Arterial Occlusive Diseases, Arteriosclerosis, Cardiovascular Diseases, Coronary Artery Disease, Coronary Disease, Heart Diseases, Myocardial Ischemia, Vascular Diseases
Conditions
Keywords
robotic-assisted PCI, coronary intervention, CorPath PRECISION Registry, PCI, angioplasty
Brief summary
To collect data on the routine patterns of use, safety and effectiveness, including the clinical and technical performance of the CorPath 200 System, in the delivery and manipulation of coronary guidewires and stent/balloon catheters during PCI procedures.
Detailed description
This is a prospective, single-arm, open-label, multi-center patient registry of the CorPath 200 System to examine its performance during PCI procedure and patient outcomes through 72 hours post-procedure or hospital discharge, whichever occurs first.
Interventions
Robotic-assisted Percutaneous Coronary Intervention
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age \>18 years. 2. Patients with coronary artery disease undergoing Percutaneous Coronary Intervention (PCI) with the CorPath 200 system. 3. The subject or the legal representative has been informed of the nature of the study, agrees to its provisions and has provided written informed consent.
Exclusion criteria
1. Concurrent enrollment in another device or drug study protocol that specifically excludes concurrent enrollment or that prevents collection of data required in this registry (concurrent participation in another registry is not an automatic exclusion criterion for this study). 2. Failure/inability/unwillingness to provide informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Clinical Success | In-hospital (72-hours or discharge, whichever occurs first) | Less than 30% residual stenosis post PCI in the lesion(s) treated with the CorPath system, without in-hospital major adverse coronary events (MACE). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With In-hospital Major Adverse Coronary Events (MACE) | In-hospital (72-hours or discharge, whichever occurs first) | The composite of death, myocardial infarction, and target vessel revascularization that occurs within 72 hours of the procedure or prior to hospital discharge, whichever occurs first, in a subject treated with the CorPath 200 System. |
| Number of Participants With an Adverse Event | In-hospital (72-hours or discharge, whichever occurs first) | All Serious Adverse Events (SAEs) and Unanticipated Adverse Device Effects (UADEs) from the start of the CorPath procedure until the end of the study will be summarized. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Contrast Fluid Volume | During procedure | The amount of contrast fluid used (mL) during the procedure. |
| Patient Radiation Exposure - Dose-Area-Product | During procedure | DAP (dose-area-product) as recorded during the procedure. |
| Patient Radiation Exposure - Cumulative Dose | During procedure | Cumulative dose (mGy) as recored during the procedure. |
| Overall Procedure Time | During procedure | Defined as the time measured from the insertion of the hemostasis sheath until the removal of the guide catheter. |
| Visual Measurement of Lesion Length | During procedure | Visual estimate by clinical operator prior to delivery of PCI device(s). |
| CorPath Measurement of Lesion Length | During procedure | Robotic measurement of lesion length using the CorPath System performed by the Clinical Operator. |
| Number of Participants Who Had a Conversions to Manual Technique. | During procedure | The overall number of conversions from the robotic PCI to manual PCI will be captured to analyze the technical success of the device. |
| PCI Procedure Time | During procedure | Defined as the time measured from the insertion of the guide catheter until the removal of the guide catheter. |
| Fluoroscopy and/or X-Ray Time | During procedure | As recorded by an X-Ray System utilized during the procedure. |
Countries
Israel, United States
Participant flow
Recruitment details
Patients that had a robotic-assisted PCI procedure.
Participants by arm
| Arm | Count |
|---|---|
| Study Cohort Subjects treated with CorPath-assisted Percutaneous Coronary Intervention (PCI)
CorPath-assisted Percutaneous Coronary Intervention: Robotic-assisted Percutaneous Coronary Intervention | 754 |
| Total | 754 |
Baseline characteristics
| Characteristic | Study Cohort |
|---|---|
| Age, Continuous | 66.9 years STANDARD_DEVIATION 12.1 |
| Sex: Female, Male Female | 200 Participants |
| Sex: Female, Male Male | 554 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 754 |
| other Total, other adverse events | 0 / 754 |
| serious Total, serious adverse events | 18 / 754 |
Outcome results
Number of Participants With Clinical Success
Less than 30% residual stenosis post PCI in the lesion(s) treated with the CorPath system, without in-hospital major adverse coronary events (MACE).
Time frame: In-hospital (72-hours or discharge, whichever occurs first)
Population: Number of participants with complete data to assess clinical success.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Study Cohort | Number of Participants With Clinical Success | 723 Participants |
Number of Participants With an Adverse Event
All Serious Adverse Events (SAEs) and Unanticipated Adverse Device Effects (UADEs) from the start of the CorPath procedure until the end of the study will be summarized.
Time frame: In-hospital (72-hours or discharge, whichever occurs first)
Population: Number of participants with complete data to assess Adverse Events.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Study Cohort | Number of Participants With an Adverse Event | 18 Participants |
Number of Participants With In-hospital Major Adverse Coronary Events (MACE)
The composite of death, myocardial infarction, and target vessel revascularization that occurs within 72 hours of the procedure or prior to hospital discharge, whichever occurs first, in a subject treated with the CorPath 200 System.
Time frame: In-hospital (72-hours or discharge, whichever occurs first)
Population: Number of participants with complete data to assess In-hospital Major Adverse Coronary Events (MACE).
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Study Cohort | Number of Participants With In-hospital Major Adverse Coronary Events (MACE) | 6 Participants |
Contrast Fluid Volume
The amount of contrast fluid used (mL) during the procedure.
Time frame: During procedure
Population: Number of partcipants with completed data to assess contrast fluid volume.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Study Cohort | Contrast Fluid Volume | 181.1 mL | Standard Deviation 90.8 |
CorPath Measurement of Lesion Length
Robotic measurement of lesion length using the CorPath System performed by the Clinical Operator.
Time frame: During procedure
Population: Lesion length measured with CorPath System.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Study Cohort | CorPath Measurement of Lesion Length | 19.1 mm | Standard Deviation 10.6 |
Fluoroscopy and/or X-Ray Time
As recorded by an X-Ray System utilized during the procedure.
Time frame: During procedure
Population: Number of participants with complete data to assess fluoroscopy and/or X-Ray time.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Study Cohort | Fluoroscopy and/or X-Ray Time | 15.0 min | Standard Deviation 8.4 |
Number of Participants Who Had a Conversions to Manual Technique.
The overall number of conversions from the robotic PCI to manual PCI will be captured to analyze the technical success of the device.
Time frame: During procedure
Population: Number of conversions from the robotic PCI to manual PCI in participants with complete data.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Study Cohort | Number of Participants Who Had a Conversions to Manual Technique. | 99 Participants |
Overall Procedure Time
Defined as the time measured from the insertion of the hemostasis sheath until the removal of the guide catheter.
Time frame: During procedure
Population: Number of participants that had completed data to assess Overall procedure time.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Study Cohort | Overall Procedure Time | 61.9 min | Standard Deviation 28.3 |
Patient Radiation Exposure - Cumulative Dose
Cumulative dose (mGy) as recored during the procedure.
Time frame: During procedure
Population: Number of participants that had completed data to assess patient radiation exposure. The overall number of participants analyzed in the DAP and Cumulative groups differ because of incomplete data recorded from the sites.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Study Cohort | Patient Radiation Exposure - Cumulative Dose | 1631.5 mGy | Standard Deviation 3664.5 |
Patient Radiation Exposure - Dose-Area-Product
DAP (dose-area-product) as recorded during the procedure.
Time frame: During procedure
Population: Number of participants that had completed data to assess patient radiation exposure. The overall number of participants analyzed in the DAP and Cumulative groups differ because of incomplete data recorded from the sites.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Study Cohort | Patient Radiation Exposure - Dose-Area-Product | 120861.3 mGy*cm2 | Standard Deviation 256522.9 |
PCI Procedure Time
Defined as the time measured from the insertion of the guide catheter until the removal of the guide catheter.
Time frame: During procedure
Population: Number of participants that had complete data to assess PCI procedure time.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Study Cohort | PCI Procedure Time | 43.6 min | Standard Deviation 23.1 |
Visual Measurement of Lesion Length
Visual estimate by clinical operator prior to delivery of PCI device(s).
Time frame: During procedure
Population: Operator visual lesion length estimate.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Study Cohort | Visual Measurement of Lesion Length | 17.3 mm | Standard Deviation 9.8 |