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Vector®经皮腔内冠状动脉成形术球囊导管的临床性能与安全性:一项单臂、多中心、上市后回顾性临床研究。

Clinical performance and safety of the Vector® percutaneous transluminal coronary angioplasty balloon catheter: A single-arm, multicenter, retrospective post-marketing clinical study.

作者信息

Vani Preeti, Patel Arvind, Abhishek Kumar, Goyal Kailash

机构信息

Medical Division, Sahajanand Laser Technology Limited, A-8, G.I.D.C, Electronic Estate, Sec-25, Gandhinagar 382028, India.

Sahajanand Laser Technology Limited, A-8, G.I.D.C, Electronic Estate, Sec-25, Gandhinagar 382028, India.

出版信息

ARYA Atheroscler. 2024;20(6):17-26. doi: 10.48305/arya.2024.42702.2971.

Abstract

BACKGROUND

The present post-marketing clinical study was conducted over a 12-month follow-up period to monitor the clinical outcomes of patients treated with the Vector® Percutaneous Transluminal Coronary Angioplasty (PTCA) Balloon Catheter for the dilatation of coronary lesions. The semi-compliant balloon improves balloon-to-vessel wall apposition and minimizes balloon slippage during PTCA, which could reduce complications and improve clinical outcomes. This investigation aimed to assess the safety and effectiveness of the Vector® PTCA Balloon Catheter in real-world settings.

METHODS

A retrospective study was conducted to investigate the safety and efficacy of the Vector® PTCA Balloon Catheter in 125 patients who underwent pre-dilatation and post-dilatation. The primary outcome of the study was major adverse cardiac events (MACE), a composite endpoint encompassing target-lesion revascularization (TLR), cardiac death, and myocardial infarction (MI).

RESULTS

The Vector® PTCA Balloon Catheter has shown promising results in a small group of patients undergoing dilatation of normal and intricate coronary artery lesions, reflecting a 100% procedural success rate. The successful delivery to the target lesion, deployment, and subsequent retrieval of the device during the index procedure led to a 100% device success rate without any technical issues. A total of 3.2% (4) patients experienced MACE during the 12-month follow-up, with 1.6% (2) MI, 1.6% (2) TLR, and no cardiovascular deaths..

CONCLUSION

This study demonstrated the favorable safety and reliability of the Vector® PTCA Balloon Catheter in patients with angina, MI, and a history of coronary artery disease in a real-world setting.

摘要

背景

本上市后临床研究进行了为期12个月的随访,以监测使用Vector®经皮腔内冠状动脉成形术(PTCA)球囊导管治疗冠状动脉病变患者的临床结局。半顺应性球囊可改善球囊与血管壁的贴合度,并在PTCA过程中使球囊滑动最小化,这可减少并发症并改善临床结局。本研究旨在评估Vector® PTCA球囊导管在实际临床环境中的安全性和有效性。

方法

进行了一项回顾性研究,以调查Vector® PTCA球囊导管在125例行预扩张和后扩张的患者中的安全性和有效性。该研究的主要结局是主要不良心脏事件(MACE),这是一个综合终点,包括靶病变血运重建(TLR)、心源性死亡和心肌梗死(MI)。

结果

Vector® PTCA球囊导管在一小部分接受正常和复杂冠状动脉病变扩张的患者中显示出了令人鼓舞的结果,手术成功率达100%。在首次手术过程中,该装置成功送达靶病变、展开并随后取出,装置成功率达100%,无任何技术问题。在12个月的随访期间,共有3.2%(4例)患者发生MACE,其中1.6%(2例)发生MI,1.6%(2例)发生TLR,无心血管死亡病例。

结论

本研究证明了Vector® PTCA球囊导管在现实临床环境中,对于心绞痛、MI和有冠状动脉疾病史患者具有良好的安全性和可靠性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/878c/11913455/195f8e88734a/ARYA-20-017-g001.jpg

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