Coronary Artery Disease
Conditions
Keywords
Coronary artery disease, shockwave therapy, Coronary calcified lesions
Brief summary
This clinical trial is a prospective, multicenter, single-arm, target-value study to verify the safety and efficacy of BM coronary shockwave devices for the treatment of coronary calcification lesions.
Interventions
Use the BM shockwave devices for pre-treatment of coronary calcification lesions.
Sponsors
Study design
Eligibility
Inclusion criteria
* General inclusion criteria: 1. Age 18-85 years, male or female; 2. Patients with evidence of asymptomatic ischemia, stable or unstable angina, or old myocardial infarction; 3. Patient is able and willing to comply with all assessments in the study. Angiography inclusion criteria: 1. The target lesion is a de novo, in-situ coronary artery lesion; 2. The target lesion length is ≤40 mm, and the target lesion reference vessel diameter is 2.0-4.0 mm (visual estimation); 3. The target lesion diameter stenosis is visually estimated to be ≥70%, or \<70% but ≥50% with evidence of ischemia; 4. Clear high-density calcification shadows are visible both during cardiac contraction and at rest; 5. Target vessel TIMI flow grade 3 prior to use of the investigational device (pre-dilatation is permitted); 6. The target lesion is the only calcified lesion to be treated with shock wave therapy in this session; if non-target lesions are present, they must be successfully treated prior to the target lesion; 7. Patients suitable for treatment with metal stent implantation.
Exclusion criteria
* General
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Procedure success rate | Endpoints will be measured through hospital discharge (expected to be within 7 days) | Definition: Residual stenosis ≤30% after PCI, and no major adverse cardiac events (MACE) events occurring during hospitalization. MACE is defined as cardiac death, myocardial infarction, and target vessel revascularization events. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Device success rate | 0 day | The study device successfully passes through the target lesion, and no serious angiographic complications occur immediately after shockwave pretreatment. |
| Residual stenosis | 0 day | Degree of residual stenosis immediately after shockwave pretreatment of the target lesion. |
| Angiography success rate | 0 day | Definition: After successful stent placement in the target lesion, residual stenosis ≤ 30%, and no serious angiography complications occur. Serious angiography complications: refer to the occurrence of D-F type dissection, vascular perforation, acute vascular occlusion, persistent slow blood flow, or no reperfusion during the procedure. |
| Target lesion failure | 30 days | Target lesion failure (TLF) definition: Includes cardiac death, myocardial infarction caused by target vessel (ST-segment elevation or non-ST-segment elevation myocardial infarction), and target lesion revascularization. |
| Device defects | 0 day | Incidence of device defects |
| MACE rate | 30 days | MACE is defined as cardiac death, myocardial infarction, and target vessel revascularization events. |
Countries
China