Post-market, prospective, observational, multicenter, non-intervention study, to demonstrate the effectiveness of drug-coated ballon (DCB)therapy in real-world patients with small native vessel coronary artery disease, and to demonstrate the safety of short dual antiplatelet therapy (7 days) in high-bleeding risk patients with native small vessel coronary artery disease treated with DCB therapy. A percutaneous coronary intervention (PCI) with DCB will be performed in patients with native vessel coronary artery disease based on the criterion of the treating physician.
Post-market, prospective, multicenter, non-intervention study, to demonstrate the effectiveness of drug-coated ballon therapy in real-world patients with small native vessel coronary artery disease, and to demonstrate the safety of short dual antiplatelet therapy (7 days) in high-bleeding risk patients with native small vessel coronary artery disease treated with DCB therapy. A PCI with DCB will be performed in patients with native vessel coronary artery disease based on the criterion of the treating physician. The angiographic study will be analyzed in a core lab (icicorelab) blinded to the procedural outcomes and the patients' follow-up. As per clinical practice, 1-year clinical follow-up of all the patients will be conducted with a first assessment at 30 days, a second assessment at 6 months, and one final assessment at 12 months. Should the patient have an elevated bleeding risk -defined as concomitant therapy with oral anticoagulation or a PRECISE-DAPT score ≥ 25- patients will be included in a high-bleeding risk substudy. The antiplatelet therapy regime will be administered according to the local investigator and the treating medical team.
Study Type
OBSERVATIONAL
Enrollment
501
* Patients with PCI (DCB) + standard DAPT standard dual antiplatelet therapy (DAPT) * Patients with PCI (DCB) + short DAPT
Ulslo-H.Santa Cruz
Carnaxide, Portugal
RECRUITINGULS Santa Maria
Lisbon, Portugal
RECRUITINGHospital General Universitario de Albacete
Albacete, Spain
RECRUITINGHospital General Universitario Dr. Balmis
Alicante, Spain
RECRUITINGHospital Universitario de Cruces
Barakaldo, Spain
RECRUITINGUniversity Hospital HM Montepríncipe
Boadilla del Monte, Spain
RECRUITINGHospital General Universitario de Ciudad Real
Ciudad Real, Spain
RECRUITINGHospital Universitario Clinico San Cecilio
Granada, Spain
RECRUITINGHospital Universitario Juan Ramon Jimenez
Huelva, Spain
RECRUITINGHospital Universitari de Bellvitge
L'Hospitalet de Llobregat, Spain
RECRUITING...and 7 more locations
Effectiveness of DCB therapy
Incidence of MACE, which is a composite endpoint including cardiac mortality, myocardial infarction, and new revascularization of the target lesion
Time frame: 1 year
Cardiac death
Incidence of Cardiac death
Time frame: 1 year
All-cause mortality
Incidence of All-cause mortality
Time frame: 1 year
Target vessel myocardial infarction
Incidence of Target vessel myocardial infarction
Time frame: 1 year
New target lesion revascularization (TLR)
Incidence of New target lesion revascularization (TLR)
Time frame: 1 year
Target vessel failure (TVF)
Incidence of Target vessel failure (TVF)
Time frame: 1 year
Major bleeding
Bleeding defined as BARC (Bleeding Academic Research Consortium) criteria 2,3 or 5
Time frame: 1 year
Minor bleeding
Anemia, defined as Hb\<12g/dL for women and \<13g/dL for men
Time frame: 1 year
1-year MACE indicende (cardiac mortality, myocardial infarction, and new revascularization of the target lesion) in high-bleeding risk patients treated with a short dual antiplatelet treatment (7 days)
safety analysis of short DAP (dual antiplatelet therapy) in terms of thrombotic risk after PCI
Time frame: 1 year
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