Myocardial Infarction, Stable Angina, Unstable Angina
Conditions
Keywords
ALEX, coronary stent, cobalt-chromium, sirolimus, OCT
Brief summary
To evaluate the safety and effectiveness of the ALEX stent in a real-world setting of percutaneous coronary interventions in patients with coronary heart disease.
Detailed description
Prospective, multicenter, non-randomized study designed to enroll up to 60 subjects to evaluate the safety and effectiveness of the cobalt-chromium sirolimus eluting coronary stent ALEX in a real-world setting of percutaneous coronary interventions in patients with coronary heart disease.
Interventions
index angioplasty with ALEX stent implatation
Sponsors
Study design
Eligibility
Inclusion criteria
Clinical Inclusion Criteria: * \> 18 years of age * Patient must provide written informed consent prior to procedure using a form that is approved by the local Ethics Committee * clinical diagnosis of Stable Angina, Unstable Angina or Myocardial Infarction without ST elevation (NSTEMI) or Myocardial Infarction with ST elevation provided the expiry of 72 hours of the onset of symptoms and stable clinical and hemodynamical condition the Patient with patent postinfarcion artery (TIMI 3) and indications for PCI and next stage of revascularization in the other vessels * earlier effective supply of others lesions in others vessels in case of multivessels disease * female of childbearing potential must have a negative pregnancy test within 7 days prior to enrolment and utilize reliable birth control for 12 months after enrolment Angiographic Inclusion Criteria * target lesion stentosis must be \> 70% (visual estimate) * Patient eligible for PCI treatment with the ALEX stent system (vessel diameter in range of 2.5 to 4.0 mm and length of lesion that allows to cover a single stent with maximum length of 30 mm in visual evaluation)
Exclusion criteria
Clinical
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of stent strut coverage and parameters of restenosis | at 12 months follow-up | Assessment of stent strut coverage and parameters of restenosis in coronary angiography (QCA - Late Lumen Loss) and in OCT (percent of neointimal volume) 12 months follow-up after the baseline procedure in group of first 20 patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Procedural success | during index hospitalization | Procedural success during baseline PCI assessed in coronary angiography (QCA) |
| Occurrence of stent thrombosis | at 30 days follow-up | Occurrence of stent thrombosis at 30 days follow-up |
| Incidence of Major Adverse Cardiac Events | at 30 days follow-up | Incidence of Major Adverse Cardiac Events (MACEs) at 30 days follow-up defined as death, myocardial infarction target lesion re-PTCA or target lesion bypass graft |
Countries
Poland