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A Randomized, Controlled Trial of Saphenous Vein Graft Intervention with a Filter-Based Distal Embolic Protection Device: TRAP Trial
- Source :
- Journal of Interventional Cardiology. 18:233-241
- Publication Year :
- 2005
- Publisher :
- Wiley, 2005.
-
Abstract
- The purpose of this prospective, multicenter trial was to evaluate the safety and effectiveness of the TRAP Vascular Filtration System (VFS) to reduce embolic complications during stenting of diseased saphenous vein grafts (SVGs). Patients with SVG lesions were randomly assigned to undergo stenting with or without the TRAP device. The trial was designed to enroll 752 randomized patients. However, the sponsor terminated the study after a total of 467 patients (358 randomized) were enrolled because of poor recruitment once another distal protection device was approved for clinical use. The primary study endpoint, major adverse cardiac events at 30 days, occurred in 17.3% of control patients and 12.7% of patients treated with the TRAP device (P = 0.24). There was a trend toward a lower incidence of myocardial infarction in the TRAP group compared with the control group (16.2% vs 10.5%, P = 0.12). This difference was predominantly due to a lower incidence of moderate-large infarction (CKMB >5×) in the TRAP group. Use of the TRAP VFS during SVG intervention was safe and was associated with a trend toward a lower incidence of adverse events, however, due to low enrollment the study lacked sufficient power to detect a significant benefit with the device.
- Subjects :
- Male
medicine.medical_specialty
Embolism
Saphenous vein graft
Infarction
Catheterization
law.invention
Trap (computing)
Randomized controlled trial
law
Multicenter trial
Humans
Medicine
Saphenous Vein
Radiology, Nuclear Medicine and imaging
Prospective Studies
Myocardial infarction
Adverse effect
Aged
Embolic protection
business.industry
Graft Occlusion, Vascular
medicine.disease
Surgery
Female
Stents
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15408183 and 08964327
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Journal of Interventional Cardiology
- Accession number :
- edsair.doi.dedup.....5173570e9bae351bcc56d2682c4e242f