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N/A N=60 Treatment

Bare Metal Bifurcation Stent Clinical Trial in Humans

Coronary Artery Disease · Myocardial Ischemia

Enrolled (actual)
60
Serious AEs
38.3%
Results posted
Aug 2011
Primary outcome: Primary: Number of Participants With Target Vessel Failure (TVF) at 30 Days Post Procedure. — 2 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Medtronic Bifurcation Stent System (Device)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Medtronic Vascular
Primary completion
Aug 2010

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Target Vessel Failure (TVF) at 30 Days Post Procedure.
2
SECONDARY
Device Success
46
SECONDARY
Number of Participants With Target Vessel Failure (TVF) at 6 Months
4
SECONDARY
Number of Participants With Target Vessel Failure at 9 Months.
6
SECONDARY
Number of Participant With Target Vessel Failure at 12 Months
6

Summary

To assess the feasibility and safety of the Medtronic Bifurcation Stent System for the treatment of single de novo bifurcation lesions in native coronary arteries with reference vessel diameters (RVD) for the proximal main vessel of 3.8 - 4.3 mm, distal main branch of 3.0 - 3.5 mm, and side branch RVD up to 2.5 mm.

Eligibility Criteria

General Inclusion Criteria

  • Candidate for percutaneous coronary intervention & emergent coronary artery bypass graft surgery
  • Clinical evidence of ischemic heart disease or a positive functional study
  • Female patients of childbearing potential has negative pregnancy test within 7 days before trial procedure
  • Patient or patient's legal representative provided written informed consent
  • Patient agrees to comply with follow-up evaluations

Angiographic Inclusion Criteria

  • Target lesion ia a single de novo bifurcation lesion involving a native coronary artery with reference vessel diameter for the proximal main of 3.8 - 4.3 mm, distal main of 3.0 - 3.5 mm, & side branch RVD up to 2.5 mm
  • Acceptable target lesion lengths are any combination of:
  • 50% and 2

General Exclusion Criteria

  • Known hypersensitivity/contraindication to aspirin, heparin or bivalirudin, clopidogrel or ticlopidine, cobalt, nickel, chromium, molybdenum, or sensitivity to contrast media, which can't be adequately pre-medicated
  • Platelet count 700, 000 cells/mm³, or a white blood cell (WBC) count 170 micromol/L within 7 days prior to index procedure
  • Evidence of acute MI within 72 hours of intended trial procedure (defined as: QWMI or NQWMI having CK enzymes >2X laboratory upper limit of normal with presence of elevated CK-MB (any amount above laboratory upper limit of normal)
  • Previous stenting anywhere in target vessel
  • PCI of non-target vessel within 30 days prior to procedure that results in any MACE event. If non target vessel stent is implanted within 72 hours prior to index procedure, 2 post procedural serial CK or CK-MB measurements must be below investigational site's upper limit of normal.
  • PCI of non-target vessel within 24 hours prior to procedure
  • Planned PCI of any vessel within 30 days post-procedure
  • Planned PCI of the target vessel within 6 months post-procedure
  • During index procedure, target lesion requires treatment with device other than PTCA or cutting balloon prior to stent placement
  • Documented left ventricular ejection fraction (LVEF) 90 degrees by visual estimate
  • Target lesion located in native vessel with saphenous vein graft or left/right internal mammary artery (LIMA/RIMA) bypass
  • Significant stenosis (>50%) proximal or distal to target lesion that might require revascularization or impede run off.
  • Target vessel is excessively tortuous (two bends >90º to reach target lesion)
  • Target lesion has any of following characteristics:
  • Lesion location is aorto-ostial, unprotected left main lesion, or within 5 mm of origin of left anterior descending (LAD), left circumflex (LCX), or right coronary artery (RCA).
  • Severely calcified
  • Evidence of thrombus
  • Co-existence of unprotected left main coronary artery disease (obstruction >50% in left main coronary artery)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00607321). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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