Chronic Kidney Disease, Multivessel Coronary Artery Disease
Conditions
Keywords
Percutaneous coronary intervention, Drug-eluting stent, Chronic kidney disease, Restenosis
Brief summary
Percutaneous coronary intervention (PCI) with bare metal stent (BMS) in patients with renal insufficiency has shown unsatisfactory results. Indeed, drug-eluting stents (DES) might reduce the incidence of restenosis and therefore of target lesion revascularization procedures in these patients. We therefore designed a prospective, randomized, multicenter, not-sponsored study to directly compare the efficacy in the prevention of clinical restenosis of everolimus-eluting stent (Xience V) and bare-metal stent (Vision) (both 2nd-generation DES and BMS, respectively), both implanted in the same patient with multivessel disease and renal insufficiency in order to obviate for the multiple and unpredictable characteristics of this high-risk population.
Interventions
Comparison of bare-metal stent (Vision) and drug-eluting stent (Xience V)
Sponsors
Study design
Eligibility
Inclusion criteria
* chronic renal insufficiency (creatinine clearance \<60 ml/min, in dialysis patients included) with at least two significant (\>70%) coronary lesions in two major coronary vessels.
Exclusion criteria
* Age \>85 years * left main coronary artery disease * saphenous vein graft disease * ST-elevation MI (\<3 days) * coronary vessel diameter \<2.5 or \> 4 mm * contraindication to long-term double antiplatelet therapy * CABG indication by consensus (cardiovascular team) * severe valvular heart disease * informed consent not obtained
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ischemia-driven target vessel revascularization | 9 months |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of death and myocardial infarction | in-hospital, 30 days, 9 and 12 months |
Countries
Italy