Ignite Creation Date:
2024-05-06 @ 7:38 PM
Last Modification Date:
2024-10-26 @ 3:10 PM
Study NCT ID:
NCT06075602
Status:
RECRUITING
Last Update Posted:
2023-10-10
First Post:
2023-10-04
Brief Title:
COMPLEX Registry - A Prospective COhort Study to Describe the Management and Outcomes of Patients Presenting With compLEX and Calcified Coronary Artery Disease
Sponsor:
Luzerner Kantonsspital
Organization:
Luzerner Kantonsspital
Study Overview
Official Title:
COMPLEX Registry - A Prospective COhort Study to Describe the Management and Outcomes of Patients Presenting With compLEX and Calcified Coronary Artery Disease
Status:
RECRUITING
Status Verified Date:
2023-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
COMPLEX
Brief Summary:
The purpose of the COMPLEX Registry is to prospectively and retrospectively collect baseline clinical and procedural data of patients who have undergone PCI or CABG for complex and or calcified chronic CAD irrespective of clinical presentation as well as to prospectively collect data about their clinical outcomes The outcomes will be compared in different clinical subgroups eg PCI vs CABG The impact of current PCI techniques devices but also CABG strategies in different clinical settings and coronary artery lesions on cardiovascular outcomes will be assessed
Detailed Description:
a PCI cohort - Periprocedural outcomes complications to be analyzed represent final result eg TIMI flow stent expansion dissections perforations and prevalence of thrombus assessed by angiography and intravascular imaging b CABG cohort - Periprocedural outcomes complications to be analyzed include final result eg graft flow number and type of grafts total length of surgery bypass time cross-clamp time median chest-tube output mL bleeding duration of CCU ICU stay re-operation
c For the PCI CABG as well as medically managed cohort short and long-term clinical outcomes of interest include unstable angina UA stent-scaffold thrombosis target lesion failure TLF target vessel revascularization TVR ischemia driven revascularization repeat hospitalization newworsening heart failure cardiogenic shock stroke bleedings cardiovascular death and all-cause death
2 PCI cohort
1 To describe procedural and clinical performance of various PCI devices including high pressure balloons scoring balloons cutting balloons rotational atherectomy orbital atherectomy intravascular lithotripsy stent and scaffold devices implanted in patients presenting with complex and calcified chronic CAD
2 To study the impact of different PCI devices and revascularization strategies used for lesion preparation and PCI optimization strategies among patients undergoing PCI
3 To describe early and late angiographic and OCT-findings among complex and calcified coronary artery disease patients treated with various metallic stent and scaffold devices
4 To assess possible predictors for coronary stent implantation or device failure 3 CABG cohort
a To describe procedural and clinical performance of various surgical techniques b To assess outcomes across various surgical cohorts eg urgent vs elective diabetic vs non-diabetic gender disparities c To investigate various CABG revascularization strategies eg off- versus on-pump Fully arterial minimal invasive approach and their impact on short and long-term outcomes d To describe perioperative recovery and risk for in-hospital complications eg wound infections pneumonia e To assess possible predictors for graft failure with contemporary surgical techniques 4 Conservative - only medically treated - cohort
1 To describe medical management drugs regimens as well as other lifestyle interventions in patients presenting with complex and calcified chronic CAD who are being treated with a primarily conservative non-invasive strategy
2 To study the clinical impact of different treatment strategies medical regimens used among chronic complex CAD which are being managed solely with medical therapy
3 To assess possible predictors for management failure eg recurrence of symptoms or impaired quality of life
5 To compare presentation medical management short- and long-term outcomes across the different treatment cohorts PCI CABG and medically managed cohort
6 To specifically describe age- and gender-specific disparities across the various treatment regimens eg PCI versus CABG
7 To evaluate the impact of different antithrombotic regimens on patients clinical outcomes 8 To study procedural and clinical outcomes among CAD patients requiring hemodynamic support using mechanical devices
9 To analyze the performance of various non-invasive testing modalities eg laboratory ECG parameters treadmill-test stress-echocardiography CMR SPECT or PET-CT in order to predict outcomes of patients with chronic complex CAD
10 To describe economic implications cost-effectiveness of various interventional treatments for CAD
c For the PCI CABG as well as medically managed cohort short and long-term clinical outcomes of interest include unstable angina UA stent-scaffold thrombosis target lesion failure TLF target vessel revascularization TVR ischemia driven revascularization repeat hospitalization newworsening heart failure cardiogenic shock stroke bleedings cardiovascular death and all-cause death
2 PCI cohort
1 To describe procedural and clinical performance of various PCI devices including high pressure balloons scoring balloons cutting balloons rotational atherectomy orbital atherectomy intravascular lithotripsy stent and scaffold devices implanted in patients presenting with complex and calcified chronic CAD
2 To study the impact of different PCI devices and revascularization strategies used for lesion preparation and PCI optimization strategies among patients undergoing PCI
3 To describe early and late angiographic and OCT-findings among complex and calcified coronary artery disease patients treated with various metallic stent and scaffold devices
4 To assess possible predictors for coronary stent implantation or device failure 3 CABG cohort
a To describe procedural and clinical performance of various surgical techniques b To assess outcomes across various surgical cohorts eg urgent vs elective diabetic vs non-diabetic gender disparities c To investigate various CABG revascularization strategies eg off- versus on-pump Fully arterial minimal invasive approach and their impact on short and long-term outcomes d To describe perioperative recovery and risk for in-hospital complications eg wound infections pneumonia e To assess possible predictors for graft failure with contemporary surgical techniques 4 Conservative - only medically treated - cohort
1 To describe medical management drugs regimens as well as other lifestyle interventions in patients presenting with complex and calcified chronic CAD who are being treated with a primarily conservative non-invasive strategy
2 To study the clinical impact of different treatment strategies medical regimens used among chronic complex CAD which are being managed solely with medical therapy
3 To assess possible predictors for management failure eg recurrence of symptoms or impaired quality of life
5 To compare presentation medical management short- and long-term outcomes across the different treatment cohorts PCI CABG and medically managed cohort
6 To specifically describe age- and gender-specific disparities across the various treatment regimens eg PCI versus CABG
7 To evaluate the impact of different antithrombotic regimens on patients clinical outcomes 8 To study procedural and clinical outcomes among CAD patients requiring hemodynamic support using mechanical devices
9 To analyze the performance of various non-invasive testing modalities eg laboratory ECG parameters treadmill-test stress-echocardiography CMR SPECT or PET-CT in order to predict outcomes of patients with chronic complex CAD
10 To describe economic implications cost-effectiveness of various interventional treatments for CAD
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
True
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
False
Is an FDA AA801 Violation?:
None