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| Name | Class |
|---|---|
| Proxima CRO | INDUSTRY |
| Cardiovascular Research Foundation, New York | OTHER |
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The objective of this study is to establish the safety of complex high-risk Percutaneous Coronary Intervention (PCI) using Mechanical Circulatory Support (MCS) and surveillance with the Saranas Early Bird Bleed Monitoring System (EBBMS).
To demonstrate that patients undergoing complex high-risk PCI using MCS and surveillance with the Saranas Early Bird Bleed Monitoring System will have relative incidence rate reduction of access site related BARC type III or V bleeding. An optimal outcome will show a a reduction in access-site related bleeding rate when using MCS with the Saranas EBBMS in high-risk PCI patients compared to historical incidence rate.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single-Arm | This is a multi-center, single arm, open-label study to evaluate the safety of complex high-risk PCI using Impella and surveillance with the Saranas Early Bird Bleed Monitoring System (EBBMS). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Early Bird® Bleed Monitoring System | Device | The Early Bird Bleed Monitoring System is used in endovascular procedures to monitor and detect internal bleeding complications in real-time. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of access site related BARC type III or V bleeding | Within 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of activation of each Saranas Early Bird level 1, 2 and 3 indicator | Within 24 hours | |
| Incidence of all BARC type III or V bleeding | Within 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Access site related bleeding complications | Safety Endpoint | Within 24 hours |
| Access site related vascular complications | Safety Endpoint | Within 24 hours |
Inclusion Criteria:
Exclusion Criteria:
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Patients undergoing complex high-risk percutaneous coronary intervention (PCI) with mechanical circulatory support (MCS) via Impella® and transfemoral arterial approach will be enrolled. The Saranas Early Bird Bleed Monitoring System will be used in the ipsilateral femoral vein to monitor bleeding events after MCS removal.
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| Name | Affiliation | Role |
|---|---|---|
| Mir Basir, DO | Henry Ford Hospital | Principal Investigator |
| Philippe Généreux, MD | Gagnon Cardiovascular Institute - Morristown Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Joseph Hospital / Arizona Heart | Phoenix | Arizona | 85013 | United States | ||
| Tucson Medical Center / PIMA Heart |
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| Impella® | Device | Impella is an FDA-approved percutaneous heart pump indicated for patients with severe coronary artery disease requiring high-risk PCI. |
|
| Access site related blood transfusions | Safety Endpoint | Within 24 hours |
| Non-access site related bleeding complications | Safety Endpoint | Within 24 hours |
| Non-access site related vascular complications | Safety Endpoint | Within 24 hours |
| Non-access site related blood transfusions | Safety Endpoint | Within 24 hours |
| All blood transfusions | Safety Endpoint | Within 24 hours |
| Hemoglobin drop | Safety Endpoint | Within 24 hours |
| Death | Safety Endpoint | Within 24 hours |
| Device and procedure-related adverse events | Safety Endpoint | Within 24 hours |
| Serious adverse events | Safety Endpoint | Within 24 hours |
| Serious adverse device effects | Safety Endpoint | Within 24 hours |
| Tucson |
| Arizona |
| 85719 |
| United States |
| Methodist Hospitals | Gary | Indiana | 46402 | United States |
| Ascension - St. John | Dearborn | Michigan | 48124 | United States |
| Henry Ford Health System | Detroit | Michigan | 48202 | United States |
| Hackensack Meridian Health | Edison | New Jersey | 08837 | United States |
| Morristown Medical Center | Morristown | New Jersey | 07960 | United States |
| Northwell / Lenox Hill & Staten Island | New Hyde Park | New York | 11042 | United States |
| Memorial Hermann / UTH | Houston | Texas | 77030 | United States |
| St. Luke's / Texas Heart | Houston | Texas | 77030 | United States |
| Memorial Hermann NE / TCR Institute | Kingwood | Texas | 77021 | United States |
| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
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