The AERO CAD study is a prospective, multi-center, single-arm, post-market clinical investigation evaluating the procedural performance and clinical outcomes of the Shockwave C2 Aero Coronary Intravascular Lithotripsy (IVL) System in patients with calcified coronary artery disease undergoing percutaneous coronary intervention (PCI). The study will enroll up to 200 subjects across up to 8 U.S. sites. The primary objective is to generate real-world evidence on device performance and clinical outcomes, including target lesion failure at 30 days and procedural success.
The AERO CAD study is designed to characterize real-world clinical performance and outcomes associated with the commercially available Shockwave C2 Aero Coronary IVL catheter. Coronary artery calcification presents a major challenge during PCI, often leading to suboptimal stent expansion and adverse clinical outcomes. Intravascular lithotripsy (IVL) has emerged as a calcium modification technology that facilitates lesion preparation at low balloon pressures. The C2 Aero IVL catheter represents a next-generation iteration with improved deliverability, lower profile, enhanced hydrophilic coating, and improved balloon durability. This study evaluates its use in routine clinical practice. This is a prospective, single-arm, interventional post-market study enrolling patients undergoing PCI with IVL and stenting per standard of care. No additional procedures beyond standard clinical practice are required. Subjects will be followed through discharge, 30 days, and 1 year.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
200
Participants undergoing PCI with coronary IVL using the Shockwave C2 Aero system followed by stent placement.
Los Robles Regional Medical Center
Thousand Oaks, California, United States
Henry Ford St. John Hospital
Detroit, Michigan, United States
Jersey Shore University Medical Center
Neptune City, New Jersey, United States
The Valley Hospital
Paramus, New Jersey, United States
St Francis Hospital & Heart Center
Roslyn, New York, United States
Good Samaritan University Hospital
West Islip, New York, United States
WellSpan Health, York Hospital
York, Pennsylvania, United States
Baylor Scott & White Health - The Heart Hospital Plano
Plano, Texas, United States
Target Lesion Failure (TLF)
Composite of cardiac death, target vessel myocardial infarction (TV-MI), or ischemia-driven target lesion revascularization (ID-TLR)
Time frame: 30 days
Procedural Success
Successful delivery of the IVL catheter, delivery of lithotripsy therapy, stent placement with ≤30% residual stenosis, and no in-hospital target lesion failure
Time frame: During procedure / during hospitalization (up to 5 days)
Device Success
Successful delivery, inflation, and activation of the IVL catheter at the target lesion without device-related complications
Time frame: Index procedure
Serious Angiographic Complications
Occurrence of major procedural complications including coronary perforation, severe dissection (≥Type C), abrupt closure, or no-reflow
Time frame: Index procedure
IVL Device Utilization
Number of IVL catheters used per case and need for adjunctive devices (e.g., atherectomy, specialty balloons, guide extension)
Time frame: Index procedure
Target Lesion Failure (TLF) at 1 Year
Composite of cardiac death, target vessel myocardial infarction, or ischemia-driven target lesion revascularization
Time frame: 1 year
Individual Components of TLF
Rates of cardiac death, target vessel MI, and ischemia-driven TLR analyzed separately
Time frame: 30 days and 1 year
Stent Thrombosis
Definite or probable stent thrombosis based on ARC criteria
Time frame: 30 days and 1 year
All-Cause Mortality
Death from any cause
Time frame: 30 days and 1 year
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