Coronary Artery Disease
Conditions
Brief summary
This study aims to evaluate the safety and effectiveness of the VentriCure interventional left ventricular assist system for short-term ventricular support during high-risk percutaneous coronary intervention (HRPCI) in non-emergent, hemodynamically stable coronary artery disease patients via a prospective, multi-center, randomized controlled clinical trial.
Interventions
The VentriCure interventional left ventricular assist system provides hemodynamics support for intraoperative protection during high-risk percutaneous coronary intervention.
Subjects with coronary artery disease receiving high-risk PCI will be supported by the Extracorporeal Membrane Oxygenation System during the procedure.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patient age ≥18 years old; 2. As assessed by the cardiac team the patient needs coronary revascularization, but CABG (Coronary Artery Bypass Grafting) is of high risk, or the patient refuses to undergo CABG; 3. The patient is meeting one of the following: (1) Coronary Artery Disease and left ventricular ejection fraction ≤35%; (2) Coronary Artery Disease and left ventricular ejection fraction ≤40% and severe heart failure; 4. PCI was required for imaging diagnosis; 5. Patient willing and able to comply with protocol requirements and accept clinical follow-up; able to understand study purpose and sign informed consent.
Exclusion criteria
1. Cardiac arrest within 24 hours; 2. The implantation of an interventional left ventricular assist system was either contraindicated or not feasible; 3. ST-segment elevation myocardial infarction (STEMI) within 24 hours; 4. Chronic Kidney Disease; 5. Severe right heart failure or severe tricuspid regurgitation; 6. Presence of abnormal coagulation parameters (platelet count ≤75,000/mm\^3, INR≥2.0, or fibrinogen ≤1.50g/L); 7. Moderate or higher anemia; 8. History of stroke or transient ischemic attack (TIA) within one month; 9. Allergy or intolerance to anticoagulants or contrast agent; 10. Active internal bleeding within a month; 11. Presence of uncontrolled active infection; 12. Pregnant or lactating women; 13. Patients are participating in other clinical trials; 14. Other circumstances that are determined by the investigator to be unsuitable for the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of major adverse events at 30 days post-PCI | 30 days post-PCI | Major adverse events were defined as follows: death, new myocardial infarction, stroke, target-vessel revascularization, major bleeding. Calculation formula: 30-day MAE rate = Number of subjects experiencing any MAE event within 30 days post-PCI ÷ Total number of subjects × 100% |