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Multicenter Postmarket Surveillance Registry Evaluating Performance and Long Term Safety of the Presillion Stent

Completed
Conditions
Coronary Arteriosclerosis
Interventions
Device: Presillion stent
Registration Number
NCT00968019
Lead Sponsor
Johnson and Johnson, S.A.
Brief Summary

The purpose of this study is: To evaluate the safety and performance of the Presillion stent in routine clinical practice.

Detailed Description

Primary endpoint: Composite of Major Adverse Cardiac Events (MACE), which includes cardiac death, myocardial infarction (Q-wave and non Q-wave) and clinically driven target lesion revascularization (TLR) at 12 months follow-up.

Data will be collected on 400 patients (from 14 hospitals in Spain and Portugal) treated with the Presillion stent in up to 2 de novo native coronary artery lesions

Study design: multicenter, prospective, observational

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
318
Inclusion Criteria
  • All subjects treated with Presillion stent up to two de novo coronary artery lesions
Exclusion Criteria
  • No specified

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Presillion stentPresillion stentPatients treated with the Presillion stent in up to two de novo coronary artery lesions
Primary Outcome Measures
NameTimeMethod
Major Cardiac Adverse Events (Including Cardiac Death, Myocardial Infarction (Q-wave and Non Q-wave) and Clinically Driven TLR (Target Lesion Revascularization))at 12 months follow-up

Major adverse cardiac and cerebral events are defined as an adjudicated composite of cardiac death, myocardial infarction (Q-wave and non Q-wave), emergent coronary artery bypass surgery and target vessel revascularization (TVR).

The primary safety measure was the composite of MACE up to 12 months follow up. In order to show the safety of the device, the MACE rate was compared with the performance goal for bare metal stents(experience with bare metal stents in clinical trials suggested that the 12 month MACE rate should be about 25.0%).

Secondary Outcome Measures
NameTimeMethod
StrokeUp to 12 months
Lesion SuccessPeri-procedure up to discharge

Lesion success defined as the attainment of \<50% final diameter stenosis (by visual estimate) using any percutaneous method.

Clinically Driven TLRup to 12 months

Target Lesion Revascularization (TLR) is defined as any clinically-driven repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel

Target Vessel FailureUp to 12 months

Target vessel failure includes any target vessel revascularization as well as any MI or any cardiac death that cannot be clearly attributed to a non-target vessel.

Target vessel failure will be reported when:

1. MI occurs in territory not clearly attributed to a vessel other than the target vessel.

2. Cardiac death not clearly due to a non-target vessel endpoint.

3. Target vessel revascularization is performed.

Major BleedingUp to 12 months
Device SuccessPeri-procedure up to discharge

Device success defined as achievement of a final diameter stenosis of \<50% (by visual estimate), using the assigned device only

Clinically Driven TVRUp to 12 months

Target vessel revascularization (TVR) is defined as any clinically driven (as defined for TLR) repeat percutaneous intervention of the target vessel or bypass surgery of the target vessel.

Stent ThrombosisUp to 12 months

Thrombosis is defined as the formation of blood clot derived from aggregation of red cells or platelets obstructing the lumen of the vessel.

Procedural SuccessPeri-procedure up to discharge

Procedural success defined as achievement of a final diameter stenosis of \<50% (by visual estimate) using any percutaneous method, without the occurrence of death, MI (Myocardial Infarction), or repeat revascularization of the target lesion during the hospital stay

Myocardial InfarctionUp to 12 months

A positive diagnosis of myocardial infarction is made when one of the following criteria is met:

1. Typical rise and/or fall of biochemical markers of myocardial necrosis together with evidence of ischemia with at least one of the following:

* ischemic symptoms

* ECG changes indicative of ischemia (ST segment elevation or depression)

* Development of pathological Q waves in the ECG

* Imaging evidence of new an equivocal loss of viable myocardium or new regional wall motion abnormality

2. Pathological findings of an acute myocardial infarction

Trial Locations

Locations (13)

Hospital Garcia Da Orta

🇵🇹

Almada, Portugal

Hospital Universitario Central de Asturias

🇪🇸

Oviedo, Asturias, Spain

Centro Hospitalar Vila Real

🇵🇹

Vila Real, Portugal

Hospital de Santa Cruz

🇵🇹

Lisbon, Portugal

Hospital Sao Joao

🇵🇹

Porto, Portugal

Hospital Germans Trias I Pujol

🇪🇸

Badalona, Barcelona, Spain

Hospital Universitario de Bellvitge

🇪🇸

Hospitalet de Llobregat, Barcelona, Spain

Capio Hospital General de Cataluña

🇪🇸

Sant Cugat del Valles, Barcelona, Spain

Hospital Universitario Marques de Valdecilla

🇪🇸

Santander, Cantabria, Spain

Complejo Hospitalario Universitario de Albacete

🇪🇸

Albacete, Spain

Hospital Universitario Arnau de Vilanova

🇪🇸

Lerida, Spain

Centro Medico Teknon

🇪🇸

Barcelona, Spain

Hospital de La Santa Creu I Sant Pau

🇪🇸

Barcelona, Spain

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