acute coronary syndrom obstruction blood vessel of the heart
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. The patient must be >=18 years of age 2. The patient has been diagnosed with STEMI, NSTEMI or UA 3. The Patient is willing to comply with specified follow-up evaluations 4. The Patient has been informed of the nature of the study, agrees to its provisions and has been provided written informed consent, approved by the appropriate Medical Ethics Committee (MEC), Institutional Review Board (IRB), or Human Research Ethics Committee (HREC) 5. Successful COMBO stent implantation (TIMI 3 flow with residual stenosis
Exclusion criteria
Exclusion criteria: 1. Patients presenting with cardiogenic shock 2. Patients with recent major bleeding complications or contraindication to DAPT, such as: a) Hypersensitivity to Aspirin, Clopidogrel, Prasugrel or Ticagrelor b) Need for oral anticoagulation c) History of bleeding diathesis or known coagulopathy (including heparin-induced thrombocytopenia) or refusal of blood transfusions d) History of intracerebral mass, aneurysm, arteriovenous malformation, or hemorrhagic stroke e) Stroke or transient ischemic attack within the past 6 months or any permanent residual neurologic defect f) Gastrointestinal or genitourinary bleeding within the last 2 months or major surgery within 6 weeks g) Recent history (
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| All cause mortality, MI, ST, stroke, TVR, bleeding (BARC II, III, V) at 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Bleeding (BARC II, III, V) at 12 months All cause mortality, MI, ST, stroke, TVR, bleeding (BARC II, III, V) at 24 months All cause mortality, MI, ST, stroke and TVR at 12 and 24 months Mortality at 12 and 24 months Cardiac Mortality at 12 and 24 months Any MI at 12 and 24 months ST at 12 and 24 months Repeat revascularization at 12 and 24 months Time to event as defined by the occurrence of one of the following: all cause mortality, MI, ST, stroke, TVR or bleeding (BARC II, III, V) within 12 and 24 months Prespecified landmark analysis of Primary Endpoint (without TVR) from 3 to 12 months | — |
Countries
Netherlands