Table 3.
Clinical endpoint | Advantages | Disadvantages |
---|---|---|
MACE rate or TVF Rate | Highly relevant for reimbursement | In observational studies, MACE/TVF may be difficult to determine Larger population >500 patients |
TLR (Re-PCI + CABG) rate or TVR (Re-PCI, CABG) in target vessel | Highly relevant for reimbursement | In observational studies, target lesion re-PCI may be difficult to determine |
Cardiac death rate | Highly relevant for reimbursement | Meaningful test hypotheses require patient numbers >1000 patients per group Cause of death sometimes unclear |
MI rate | Should be associated with TLR | Not always attributable to the treated target lesion or vessel |
ST rate | Highly desirable for interdevice comparisons, e.g. DES | Meaningful test hypotheses require patient numbers >5000 patients per group |
Stroke rate | Highly relevant for reimbursement | Meaningful test hypotheses require patient numbers >2000 patients per group May not be an outcome of the coronary revascularization procedure |
CABG, coronary-artery bypass graft; DES, drug-eluting stents; MACE, major adverse cardiac event; TLR, target-lesion revascularization; Re-PCI, repeat percutaneous coronary intervention; TVR, target-vessel revascularization; TVF, target-vessel failure; MI, myocardial infarction; ST, stent thrombosis.