Coronary Atherectomy System in Patients With Coronary Calcification (CORECT)

Exclusion Criteria

• •CE1. Acute myocardial infarction within 30 days prior to baseline procedure.
• •CE2. NYHA or Killip class III or IV heart failure.
• •CE3. Severe cardiac insufficiency with reduced ejection fraction (left ventricular ejection fraction \< 30%).
• •CE4. Intracardiac thrombus within 30 days before inclusion.
• •CE5. Subjects who have received organ transplantation or is waiting for organ transplantation.
• •CE6. Subjects who are receiving chemotherapy or scheduled to receive chemotherapy 30 days before or after baseline surgery.
• •CE7. Subjects who are receiving chronic (≥ 72 hours) anticoagulant therapy (e.g. heparin, warfarin, coumarin) for indications other than acute coronary syndrome.
• •CE8. Participants' platelet \< 50 × 10\^9 / L or \> 700 × 10\^9 / L, and / or hemoglobin \< 70g / L.
• •CE9. Subjects with confirmed or suspected liver diseases, including active hepatitis, or abnormal laboratory results are not suitable for the study.
• •CE10. Subjects diagnosed with chronic renal failure or has a serum creatinine level \>2.5 mg/dl (or 221 µmol / L).
• •CE11. Subjects who have clear bleeding tendency, contraindications of antiplatelet preparation and anticoagulant treatment, and are unable to receive antithrombotic treatment.
• •CE12. History of cerebrovascular accident (CVA), transient ischemic attack (TIA), active peptic ulcer disease, gastrointestinal (GI) bleeding, transient ischemic attack (TIA), or permanent neurological defects that may lead to non-compliance with the test protocol in the past 6 months.
• •CE13. Target vessels (including collateral vessels) received any stent implantation within 12 months before baseline surgery.
• •CE14. Non target vessels were treated with any type of PCI within 24 hours before baseline surgery.
• •CE15. PCI or CABG is planned within 2 months after baseline procedure.
• •CE16. History of coronary endovascular brachytherapy at any time.
• •CE17. Known hypersensitivity to any drugs required by the stent or protocol (such as rapamycin or structure related compounds, fluoropolymers, aspirin or tigrelol, contrast medium, acrylic acid, stainless steel, chromium, nickel, iron, tungsten).
• •CE18. Subjects who have other serious medical diseases (such as cancer, congestive heart failure), which may reduce life expectancy to less than 12 months or it is expected to be difficult to complete 12-months follow-up.
• •CE19. Subjects who currently abuse drugs, such as heroin, alcohol, etc.
• •CE20. Subjects who plan to undergo surgery that may lead to non-compliance with the protocol or confusion in data interpretation.
• •CE21. Currently enrolled in any other clinical trial (does not reach its primary endpoint), or intended to participate in any other clinical trial within 12 months after baseline procedure.
• •CE22. Females subjects who are pregnant,breast feeding or planning to become pregnant within the study period.
• •CE23. Untrolled diabetes.
• •CE24. Inability to understand the study or a history of non-compliance with medical advice.
• •AE1. Target lesions that meet the following criteria:
• •Ostial lesions (within 5mm of ostium);
• •Target lesions involve bifurcation lesions, and branch vessels need to be implanted with stents;
• •Angular lesions (\> 45 °)
• •Located in a native vessel distal to anastomosis with a saphenous vein graft or LIMA/RIMA bypass;
• •Thrombosis in the target vessel;
• •Target lesion dissection;
• •In-stent restenosis;
• •Chronic total occlusion lesions that cannot be passed through by atherectomy guidewire.
• •AE2. Unprotected left main coronary artery disease (\> 50% diameter stenosis).
• •AE3. Protected left main coronary artery disease (\> 50% diameter stenosis at LMCA and left coronary artery receive bypass grafting), and the target lesion is located in LAD or LCX.
• •AE4. Other clinical significant lesions in target vessels may require intervention within 2 months after baseline surgery.
• •AE5. The target vessel (including collateral) near the target lesion or within 10 mm (visually) from the distal end of the target lesion has received stent implantation at any time before baseline surgery.
• •AE6. Especially tortuous target vessels. AE7. Non-target lesion failed to be treated before the treatment of target lesion.