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Safety and Efficacy Study of Hybrid Revascularization in Multivessel Coronary Artery Disease (POL-MIDES)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT01035567
Recruitment Status : Completed
First Posted : December 18, 2009
Last Update Posted : December 3, 2013
Information provided by (Responsible Party):

Study Description
Brief Summary:
The purpose of the study is to assess the safety and efficacy of hybrid revascularization in comparison with coronary artery bypass grafting among patients with multivessel coronary artery disease.

Condition or disease Intervention/treatment Phase
Heart Disease Myocardial Ischaemia Coronary Disease Coronary Artery Disease Procedure: Hybrid revascularization Procedure: Coronary Artery Bypass Grafting Phase 2 Phase 3

Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 200 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Prospective Randomised Pilot Study Evaluating the Safety and Efficacy of Hybrid Revascularization in Multivessel Coronary Artery Disease
Study Start Date : November 2009
Primary Completion Date : May 2013
Study Completion Date : October 2013

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arms and Interventions

Arm Intervention/treatment
Active Comparator: Hybrid revascularization Procedure: Hybrid revascularization
First stage: implantation of the internal mammary artery into LAD in MIDCAB/TECAB procedure Second stage: PCI with drug eluting stents in other coronary arteries qualified for revascularization within 36 hours after surgery
Active Comparator: Coronary Artery Bypass Grafting Procedure: Coronary Artery Bypass Grafting
Coronary artery bypass grafting with sternotomy on or off the pump at discretion of the operator.

Outcome Measures

Primary Outcome Measures :
  1. Possibility defined by means of (1) a % of pts with complete hybrid procedure according to study protocol, and (2) a % of conversion to standard CABG. Safety defined as a occurrence of MACE such as death, MI, stroke, TVR, or major bleeding. [ Time Frame: 1 year ]

Secondary Outcome Measures :
  1. Postprocedure and follow up angiographic measurements as patency of grafts and restenosis in revascularized segments [ Time Frame: 1 year ]
  2. Assessment of quality of life of alive study participants according to SF-36 Health Survey version 2 [ Time Frame: 1 year ]
  3. Cost-effectiveness defined as a cost of revascularization procedure and costs of hospitalizations in both groups. [ Time Frame: 1 year ]

Eligibility Criteria

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Age 18 or more
  • Angiographically confirmed multivessel CAD with involved LAD and critical (>70%)lesion in at least one (apart LAD) major epicardial vessel amenable to both PCI and CABG
  • Indication for revascularization based upon symptoms of angina and/or objective evidence of myocardial ischaemia
  • Patient is willing to comply with all follow-up visits
  • Patient signed an Informed Consent

Exclusion Criteria:

  • Severe congestive heart failure (class III or IV according to NYHA, or pulmonary edema, cardiogenic shock) at the time of enrollment
  • Prior surgery with the opening of pericardium or pleura
  • Prior stroke (within 6 months)or more than 6 months if there are substantial neurological defects
  • Prior history of significant bleeding (within previous 6 months) that might be expected to occur during PCI/CABG related anticoagulation
  • One or more chronic total occlusions in major coronary territories
  • Left main stenosis (at least 50% diameter stenosis)
  • Acute ST-elevation MI within 72 hours prior to enrollment requiring revascularization
  • Planned simultaneous surgical procedure unrelated to coronary revascularization (e.g. valve repair/replacement, aneurysmectomy, carotid endarterectomy or carotid stenting)
  • Contraindication to either CABG, MIDCAB or PCI/DES because of a coexisting clinical condition
  • Significant leukopenia, neutropenia, thrombocytopenia, anemia, or known bleeding diathesis.
  • Intolerance or contraindication to aspirin or both clopidogrel and ticlopidine
  • Extra-cardiac illness that is expected to limit survival to less than 5 years e.g. oxygen-dependent chronic obstructive pulmonary disease, active hepatitis or significant hepatic failure, severe renal disease
  • Suspected pregnancy. A pregnancy test will be administered prerandomization to all women of child-bearing age
  • Concurrent enrollment in another clinical trial
  • Patient inaccessible for follow-up visits required by protocol
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01035567

Department of Cardiosurgery and Transplatology, Silesian Medical University, Silesian Center for Heart Disease
Zabrze, Poland, 41-800
Third Department of Cardiology, Silesian Medical University, Silesian Center for Heart Disease
Zabrze, Poland, 41-800
Sponsors and Collaborators
Silesian Centre for Heart Diseases
Ministry of Science and Higher Education, Poland
Principal Investigator: Marian Zembala, PhD Silesian Center for Heart Disease
Study Chair: Mariusz Gasior, PhD Silesian Center for Heart Disease
More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Marian Zembala, MD, PhD, Head of the Cardiosurgery and Transplantology Department, Silesian Centre for Heart Diseases
ClinicalTrials.gov Identifier: NCT01035567     History of Changes
Other Study ID Numbers: N R13 008406/2009
First Posted: December 18, 2009    Key Record Dates
Last Update Posted: December 3, 2013
Last Verified: December 2013

Keywords provided by Marian Zembala, Silesian Centre for Heart Diseases:
Multivessel coronary artery disease
Hybrid revascularization
Coronary Artery Bypass Grafting
Percutaneous Coronary Interventions
Drug eluting stents

Additional relevant MeSH terms:
Coronary Artery Disease
Myocardial Ischemia
Coronary Disease
Heart Diseases
Cardiovascular Diseases
Arterial Occlusive Diseases
Vascular Diseases
Pathologic Processes