Coronary Artery Disease
Conditions
Keywords
Stents, Angioplasty, Coronary Artery Disease, Bifurcation Coronary Lesions
Brief summary
The purpose of this study is to evaluate the efficacy and safety of the treatment of true bifurcation lesions with the XIENCE V stent using the simple strategy (stent in main vessel and provisional T-stenting in the side branch) compared to the complex strategy (stent in main vessel and T-stenting in the side branch).
Interventions
Complex PCI strategy for bifurcation: After optional pre-dilation of one or both vessels (main and side branch), and subsequent implanting of the stent in the main vessel, the side branch is approached by implanting a new stent as T technique. Simple PCI strategy for bifurcation: After optional pre-dilation of one or both vessels (main and side branch), a stent is deployed at main vessel. Side branch is approached by using provisional T stenting technique.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients over 18 years old. * True Bifurcation lesion (Medina classification 1-1-1), in at least one main coronary vessel. Diameter of main vessel between 2,5-4mm, and diameter of side branch 2mm or greater.
Exclusion criteria
* Significant left main stenosis. * ST elevation myocardial infarction \< 48 h. * Thrombus burden target lesion. * Ejection Fraction \< 30%. * Severe Renal Insufficiency (creatinine \> 3 mg/dl).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of the rate of binary angiographic restenosis (in main vessel and side branch) in the simple versus complex strategy groups | 9 months |
Secondary
| Measure | Time frame |
|---|---|
| Combined rate of events (cardiac death, myocardial infarction and TLR) | 8 months |
Countries
Spain