patients with coronary artery disease after stent implantation in coronary long lesions (>25 mm) and undergoing non urgent percutaneous coronary intervention. MedDRA version: 14.1 Level: PT Classification code 10011089 Term: Coronary artery stenosis System Organ Class: 10007541 - Cardiac disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: sign informed consent; age>18 years; patients with stable or unstable angina pectoris; de novo lesion with total lenght >25 mm; Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 50 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 154
Exclusion criteria
Exclusion criteria: serum creatinine>2,5 mg/dl; pregnancy; ST elevation myocardial infarction; ongoing serious bleeding; previous stroke;Hemodynamic instability
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the safety and efficacy of routine usage of the bivalirudin vs Heparin to avoid periprocedural myocardial necrosis.;Secondary Objective: Rate of major adverse cerebro-cardiovascular events, major and minor bleeding at 1, 6 and 12 months.;Primary end point(s): to value the incidence of periprocedural myonecrosis defined as a peak postprocedural CK.MB elevation>1 time the upper limit of normal, alone or associated with chest pain or ST segment or T wave abnormalities, in patients undergoing non urgent percutaneous myocardial revascularization.;Timepoint(s) of evaluation of this end point: 6, 12 and 24 hours after the rivascolarization procedure. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Rate of major adverse cerebro-cardiovascular events, major and minor bleeding at 1, 6 and 12 months.;Timepoint(s) of evaluation of this end point: 30 days, 6 and 12 months | — |
Countries
Italy
Contacts
POLICLINICO UMBERTO I