Drug eluting stents (DES) are widely used for treatment of coronary artery lesions. The Xience Sierra stent has a refined design of the metal stent backbone and is used in patients with various clinical syndromes and in different lesions. Clinical outcome of patients with previously unknown (silent) diabetes and prediabetes is of increasing interest since the latter group has recently shown to be associated with a significant risk of adverse cardiovascular events after treatment with contemporary DES. Outcome data in a population of high-risk all-comer patients, including many patients with diabetes mellitus and prediabetes, would be of great interest, but such data are not available yet. In addition, there is a lack of data in a general all-comer population. Therefore, the COASTLINE study will primarily assess the safety and efficacy of the Xience Sierra stent in a general all-comer population as well as a high-risk all-comer population.
Study Type
OBSERVATIONAL
Enrollment
1,757
PCI for treatment of coronary or bypass graft lesions
Thoraxcentrum Twente
Enschede, Netherlands
Haga Ziekenhuis
The Hague, Netherlands
Target vessel failure (TVF) at 1-year follow up in complex all-comers
TVF is a composite endpoint consisting of cardiac death, target vessel related myocardial infarction, or clinically driven target vessel revascularization.
Time frame: 1 year
Target lesion failure (TLF) at 2-year follow up in all-comers
TLF is a composite endpoint consisting of cardiac death, target vessel related myocardial infarction, or clinically driven target lesion revascularization.
Time frame: 2 year
TVF at 2 year follow up
Time frame: 2 year
Death
any/cardiac/non-cardiac
Time frame: up to 3 year
Myocardial infarction
target vessel related/any/periprocedural
Time frame: up to 3 year
Clinically indicated target vessel revascularization
Time frame: up to 3 year
Clinically indicated target lesion revascularization
Time frame: up to 3 year
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