This registry is a clinical post-market evaluation of the Orsiro LESS in subjects requiring coronary revascularization with Drug Eluting Stents (DES)
For the majority of Coronary Artery Disease (CAD), treatment with Percutaneous Transluminal Coronary Angioplasty (PTCA) provides high initial procedural success. However, the medium to long-term complications range from rather immediate elastic recoil or vessel contraction to longer processes like smooth muscle cell proliferation and excessive production of extra cellular matrix, thrombus formation and atherosclerotic changes like restenosis or angiographic re-narrowing. The reported incidence of restenosis after PTCA ranges from 30%-50%. Such rates of recurrence have serious economic consequences. Bare Metal Stents (BMS), designed to address the limitations of PTCA, reduced the angiographic and clinical restenosis rates in de novo lesions compared to PTCA alone and decreased the need for CABG. BMS substantially reduced the incidence of abrupt artery closure, but restenosis still occurred in about 20%-40% of cases, necessitating repeat procedures. The invention of Drug Eluting Stents (DES) significantly improved on the principle of BMS by adding an antiproliferative drug (directly immobilised on the stent surface or released from a polymer matrix), which inhibits neointimal hyperplasia. The introduction of DES greatly reduced the incidence of restenosis and resulted in a better safety profile as compared to BMS with systemic drug administration. These advantages and a lower cost compared to surgical interventions has made DES an attractive option to treat coronary artery disease. This observational registry is designed to investigate and collect clinical evidence for the clinical performance and safety of the Orsiro Drug Eluting Stent System in an all-comers patient population in daily clinical practice
Study Type
OBSERVATIONAL
Enrollment
2,000
Állami Szívkórház (State Hospital for cardiology of Balatonfüred)
Balatonfüred, Hungary
Gottsegen György Országos Kardiológiai Intézet (Gottsegen György Hungarian Institute of Cardiology)
Budapest, Hungary
Target Lesion Failure (TLF)
Composite of cardiac death, target vessel Q-wave or non-Q wave Myocardial Infarction (MI), Emergent Coronary Artery Bypass Graft (CABG), clinically driven Target Lesion Revascularization (TLR)
Time frame: 12 months
Target Lesion Failure
Any target lesion
Time frame: 6 and 18 months
Target Vessel Revascularization (TVR)
Any repeat revascularization of the target vessel
Time frame: 6, 12 and 18 months
Target Lesion Revascularization (TLR)
Any repeat revascularization of the target lesion
Time frame: 6, 12 and 18 months
Stent Thrombosis
Definite, possible and probable
Time frame: 6, 12 and 18 months
Clinical Device Success
Clinical Device Success
Time frame: At time of intervention
Clinical Procedural Success
Clinical Procedural Success
Time frame: During the hospital stay to a maximum of the first seven days post index procedure
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Bajcsy-Zsilinszky Kórház (Bajcsy-Zsilinszky Hospital)
Budapest, Hungary
SE ÁOK Kardiológiai Központ (Semmelweis University, Heart Center)
Budapest, Hungary
DEOEC, Kardiológiai Intézet ( Institute of Cardiology, University of Debrecen)
Debrecen, Hungary
Kaposi Mór Oktató Kórház, Kardiológia (Kaposi Mór Teaching Hospital, Cardiology)
Kaposvár, Hungary
Jósa András Kórház, Kardiológia (Jósa András Hospital, Department of Cardiology)
Nyíregyháza, Hungary
PTE ÁOK Szívcentrum (University of Pécs, Faculty of Medicine, Heart Institute)
Pécs, Hungary
Szentgyörgyi Albert Tudomány Egyetem, ÁOK, Kardiológia (University of Szeged, Albert Szent-Györgyi Clinical Center, Faculty Of Medicine, Second Department of Medicine and Cardiology Centre)
Szeged, Hungary
Fejér Megyei Szent György Kórház (Fejér County Szent György Hospital)
Székesfehérvár, Hungary
...and 3 more locations