Evaluation of Effectiveness and Safety of Bioresorbable Vascular Scaffold in Routine Clinical Practice
- Conditions
- Coronary Artery DiseaseArterial Occlusive DiseasesCoronary DiseaseCardiovascular Diseases
- Interventions
- Device: Bioresorbable Vascular Scaffold
- Registration Number
- NCT02622100
- Lead Sponsor
- Duk-Woo Park, MD
- Brief Summary
The purpose of this study is to evaluate the relative effectiveness and safety of Bioresorbable Vascular Scaffold compared to other (drug eluting stents) DES.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 629
- Age 19 and more
- Intervention with Bioresorbable Vascular Scaffold
- Agreed with written informed consent form
- Bypass graft surgery (CABG) recommended
- Lesion with previous bypass graft surgery (CABG)
- Severe calcification and/or severe tortuosity
- Contraindication to antiplatelet agent or Inability to take dual antiplatelet therapy within 1 year
- Life expectancy of 1year and under
- Subjects scheduled to receive cardiac surgery or serious non-cardiac surgery
- Cardiac shock
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Bioresorbable Vascular Scaffold Bioresorbable Vascular Scaffold -
- Primary Outcome Measures
Name Time Method Composite event 1 year The number of events with the first occurrence of a composite event(death, non-fatal myocardial infarction, target vessel revascularization)
- Secondary Outcome Measures
Name Time Method cardiac death 5 years Composite event of death or myocardial infarction 5 years Stroke 5 years all death 5 years myocardial infarction 5 years Target Vessel revascularization 5 years Defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion, which includes upstream and downstream branches and the target lesion itself.
Clinical-driven Clinically indicated angiography at follow-up shows a percent diameter stenosis ≥ 50% (core lab QCA assessment) and if one of the following occurs: (1) a positive history of recurrent angina pectoris, presumably related to the target vessel; (2) objective signs of ischemia at rest (ECG changes) of during exercise test (or equivalent), presumably related to the target vessel; (3) abnormal results of any invasive functional diagnostic test (eg, Doppler flow velocity reserve, fractional flow reserve).
Ischemia-driven if one of followings of above-mentioned symptom (clinical-driven) or sign of ischemia or diameter stenosis ≥ 70 %Composite event of cardiac death or myocardial infarction 5 years Target Lesion revascularization 5 years Defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLRs should be classified prospectively as clinically indicated or not clinically indicated by the investigator prior to repeat angiography. An independent angiographic core laboratory should verify that the severity of percent diameter stenosis meets requirements for clinical indication and will overrule in cases where investigator reports are not in agreement. The target lesion is defined as the treated segment from 5 mm proximal to the stent and to 5 mm distal to the stent.
Stent thrombosis 5 years DEFINITE stent thrombosis : acute coronary syndrome and angiographic or pathologic evidence of stent thrombosis; PROBABLE stent thrombosis : unexplained death within 30 days or target-vessel infarction without angiographic information Academic Research Consortium (ARC) stent thrombosis is reported as a cumulative value at different time points and within the different separate time points. Time 0 is the time point after the guide catheter has been removed. Acute stent thrombosis: 0-24 hours after stent implantation; Subacute stent thrombosis: \>24 hours to 30 days post; late stent thrombosis: \>30 days to 1 year post; Very late stent thrombosis: \>1 year post;
Procedural success 3 days Defined as mean lesion diameter stenosis ≤50% and without the occurrence of in-hospital myocardial infarction (MI), target vessel revascularization (TVR), or death
Trial Locations
- Locations (14)
Daegu Catholic University Medical Center
🇰🇷Daegu, Korea, Republic of
Asan Medical Center
🇰🇷Seoul, Songpa-gu, Korea, Republic of
Hallym University Sacred Heart Hospital
🇰🇷Anyang, Korea, Republic of
Gangwon National Univ. Hospital
🇰🇷Chuncheon, Korea, Republic of
Keimyung University Dongsan Medical Center
🇰🇷Daegu, Korea, Republic of
The Catholic University of Korea, Daejeon ST. Mary's Hospital
🇰🇷Daejeon, Korea, Republic of
Chungnam National University Hospital
🇰🇷Daejeon, Korea, Republic of
ChonBuk National University Hospital
🇰🇷Jeonju, Korea, Republic of
Gangneung Asan Hospital
🇰🇷Gangneung, Korea, Republic of
Chonnam National University Hospital
🇰🇷Gwangju, Korea, Republic of
Bundang CHA Hospital
🇰🇷Seongnam, Korea, Republic of
Wonju Severance Christian Hosp
🇰🇷Wonju, Korea, Republic of
Ulsan University Hospital
🇰🇷Ulsan, Korea, Republic of
Korea University Guro Hospital
🇰🇷Seoul, Korea, Republic of