Coronary Artery Disease, Coronary Stenosis, Heart Disease, Ischemic
Conditions
Brief summary
This is a prospective, non-randomized, open label, multi-center study including 60 patients with symptomatic ischemic heart disease with 70%-100% coronary artery stenoses and occlusions enrolled and treated in this investigational device study.
Detailed description
Patients who require initial pre-dilatation using the study device, and then undergo definitive therapy using additional PTCA catheters and stents, according to standard of care will be enrolled in this study. A maximum of 60 subjects with native coronary artery lesions or occlusions will be treated using the Artimes pro Balloon Dilatation Catheters in a 3:1 ratio using the 1.0mm and 1.25mm dilatation catheters for pre-dilatation and will complete the study within the U.S. This equals 45 patients treated using the 1.0mm dilatation catheter, and 15 patients treated with the 1.25mm dilatation catheter for a total of 60 subjects enrolled and treated.
Interventions
Pre-dilation catheter for the purpose of preparing the vessel to deliver the final therapy.
Sponsors
Study design
Intervention model description
45 patients will be treated using the 1.0mm dilatation catheter and 15 patients treated with the 1.25mm dilatation catheter for a total of 60 subjects enrolled and treated. Patients may be consented, enrolled and treated until the sample size is reached, with n=60 completing the study.
Eligibility
Inclusion criteria
* At least 18 years of age; * Willing and able to provide informed consent; * Willing and able to meet all study requirements; * Patients with symptomatic ischemic heart disease due to stenotic lesions or occlusions in coronary arteries that are amenable to percutaneous coronary interventions; * Patients who tolerate DAPT
Exclusion criteria
* A known hypersensitivity or contraindication to aspirin, heparin, or bivalirudin, anti-platelet medications, or sensitivity to contrast media, which cannot be adequately pre-medicated; * LVEF \< 30%; * Evidence of an acute myocardial infarction within 72 hours of the intended index procedure; * Planned treatment of unprotected left main disease; * History of cerebral vascular accident (CVA) within 6 months prior to consideration for this study; * Transient ischemic attack (TIA) within 6 months prior to consideration for this study; * Active peptic ulcer or upper gastrointestinal (GI) bleeding within 6 months prior to consideration for this study; * History of bleeding diathesis or coagulopathy; * Refuses blood transfusions; * Any general contraindication to revascularization procedures; * Pregnant or lactating; * In the judgement of the investigator, patient is not a suitable candidate for this study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Procedure Success | Day 1 - Index Procedure | Delivery of the catheter to and across lesion; inflation and deflation of the catheter; no vessel perforation, dissection or reduction in TIMI flow; and achievement of final TIMI flow grade 3. |
Secondary
| Measure | Time frame |
|---|---|
| Anticipated Adverse Events | Day 1 - Index Procedure |
Countries
United States