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This is a post-market, standard of care, real-world observational study to assess the clinical outcomes of the SYNERGY XLV (MEGATRON) Coronary Stent System for the treatment of subjects with atherosclerotic lesion(s) ≤ 28 mm in length (by visual estimate) in native coronary arteries ≥3.50 mm to ≤5.00 mm in diameter (by visual estimate). This Post Approval study is a cohort associated with the Evolve 4.5/5.0 (SYNERGY LV) Post Approval Study, which is registered under ClinicalTrials.gov ID: NCT03875651.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SYNERGY XLV (Megatron) Coronary Stent System | The SYNERGY Everolimus-Eluting Platinum Chromium Coronary Stent System (SYNERGY Stent System), manufactured by BSC, is a device/drug combination product comprised of two regulated components: a device (Coronary Stent System) and a drug product (a formulation of everolimus contained in a bioabsorbable polymer coating). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SYNERGY XLV (Megatron) Coronary Stent System | Device | The SYNERGY MEGATRON Everolimus-Eluting Platinum Chromium Coronary Stent System is indicated for improving luminal diameter in patients, including those at high risk for bleeding, with diabetes mellitus, with symptomatic heart disease, stable angina, unstable angina, non-ST elevation MI or documented silent ischemia due to atherosclerotic lesions in native coronary arteries >3.50 mm to <5.00 mm in diameter in lesions <28 mm in length. |
| Measure | Description | Time Frame |
|---|---|---|
| Target Lesion Failure (TLF) rate | 12-month Target Lesion Failure (TLF) rate, defined as any ischemia driven revascularization of the target lesion (TLR), myocardial infarction (MI, Q-wave and non-Q-wave) related to the target vessel, or cardiac death. | 12 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical endpoints | TLR rate, TLF rate (primary endpoint at 12 months), Target vessel revascularization (TVR) rate, Target vessel failure (TVF) rate, MI (Q-wave and non-Q-wave) rate, Cardiac death rate, Non-cardiac death rate, All death rate, Cardiac death or MI rate, All death or MI rate, All death/MI/TVR rate, Stent thrombosis rates (ARC) | At Hospital Discharge (typically 1-2 days post index procedure), and at 6 months, 12 months, 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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Eligible patients include those with atherosclerotic coronary lesions with vessel diameters that can appropriately be treated with a SYNERGY Megatron stent according to the commercially approved SYNERGY IFU and the site's local standard of care.
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| Name | Affiliation | Role |
|---|---|---|
| Robert C Stoler, MD | Baylor Heart and Vascular Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yale University | New Haven | Connecticut | 06520 | United States | ||
| Clearwater Cardiovascular Consultants |
The data and study protocol for this clinical trial may be made available to other researchers in accordance with the Boston Scientific Data Sharing Policy: (http://www.bostonscientific.com/en-US/data-sharing-requests.html).
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| Periprocedural endpoints | Technical success rate, Clinical procedural success rate | At Hospital Discharge (typically 1-2 days post index procedure) |
| Clearwater |
| Florida |
| 33756 |
| United States |
| Beth Israel Deaconness Medical Center | Boston | Massachusetts | 02215 | United States |
| North Kansas City Hospital | Kansas City | Missouri | 64116 | United States |
| Wake Medical Center | Raleigh | North Carolina | 27607 | United States |
| Oregon Health Sciences University | Portland | Oregon | 97239 | United States |
| Baylor Heart and Vascular Hospital | Dallas | Texas | 75226 | United States |
| Inova Fairfax Hospital | Fairfax | Virginia | 22042 | United States |
| ID | Term |
|---|---|
| D050197 | Atherosclerosis |
| D003327 | Coronary Disease |
| D003324 | Coronary Artery Disease |
| D002318 | Cardiovascular Diseases |
| ID | Term |
|---|---|
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
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