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XIENCE PRIME SV Everolimus Eluting Coronary Stent Japan Post Marketing Surveillance (XIENCE PRIME SV Japan PMS)

Completed
Conditions
Coronary Artery Disease
Angina Pectoris
Myocardial Ischemia
Ischemic Heart Disease
Coronary Artery Occlusion
Interventions
Device: XIENCE PRIME SV Everolimus Eluting Coronary Stent
Registration Number
NCT02513719
Lead Sponsor
Abbott Medical Devices
Brief Summary

The objective of the study is to evaluate the safety and efficacy of XIENCE PRIME SV in real world practice in Japanese hospitals.

Detailed Description

Based on Good Post-marketing Study Practice (GPSP) regulation, general patient population with ischemic heart disease who are eligible for treatment with XIENCE PRIME SV Everolimus Eluting Stent will be registered, with no particular inclusion/exclusion criteria, and may be eligible for angiographic follow-up at eight months and clinical follow-up at one year.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
312
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
XIENCE PRIME SV Everolimus Eluting Coronary StentXIENCE PRIME SV Everolimus Eluting Coronary StentPatients receiving XIENCE PRIME SV Everolimus Eluting Coronary Stent
Primary Outcome Measures
NameTimeMethod
Number of Participants With Stent Thrombosis: Subacute>24 hours to 30 days post stent implantation

Stent/Scaffold Thrombosis (per ARC): Stent/Scaffold Thrombosis should be reported as a cumulative value over time and at various individual time points. Time 0 is defined as the time point after the guiding catheter has been removed and the subject left the catheterization lab.

Timings:

Subacute stent thrombosis : \>24 hours to 30 days after stent implantation

Number of Participants With Stent Thrombosis: Acute0-24 hours post stent implantation

Stent/Scaffold Thrombosis (per ARC): Stent/Scaffold Thrombosis should be reported as a cumulative value over time and at various individual time points. Time 0 is defined as the time point after the guiding catheter has been removed and the subject left the catheterization lab.

Timing:

Acute stent thrombosis: 0 to 24 hours after stent implantation

Number of Participants With Stent Thrombosis: Late30 days to 1 year post stent implantation

Stent/Scaffold Thrombosis (per ARC): Stent/Scaffold Thrombosis should be reported as a cumulative value over time and at various individual time points. Time 0 is defined as the time point after the guiding catheter has been removed and the subject left the catheterization lab.

Timings:

Late stent thrombosis : \>30 days to 1 year after stent implantation

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Stent Thrombosis: Very Late>1 year post stent implantation

Stent/Scaffold Thrombosis (per ARC): Stent/Scaffold Thrombosis should be reported as a cumulative value over time and at various individual time points. Time 0 is defined as the time point after the guiding catheter has been removed and the subject left the catheterization lab.

Timings:

Very late stent thrombosis : \>1 year after stent implantation.

Number of Participants With Target Lesion Revascularization0-5 years

Target lesion revascularization is 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. Target lesion revascularization (TLR) includes ischemia driven TLR and non-ischemia driven TLR

Number of Participants With Target Vessel Revascularization (TLR or TVR, Non-TLR)0-5 years

Target vessel revascularization (TLR or TVR, non-TLR) includes ischemia driven TVR (TLR or TVR, non-TLR) or non-ischemia driven TVR (TLR or TVR, non-TLR)

Number of Participants With Target Vessel Failure0 to 5 years

Target vessel failure includes cardiac death, MI and ischemia driven TLR; ischemia driven TVR, non TLR; ischemia driven TVR (TLR or TVR, nonTLR).

Number of Participants With Cardiac Death or Target Vessel-MI0 to 1 year

Cardiac death is defined as any death in which a cardiac cause cannot be excluded. (This includes but is not limited to acute myocardial infarction, cardiac perforation/pericardial tamponade, arrhythmia or conduction abnormality,cerebrovascular accident within 30 days of the procedure or cerebrovascular accident suspected of being related to the procedure, death due to complication of the procedure, including bleeding, vascular repair, transfusion reaction, or bypass surgery).

Percent Diameter Stenosis (%DS)8 months

The value calculated as 100 \* (1- minimum lumen diameter/reference vessel diameter) (MLD/RVD) using the mean values from two orthogonal views (when possible) by quantitative coronary angiography (QCA).

Success Rate: Percentage of Devices With Implant Success< or = 1 day

The stent lengths used were 8 mm, 12 mm, and 15 mm,18 mm, 23 mm, and 28 mm and the stent diameter was 2.25mm.

Successful delivery and deployment of the first study scaffold/stent the intended target lesion and successful withdrawal of the delivery system with attainment of final in-scaffold/stent residual stenosis of less than 50% by quantitative coronary angiography (QCA).

Number of Participants With All Revascularization0 to 5 years

Revascularization:

* Target Lesion Revascularization (TLR) is 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. The target lesion is defined as the treated segment from 5 mm proximal to the scaffold and to 5 mm distal to the test scaffold.

* Target Vessel Revascularization (TVR) is 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.

* Non Target Lesion Revascularization (Non-TLR) is any revascularization in the target vessel for a lesion other than the target lesion.

* Non Target Vessel Revascularization (Non-TVR)is any revascularization in a vessel other than the target vessel.

Success Rate: Percentage of Lesions With Procedural Success< or = 1 day

Achievement of final in-scaffold/stent residual stenosis of less than 50% by QCA with successful delivery and deployment of at least one study scaffold/stent at the intended target lesion and successful withdrawal of the delivery system for all target lesions without the occurrence of cardiac death, target vessel MI or repeat TLR during the hospital stay (less than or equal to 7 days).

Success Rate: XIENCE PRIME Implant Success by Patient< or = 1 day

The stent lengths used were 8 mm, 12 mm, and 15 mm,18 mm, 23 mm, and 28 mm and the stent diameter was 2.25 mm.

Implant success is assessed as per physicians decision, but means that the stent could be implanted at the intended location.

Number of Death0-5 years

All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Specifically, any unexpected death even in subjects with coexisting potentially fatal non-cardiac disease (e.g. cancer, infection) should be classified as cardiac.

• Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.

• Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause.

• Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.

Number of Participants With Major Adverse Cardiac Events (MACE)0 to 5 years

Major adverse cardiac events (MACE) is defined as the composite of cardiac death, all myocardial infarction, and clinically indicated target lesion revascularization (CI-TLR).

Number of Participants With Cardiac Death or Target-Vessel MI0 to 8 months

Cardiac death is defined as any death in which a cardiac cause cannot be excluded. (This includes but is not limited to acute myocardial infarction, cardiac perforation/pericardial tamponade, arrhythmia or conduction abnormality,cerebrovascular accident within 30 days of the procedure or cerebrovascular accident suspected of being related to the procedure, death due to complication of the procedure, including bleeding, vascular repair, transfusion reaction, or bypass surgery).

Number of Participants With Cardiac Death or Target Vessel MI0 to 5 years

Cardiac death is defined as any death in which a cardiac cause cannot be excluded. (This includes but is not limited to acute myocardial infarction, cardiac perforation/pericardial tamponade, arrhythmia or conduction abnormality,cerebrovascular accident within 30 days of the procedure or cerebrovascular accident suspected of being related to the procedure, death due to complication of the procedure, including bleeding, vascular repair, transfusion reaction, or bypass surgery).

Number of Participants With Myocardial Infarction0-5 years

Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG.

-Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves.

Acute Gain: In-stent,In-segmentPre procedure to post procedure (on day 0)

The acute gain was defined as the difference between post- and preprocedural minimal lumen diameter (MLD).

Net Gain: In-stent, In-segmentPost-Procedure (on day 0)

Difference between acute gain and late loss.

Number of Participants With Non-target Vessel Revascularization (Non-TVR)0 to 5 years

Non Target Vessel Revascularization (Non-TVR) is any revascularization in a vessel other than the target vessel.

Number of Participants With Hemorrhage0 to 5 years

Bleeding complications will be defined according to the GUSTO (Global Use of Strategies to Open Occluded Coronary Arteries) classification of severe, moderate, and mild bleeding events.

Severe or life-threatening: Either intracranial hemorrhage or bleeding that causes hemodynamic compromise and requires intervention; Moderate: Bleeding that requires blood transfusion but does not result in hemodynamic compromise; Mild: Bleeding that does not meet criteria for either moderate or severe bleeding.

Number of Participants With Target Lesion Failure0 to 5 years

Target Lesion Failure is composite of Cardiac death/ Target Vessel Myocardial Infarction (TV-MI)/ Ischemic-Driven Target Lesion Revascularization (ID-TLR).

Late Loss(LL): In-stent,In-segment,Proximal, and Distal8 months

Proximal and distal late loss was calculated by \[post-procedure minimum lumen diameter (MLD)\] - \[MLD at 8 months\].

Number of Participants With All Death/All MI/All Revascularization0 to 5 years
Number of Participants With Death or MI0 to 5 years

All deaths includes Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.

Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause.

Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.

Myocardial Infarction (MI) Q wave MI Development of new, pathological Q wave on the ECG. Non-Q wave MI Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves

Number of Participants With Cardiac Death or MI0 to 5 years

Cardiac death is defined as any death in which a cardiac cause cannot be excluded. (This includes but is not limited to acute myocardial infarction, cardiac perforation/pericardial tamponade, arrhythmia or conduction abnormality,cerebrovascular accident within 30 days of the procedure or cerebrovascular accident suspected of being related to the procedure, death due to complication of the procedure, including bleeding, vascular repair, transfusion reaction, or bypass surgery.)

Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG.

-Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves.

Trial Locations

Locations (33)

Kimitsu Chuo Hospital

🇯🇵

Chiba, Japan

Nagoya Daini Red Cross Hospital

🇯🇵

Nagoya, Japan

Sakurabashi Watanabe Hospital

🇯🇵

Osaka, Japan

Osaka University Hospital

🇯🇵

Osaka, Japan

Tokyo Women's Medical University Hospital

🇯🇵

Tokyo, Japan

Saiseikai Yokohama City Tobu Hospital

🇯🇵

Yokohama, Japan

Hoshi general hospital

🇯🇵

Fukushima, Japan

Hyogo Prefectural Amagasaki Hospital

🇯🇵

Hyogo, Japan

Fukuoka Wajiro Hospital

🇯🇵

Fukuoka, Japan

Mitsui Memorial Hospital

🇯🇵

Tokyo, Japan

Tsukuba Medical Center Hospital

🇯🇵

Ibaraki, Japan

Tsuchiya General Hospital

🇯🇵

Hiroshima, Japan

Shonan Kamakura General Hospital

🇯🇵

Kanagawa, Japan

Kumamoto Chuo Hospital

🇯🇵

Kumamoto, Japan

Tokeidai memorial hospital

🇯🇵

Sapporo, Japan

Tokushima Red Cross Hospital

🇯🇵

Tokushima, Japan

Okamura memorial hospital

🇯🇵

Shizuoka, Japan

Kokura Memorial Hospital

🇯🇵

Fukuoka, Japan

Miyazaki City-Gun Ishikai Hospital

🇯🇵

Miyazaki, Japan

Osaka police hospital

🇯🇵

Osaka, Japan

Hokkaido Ohno hospital

🇯🇵

Sapporo, Japan

Ishikawa Prefectual Central Hospital

🇯🇵

Ishikawa, Japan

Tokai University Hospital

🇯🇵

Kanagawa, Japan

Kyoto University Hospital

🇯🇵

Kyoto, Japan

Kansai Rosai Hospital

🇯🇵

Nagoya, Japan

Heart disease center Sakakibara hospital

🇯🇵

Okayama, Japan

Kurashiki Central Hospital

🇯🇵

Okayama, Japan

Tokorozawa Heart Center

🇯🇵

Saitama, Japan

JCHO Hokkaido Hospital

🇯🇵

Sapporo, Japan

Sendai Kousei Hospital

🇯🇵

Sendai, Japan

Teikyo University Hospoital

🇯🇵

Tokyo, Japan

Toranomon hospital

🇯🇵

Tokyo, Japan

Showa University Fujigaoka hospital

🇯🇵

Yokohama, Japan

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