GRX With ReMOTE: First in Human in India

Not Applicable

Completed

Brief Summary: To evaluate the safety and performance of CorPath GRX POP System, in the ReMOTE (location outside hospital) delivery and manipulation of coronary guidewires and stent/balloon catheters, and manipulation of guide catheters during PCI procedures.

Detailed Description: Prospective, single-arm, single center, non-randomized feasibility study of the CorPath GRX POP System to examine its performance during remote angioplasty (ballooning) and stenting and patient outcomes through 48 hours post-PCI procedure hospital discharge, whichever occurs first.

Recruitment & Eligibility

Inclusion Criteria

Age ≥18 years;
Patients with coronary artery disease with clinical indication for PCI;
Patient deemed appropriate for robotic-assisted PCI; and
The subject has been informed of the nature of the study, agrees to its provisions and has provided written informed consent.

Angiographic Inclusion:

Study lesion is a single de novo native coronary artery lesion (i.e. a coronary lesion not previously treated).
The lesion reference vessel diameter is between 2.50 mm and 4.0 mm by visual estimate.
Study lesion length less or equal to 20 mm by visual estimate.
The study lesion length can be treated with one stent. The stent should be able to cover the whole length of the lesion with at least 2 mm of normal segments on proximal and distal edges of the lesion.
Study lesion diameter showing significant stenosis of at least 50% by visual estimate.

Exclusion Criteria

Failure/inability/unwillingness to provide informed consent; or
The investigator determines that the patient or the coronary anatomy is not suitable for robotic-assisted PCI.

Angiographic Exclusion:

Target lesion that cannot be fully covered by a single stent.
Subject requires treatment of multiple lesions
Any previous stent placement within 5 mm (proximal or distal) of the target lesion
The study lesion requires planned treatment with DCA, laser, rotational atherectomy, or any device except for balloon dilatation prior to stent placement
The study vessel has evidence of intraluminal thrombus or moderate to severe tortuosity (> 90°) proximal to the target lesion
The study lesion has any of the following characteristics:
1. Total occlusion
2. Within 2mm of a side branch > 2.0 mm vessel diameter
3. Not ostial in location
4. Is located at ≥ 45° bend in the vessel
5. Is severely tortuous
6. Is severely calcified
7. Severe calcification at the part of the vessel proximal to target lesion
8. Target lesion that is located in a native vessel distal to an anastomosis with a saphenous vein graft or a left/right internal mammary artery (LIMA/RIMA) bypass and is approached through the by-pass graft
Unprotected left main coronary artery disease (an obstruction greater than 50% diameter stenosis in the left main coronary artery)

Arm && Interventions

Group	Intervention	Description
Remote treatment of PCI.	Remote treatment of PCI.	5 sequential subjects presenting for remote PCI who have signed informed consent.

Primary Outcome Measures

Name	Time	Method
Device Technical Success	Measured from guide catheter in time through procedure end time (or guide catheter out time).	Defined as completing the robotic PCI entirely with the CorPath GRX POP System.
In-hospital MACE	Measured from Sheath in time to discharge or 48 hours, whichever occurs first.	Recording any MACE event that occurred from the time the sheath was inserted through 48 hours post procedure or hospital discharge, whichever of the two occurred first.

Secondary Outcome Measures

Name	Time	Method
Clinical Procedural Success	Measured from guide catheter in time through procedure end time (or guide catheter out time).	Number of patients with a residual stenosis (visual estimate, less than 30%) post PCI in the lesion(s) treated with the CorPath GRX POP System.
All Serious Adverse Events	Measured from Sheath in time to discharge or 48 hours, whichever occurs first.	Recording any SAE that occurred measured from the sheath insertion time through 48 hours post procedure or hospital discharge, whichever occurred first.