Heart Disease
Conditions
Brief summary
The Study plan is a post-market prospective, multi-center, open-label registry. The vein graft failure rates for the currently commercialized C-Port devices will be compared to an a priori rate taken from the peer-reviewed literature.
Detailed description
To satisfy the requirements set forth in post-market surveillance orders issued by the US FDA to Cardica, Inc., the following outcomes will be evaluated: 1. Acute, midterm, and one-year graft failure rates for coronary revascularization using the C-Port® xA™ Distal Anastomosis System, C-Port® FlexA™ Distal Anastomosis System, and C-Port® XCHANGE™ Distal Anastomosis System when in general use in the United States compared to hand-sewn anastomoses. 2. Technical failure rates when attempting to complete an anastomosis using the C-Port xA, FlexA, and XCHANGE Distal Anastomosis Systems. 3. The technical success rate of hand-sewn anastomoses following technical failures of the C-Port devices and the hand-sewn graft patency rates and clinical sequelae at one year.
Interventions
creation of anastomoses in blood vessels and grafts, including use in coronary artery bypass grafting procedures
Sponsors
Study design
Eligibility
Inclusion criteria
* Able to give informed consent. * Willing and able to have follow-up visits and examinations. * Less than 80 years old. * Have an ejection fraction of \>30 %. * Have a life expectancy of \>1 year. Pre-Operative
Exclusion criteria
* Currently participating in other clinical trials that would conflict with this protocol. * Unable to meet study requirements. * Currently pregnant. * Require preoperative use of an intraaortic balloon pump. * Have a history of a bleeding disorder or history of a thromboembolic disease requiring anticoagulation therapy. * Have congestive heart failure or been classified as NYHA Class IV. * Have an aspirin allergy or other contraindications to aspirin use. * Previous coronary artery bypass surgery. * Vasculitis or other nonatherosclerotic cause for coronary artery disease. Intra-Operative
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Graft patency rates for coronary revascularization when in general use in the United States compared to hand-sewn anastomoses. | 12 months | a. Acute, midterm, and one-year graft patency rates for coronary revascularization when in general use in the United States compared to hand-sewn anastomoses. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Technical Failure Rates | Day 1 | Technical failure rates when completing an anastomosis using the C-Port products. |
| Technical success rate of hand-sewn | Day 1 and 12 months | The technical success rate of hand-sewn anastomoses following technical failures of the C-Port products and the hand-sewn graft patency rates and clinical sequelae at one year. |
Countries
United States