Coronary Artery Lesions With Implantation of Coronary Device
Conditions
Keywords
Coronary artery disease; angioplasty; bioresorbable device
Brief summary
A multicentre, observational, prospective device registry, with no control group, designed to evaluate the efficacy and safety of the bioresorbable coronary device, used according to the indications of use, in daily clinical practice in a consecutive number of patients undergoing PCI in de novo coronary artery lesions. A total of 1,500 patients are planned to be included in the registry.
Detailed description
The patients will be included consecutively at each site for one year. They will be individuals from both sexes, requiring endovascular intervention and meeting the authorised criteria for the indications of use of the device to be used and where dual anti-platelet therapy (DAPT) with aspirin and thienopyridines is considered. STUDY OBJECTIVES To evaluate the MACE rate after implantation of the bioresorbable coronary device in patients with de novo coronary artery lesions, where a follow-up of 12 months will be performed. Primary objective: MACE rate at 12 months of follow-up: Cardiac death Myocardial infarction TLR driven by ischaemia of the lesion treated or of the region of 5 mm proximally or distally to the site of implantation of the device (ID-TLR). Secondary objectives: * Angina * Death due to any cause. * Myocardial infarction of any type (MI: QMI, NQMI, TV, NTV) * All TLR driven or not by ischaemia * All TVR driven or not by ischaemia. * All coronary revascularisations performed (PCI vs CABG) * Device thrombosis (acute, sub-acute, late) and evidence (definitive, probable, possible). * Immediate success of the device. * Immediate success of the procedure. * Rate of patients with DAPT at \< 1 month, 1-3 months, 3-6 months, and 6-12 months and relationship with the occurrence of events * Composite endpoints: Cardiac death, TV-MI and ID-TLR: (Target Lesion Failure (TLF)) Cardiac death, any myocardial infarction (MI) and ID-TVR: (Target Vessel Failure (TVF)) * Rate of overlapping devices: characteristics and relationship with occurrence of events * Collection of imaging data of the cases where, according to the judgement of the investigator, intravascular imaging tests have been performed (IVUS, OCT).
Interventions
None listed
Sponsors
Sección Hemodinamica y Cardiologia Intervencionista
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient must be at least 18 years of age at the time of signing the Informed Consent Form * Patient is to be treated for de novo coronary lesions in a native coronary artery and amenable to receive a bioresorbable device * The length of the treated lesion should be inferior to the nominal length of the device (12 mm, 18 mm, 28 mm) with a reference vessel diameter \> 2 mm y \< 3,8 mm. * The patient will not have any relative contraindication for double antiplatelet therapy, with aspirin indefinitely and with a thienopyridine for at least 6 months
Exclusion criteria
* Cardiogenic shock * Left main disease * Aortocoronary graft * Intrastent restenosis * Potentially child-bearing women with no contraceptive methods * Pregnant or breast-feeding women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| MACE rate (major adverse cardiac events) at 12 months of follow-up: Cardiac death; Myocardial infarction; Target lesion revascularisation (TLR) ischemia-driven: Cardiac Death/All MI/ID-TLR | Clinical follow-up at 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Cardiac death | 12 months |
| Myocardial infarction | 12 months |
| Scaffold/Stent Thrombosis: Timing and Evidence | 12 months |
| Immediate success of the device/procedure | 1 day |
| Angina Events | 12 months |
| Rate of patients with DAPT at 12 months | 12 months |
| Rate of overlapping devices and characteristics | 12 months |
| Target lesion/vessel revascularization (TLR/TVR) | 12 months |
Countries
Spain
Outcome results
None listed