Self-apposing Stentys Stents Registry

NCT ID: NCT02784405

Last Updated: 2016-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-12-31

Study Completion Date

2018-11-30

Brief Summary

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Self-apposing, drug-eluting Stentys coronary stents represent a valuable tool for the treatment of coronary artery stenosis. Their ability to adapt to widely varying vessel calibers and to auto-expand after their release to self-appose to vessel walls is particularly useful in the presence of ectasic coronary arteries or significant vessel tapering. The investigators planned this study to assess the feasibility, the effectiveness and the safety of the implantation of self-apposing, drug-eluting Stentys stents for percutaneous coronary intervention.

Consecutive patients undergoing percutaneous coronary intervention with implantation of a self-apposing Stentys stent were enrolled in this multi center registry. Inclusion criteria were age ≥ 18 years and ability to provide informed consent. No exclusion criteria were defined.

Primary end-point of the study is the occurrence of MACE (death, myocardial infarction, stent thrombosis, unplanned hospitalization for unstable angina, target lesion revascularization). Secondary end-points include individual components of MACE, procedural complications (periprocedural MI, bleedings, access site complication, failure to cross stent struts with guidewire in the treatment of bifurcation, failure to delivery the stent, contrast-induced nephropathy), bleedings at follow up.

Detailed Description

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Rationale: Choice of the appropriate size of stents in the treatment of coronary artery stenosis can often be challenging. Marked tapering of vessels' diameter in their proximal-distal development may lead to sub-optimal results. Distal under-expansion of the drug-eluting stent (DES) or vessel perforation may occur if a larger DES, best suited for the proximal diameter, is chosen. Proximal DES under-sizing with struts malapposition may happen if a smaller DES, fitting the distal diameter, is implanted. Moreover, ectasic vessels present irregular and varying diameter, which may lead as well to segmental malapposition or under-expansion of DES. Self-apposing stents can overcome these limitations thanks to their ability to self-expand also after their release in the vessel and to adapt to a wide range of vessel diameters. Multiple generation of self-apposing, drug-eluting stents have been developed, with progressive amendments pertaining the stent-deployment technique (from deployment by covering-sheath retraction to balloon-delivery) and the drug released (from paclitaxel to sirolimus). The last generation of the self-apposing stents is represented by the sirolimus-eluting, balloon-delivered Xposition S stents. Studies assessing performance of this stent are however limited in sample size and length of follow up, and are mainly controlled trials. Few data are available regarding the clinical outcomes of the self-apposing Stentys stents in a "real-life" setting.

Aim of this study is to assess the feasibility, the effectiveness and the safety of the implantation of self-apposing, drug-eluting Stentys stents for percutaneous coronary intervention.

Study population: Patients undergoing percutaneous coronary intervention with implantation of a self-apposing Stentys stent.

Primary analysis: Longitudinal cohort follow up

Study end-points:

Primary efficacy end-point:

* Major adverse cardiovascular events (MACE) (a composite end point including death, myocardial infarction (MI, excluding periprocedural MI), stent thrombosis, unplanned hospitalization for unstable angina, target lesion revascularization (TLR))

Secondary efficacy end-points:

* Individual components of MACE (death, MI, stent thrombosis, unplanned hospitalization, TLR)

Secondary safety end-points:

* Procedural complications:

* Periprocedural MI
* Bleedings
* Access site complication
* Failure to cross stent struts with guidewire in the treatment of bifurcation
* Failure to delivery the stent
* Contrast-induced nephropathy
* Bleedings at follow up

Conditions

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Coronary Artery Disease

Keywords

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percutaneous coronary intervention stent implantation

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* ≥ 18 years old
* ability to provide informed consent

Exclusion Criteria

* none
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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A.O.U. Città della Salute e della Scienza

OTHER

Sponsor Role lead

Responsible Party

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Claudio Moretti

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Claudio Moretti, MD

Role: PRINCIPAL_INVESTIGATOR

Division of Cardiology, Department of Medical Sciences, AO Città della Salute e della Scienza, University of Turin, Turin, Italy

Antonio Montefusco, MD

Role: PRINCIPAL_INVESTIGATOR

Division of Cardiology, Department of Medical Sciences, AO Città della Salute e della Scienza, University of Turin, Turin, Italy

Bernardo Cortese, MD

Role: PRINCIPAL_INVESTIGATOR

Interventional Cardiology, A.O. Fatebenefratelli Milano, Italy

Locations

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Division of Cardiology, Mazzoni Hospital

Ascoli Piceno, , Italy

Site Status RECRUITING

Ferrarotto Hospital, University of Catania

Catania, , Italy

Site Status RECRUITING

Division of Cardiology, ASL TO4

Cirié, , Italy

Site Status RECRUITING

Division of Cardiology, Santa Maria dei Battuti Hospital

Conegliano, , Italy

Site Status RECRUITING

Division of Cardiology, Ospedale Civile di Legnano - ASST Ovest Mi

Legnano, , Italy

Site Status RECRUITING

Interventional Cardiology, Azienda Ospedaliera Fatebenefratelli

Milan, , Italy

Site Status RECRUITING

Division of Cardiology, Federico II University

Napoli, , Italy

Site Status RECRUITING

Division of Cardiology, Santa Corona Hospital

Pietra Ligure, , Italy

Site Status RECRUITING

Division of Cardiology, Fondazione Toscana G Monasterio

Pisa, , Italy

Site Status RECRUITING

Division of Cardiology, Policlinico Umberto I, La Sapienza University

Roma, , Italy

Site Status RECRUITING

Division of Cardiology, ASST Bergamo Ovest

Treviglio, , Italy

Site Status RECRUITING

AO Città della Salute e della Scienza

Turin, , Italy

Site Status RECRUITING

Cardiology Department, Manipal Klang Hospital

Kuala Selangor, , Malaysia

Site Status RECRUITING

Division of Cardiology, Medical University of Silesia

Katowice, , Poland

Site Status RECRUITING

Countries

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Italy Malaysia Poland

Central Contacts

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Sebastiano Gili, MD

Role: CONTACT

Phone: +393338354923

Email: [email protected]

Antonio Montefusco, MD

Role: CONTACT

Email: [email protected]

Facility Contacts

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Luciano Moretti, MD

Role: primary

Simona Silenzi, MD

Role: backup

Alessio La Manna, MD

Role: primary

Pietro Gaetano, MD

Role: primary

Andrea Pavei, MD

Role: primary

Arnaldo Poli, MD

Role: primary

Bernardo Cortese, MD

Role: primary

Giovanni Esposito, MD, Prof

Role: primary

Plinio Cirillo, MD, Prof

Role: backup

Anna Maria Nicolino, MD

Role: primary

Luigi Emilio Pastormerlo, MD

Role: primary

Cataldo Palmieri, MD

Role: backup

Gennaro Sardella, MD

Role: primary

Massimo Mancone, MD

Role: backup

Paolo Sganzerla, MD

Role: primary

Sebastiano Gili, MD

Role: primary

Antonio Montefusco, MD

Role: backup

Kuan Leong Yew, MD, Prof

Role: primary

Grzegorz Smolka, MD, Prof

Role: primary

References

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Lu H, IJsselmuiden AJ, Grundeken MJ, Nassif M, de Vries AG, Weevers A, Scholte M, Spaargaren R, Wykrzykowska JJ, Tijssen JG, de Winter RJ, Koch KT. First-in-man evaluation of the novel balloon delivery system STENTYS Xposition S for the self-apposing coronary artery stent: impact on longitudinal geographic miss during stenting. EuroIntervention. 2016 Mar;11(12):1341-5. doi: 10.4244/EIJY15M05_07.

Reference Type BACKGROUND
PMID: 25983027 (View on PubMed)

Pyxaras SA, Schmitz T, Naber CK. The STENTYS Self-Apposing(R) stent. EuroIntervention. 2015;11 Suppl V:V147-8. doi: 10.4244/EIJV11SVA34. No abstract available.

Reference Type BACKGROUND
PMID: 25983152 (View on PubMed)

Farooq V, Gomez-Lara J, Brugaletta S, Gogas BD, Garcia-Garcia HM, Onuma Y, van Geuns RJ, Bartorelli A, Whitbourn R, Abizaid A, Serruys PW. Proximal and distal maximal luminal diameters as a guide to appropriate deployment of the ABSORB everolimus-eluting bioresorbable vascular scaffold: a sub-study of the ABSORB Cohort B and the on-going ABSORB EXTEND Single Arm Study. Catheter Cardiovasc Interv. 2012 May 1;79(6):880-8. doi: 10.1002/ccd.23177. Epub 2011 Oct 5.

Reference Type BACKGROUND
PMID: 22514149 (View on PubMed)

Uren NG, Schwarzacher SP, Metz JA, Lee DP, Honda Y, Yeung AC, Fitzgerald PJ, Yock PG; POST Registry Investigators. Predictors and outcomes of stent thrombosis: an intravascular ultrasound registry. Eur Heart J. 2002 Jan;23(2):124-32. doi: 10.1053/euhj.2001.2707.

Reference Type BACKGROUND
PMID: 11785994 (View on PubMed)

Yew KL, Kang Z. First-in-man unprotected left main stenting with Stentys Xposition S self-apposing sirolimus eluting stent and optical coherence tomography guidance: The emerging panacea for left main intervention. Int J Cardiol. 2015 Dec 15;201:628-30. doi: 10.1016/j.ijcard.2015.08.035. Epub 2015 Aug 4. No abstract available.

Reference Type BACKGROUND
PMID: 26340130 (View on PubMed)

Buccheri D, Orrego PS, Cortese B. Drug-eluting stent treatment of left main coronary artery disease: the case for a sirolimus-eluting, autoexpandable alternative. An optical coherence tomography analysis. Int J Cardiol. 2015 Nov 15;199:119-20. doi: 10.1016/j.ijcard.2015.07.006. Epub 2015 Jul 11. No abstract available.

Reference Type BACKGROUND
PMID: 26188831 (View on PubMed)

van Geuns RJ, Yetgin T, La Manna A, Tamburino C, Souteyrand G, Motreff P, Koch KT, Vrolix M, IJsselmuiden A, Amoroso G, Berland J, Montalescot G, Teiger E, Christiansen EH, Spaargaren R, Wijns W. STENTYS Self-Apposing sirolimus-eluting stent in ST-segment elevation myocardial infarction: results from the randomised APPOSITION IV trial. EuroIntervention. 2016 Feb;11(11):e1267-74. doi: 10.4244/EIJV11I11A248.

Reference Type BACKGROUND
PMID: 26865444 (View on PubMed)

Yew KL. Longitudinal stent foreshortening of Stentys Xposition S self-apposing stents and its impact on overlapping stenting strategy. Int J Cardiol. 2016 Feb 1;204:187-8. doi: 10.1016/j.ijcard.2015.11.176. Epub 2015 Nov 25. No abstract available.

Reference Type BACKGROUND
PMID: 26666346 (View on PubMed)

Montefusco A, D'Ascenzo F, Gili S, Smolka G, Chieffo A, Baumbach A, Escaned J, Sganzerla P, Tomassini F, Secco GG, Ugo F, Tamburino C, Nicolino A, Mancone M, Poli A, Yew KL, Cirillo P, Wanha W, Pastormerlo LE, di Summa R, Sardella G, Colombo A, Gaita F, Cortese B. Self-expandable sirolimus-eluting stents compared to second-generation drug-eluting stents for the treatment of the left main: A propensity score analysis from the SPARTA and the FAILS-2 registries. Catheter Cardiovasc Interv. 2019 Feb 1;93(2):208-215. doi: 10.1002/ccd.27809. Epub 2018 Oct 8.

Reference Type DERIVED
PMID: 30298593 (View on PubMed)

Other Identifiers

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sparta2016

Identifier Type: -

Identifier Source: org_study_id