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Covered stents (CS) are a potentially lifesaving treatment for grade III coronary perforation but delivery can be challenging, and the long-term durability and safety including risk of acute stent thrombosis are unknown. The GNOCCI study aims to evaluate long term outcomes after coronary perforation including patients treated with covered stents.
Covered stents (CS) are a potentially lifesaving treatment for grade III coronary perforation but delivery can be challenging, and the long-term durability and safety including risk of acute stent thrombosis are unknown. Using an electronic data base, details of all coronary perforations are identified and anonymised patient and procedural details are recorded.Procedural major adverse cardiac events (pMACE) are defined as a composite of death, myocardial infarction, stroke, target vessel revascularization or cardiac surgery within 24 hours of the index procedure. Two independent cardiologists adjudicate outcomes and differences in opinion are resolved by consensus with a third cardiologist.
The overall GNOCCI study aims are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Coronary artery perforation (iatrogenic) | Any coronary artery perforation defined according to the Ellis criteria. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Covered coronary stent | Device | Insertion of covered coronary stent as part of standard care |
|
| Measure | Description | Time Frame |
|---|---|---|
| Procedural major adverse cardiac events (pMACE) | Defined as a composite of death, myocardial infarction, stroke, target vessel revascularization or cardiac surgery | 24 hours of the index procedure. |
| Measure | Description | Time Frame |
|---|---|---|
| MACE | death, myocardial infarction, stroke, target vessel revascularization or cardiac surgery | Up to 10 years |
| Stent thrombosis | ARC definite or probable |
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Inclusion Criteria:
Exclusion Criteria:
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Adult patients undergoing invasive coronary angiography with planned myocardial revascularisation using percutaneous coronary intervention.
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| Name | Affiliation | Role |
|---|---|---|
| Tom J Ford, MBChB (Hons) | GJNH/University of Glasgow | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Golden Jubilee National Hospital | Glasgow | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36129052 | Derived | Ford TJ, Adamson C, Morrow AJ, Rocchiccioli P, Collison D, McCartney PJ, Shaukat A, Lindsay M, Good R, Watkins S, Eteiba H, Robertson K, Berry C, Oldroyd KG, McEntegart M. Coronary Artery Perforations: Glasgow Natural History Study of Covered Stent Coronary Interventions (GNOCCI) Study. J Am Heart Assoc. 2022 Oct 4;11(19):e024492. doi: 10.1161/JAHA.121.024492. Epub 2022 Sep 21. |
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Contact PI for data sharing
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| Up to 10 years |
| Unsuccessful covered stent deployment | Attempted covered stent insertion without sealing of perforation, defined by case review of two independent cardiologists from source files | 24 hours of the index procedure. |