consent * No appropriate target coronary vessels * SVGs (eSVS Mesh or Control) do not meet size requirements as outlined in eSVS Mesh Instructions for Use * eSVS Mesh implant procedure cannot be performed as outlined in the eSVS Mesh Instructions for Use * Inability to tolerate or comply with normal post-surgical drug regimen * Inability to comply with required follow-up coronary angiography/CT
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patency of external Saphenous Vein Support (eSVS) Mesh Saphenous Vein Graft (SVG) versus Control SVG | 3-6 Months | Patency of eSVS Mesh and Control SVGs assessed by spiral CT or angiography at 3-6 months following surgery. |
| Patency and percent stenosis of the eSVS Mesh and Control Saphenous Vein Grafts | 24 Months | Patency and percent stenosis of the eSVS Mesh and Control SVGs assessed by angiography at 24 months following surgery |
| The occurrence of any Major Adverse Cardiac Event (MACE) | 3-6 months post implant | The occurrence of the MACE composite of death, myocardial infarction (Q wave and non-Q wave), stroke, coronary revascularization (i.e. coronary artery bypass surgery or percutaneous coronary intervention), and at 3 to 6-months postimplant. |
Countries
Germany