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临床试验/NCT01978860
NCT01978860已完成不适用

A Prospective, First in Man Study to Evaluate the Safety and Performance of the NovaCross™ Micro-catheter in (CTO) Coronary Lesions

Chanan Schneider1 个研究点 分布在 1 个国家目标入组 2 人开始时间: 2013年11月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
2
试验地点
1
主要终点
lack of device related major adverse event

研究概览

简要总结

This is a prospective, non-randomized, first-in-man investigational study, to assess the safety and technical feasibility, deployment and withdrawal characteristics of the NovaCross™ micro-catheter during an interventional coronary angioplasty procedure and evaluating the CTO penetration rate.

Each study subject/patient will have a total of one (1) procedure performed for this study.

详细描述

To be filled later

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
25 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Adult aged 25-80
  • Patient understands and has signed the study informed consent form.
  • Patient has an angiographic documented Chronic Total Occlusion (i.e. >3 months occlusion duration) showing distal TIMI flow
  • Suitable candidate for non-emergent, coronary angioplasty
  • Documented coronary angiography preceding the PCI reveals at least one CTO lesion situated in a non-infarct related coronary artery or its side branches with the following characteristics:
  • Thrombolysis in Myocardial Infarction (TIMI) 0 flow for at least 90 days;
  • Satisfactory distal vessel visualization
  • CTO should be amenable to percutaneous treatment and must be located in a coronary vessel with a reference diameter of at least 2 millimeters.
  • CTO refractory to a minimum of 10 minutes of conventional guide wire attempt.
  • Body Mass Index (BMI) < 40
  • Left ventricle ejection fraction > 25%
  • For the purpose of this trial, a CTO is defined as a 100% luminal narrowing without antegrade flow or with antegrade or retrograde filling through collateral vessels.

排除标准

  • Patient unable to give informed consent.
  • Current participation in another study with any investigational drug or device.
  • Patient is known or suspected not to tolerate the contrast agent.
  • Aorto-ostial CTO location (Ostial bifurcation origins may be considered), SVG CTO and in-stent CTOs.
  • Intolerance to aspirin or Clopidogrel or Prasugrel or Ticagrelor medications
  • Appearance of a fresh thrombus or intraluminal filling defects.
  • Recent major cerebrovascular event (history of stroke or TIA within 1 month)
  • Cardiac intervention within 4 weeks of the procedure
  • Renal insufficiency (serum creatinine of > 2.3mg/dl)
  • Active gastrointestinal bleeding
  • Active infection or fever that may be due to infection
  • Life expectancy < 2 years due to other illnesses
  • Significant anemia (hemoglobin < 8.0 mg / dl)
  • Severe uncontrolled systemic hypertension (> 240 mmHg within 1 month of procedure )
  • Severe electrolyte imbalance
  • Congestive heart failure [New York Heart Association (NYHA) Class III\IV] ,CSA Class IV.
  • Unstable angina requiring emergent percutaneous trans-luminal coronary angioplasty (PTCA) or coronary artery bypass graft (CABG)
  • Recent myocardial infarction (MI) (within the past two weeks)
  • Uncontrolled diabetes >2 serum glucose concentrations of >350 mg/dl within 7 days.
  • Participation in another investigational protocol
  • Unwillingness or inability to comply with any protocol requirements
  • Pregnant or nursing
  • Extensive prior dissection from a coronary guidewire use
  • Drug abuse or alcoholism.
  • Patients under custodial care.
  • Bleeding diathesis or coagulation disorder;
  • Kawasaki's disease or other vasculitis.

结局指标

主要结局

lack of device related major adverse event

时间窗: 30 days

. 30-day Lack of device-related Major Adverse Cardiac Event Rate (MACE) at the site of target coronary lesion and/or its proximal reference segment. Time Frame:

次要结局

  • Maneuverability of the NovaCross ™ up to the occlusion and safe withdrawal(During Procedure)

研究者

发起方
Chanan Schneider
申办方类型
Industry
责任方
Sponsor Investigator
主要研究者

Chanan Schneider

COO

Nitiloop Ltd.

研究点 (1)

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