Coronary Artery Disease
Conditions
Keywords
patients with coronary artery disease, percutaneous coronary intervention, stent implantation, paclitaxel eluting balloon, angiographic follow-up, clinical follow-up
Brief summary
Percutaneous coronary intervention with stent implantation is limited on the one hand by restenosis due to smooth muscle cell proliferation and on the other hand by stent thrombosis due to incomplete or not sufficient enough endothelialization of stent struts. The Genous stent implantation allows a rapid layer over the stent struts with endothelial progenitor cells allowing a fast endothelialization and probably reducing the risk of stent thrombosis. Local therapy with drug-eluting balloons administering paclitaxel has been shown to reduce restenosis in in-stent restenosis and de-novo lesions in vessels with small reference diameter. The combination of a paclitaxel-eluting balloon and Genous stent implantation may summarized both advantages: a rapid endothelialization limiting the number of stent thrombosis and on the other hand a reduction of smooth muscle cell proliferation minimizing the risk of restenosis with the subsequent need for revascularization.
Interventions
Genous stent implantation with paclitaxel-eluting balloon therapy
Genous stent implantation
Sponsors
Study design
Eligibility
Inclusion criteria
* patients \>18 years old * lesion in native coronary artery * de-novo stenosis * indication for revascularization (angina status, myocardial ischemia, positive stress test, pathologic FFR) * range of reference diameter 2.5 to 4.0mm
Exclusion criteria
* lesion in saphenous vein graft * chronic total occlusion * bifurcation lesion requiring stenting of main and side branch * left main stenosis * restenosis * in-Stent restenosis * contraindication for dual antiplatelet therapy for the following 6 months * coronary aneurysm in target vessel
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Late loss | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Binary restenosis rate | 6 month |
| Late loss index | 6 months |
| Target lesion revascularization | 2, 6, 12, 24, 36, 48, 60 months |
| Diameter stenosis | 6 months |
| Major adverse cardiac events | 2, 6, 12, 24, 36, 48, 60 months |
| Stent thrombosis | 2, 6, 12, 24, 36, 48, 60 months |
| Target vessel revascularization | 2, 6, 12, 24, 36, 48, 60 months |
Countries
Germany