Atherosclerosis, Coronary Artery Disease
Conditions
Brief summary
The purpose of this study is to compare coronary endothelium function in patients with a zotarolimus-eluting versus a sirolimus-eluting or a everolimus-eluting stents with optical coherence tomography, vasoconstriction in response to acetylcholine, and coronary biomarker level.
Interventions
zotarolimus-eluting stent
sirolimus-eluting stents
everolimus-eluting stents
Sponsors
Study design
Eligibility
Inclusion criteria
* Significant coronary de novo lesion (\> 70% by quantitative angiographic analysis) * Patients with stable or acute coronary syndrome considered for coronary revascularization * Reference vessel diameter of 2.5 to 3.5 mm by operator assessment
Exclusion criteria
* Contraindication to anti-platelet agents * Ostial lesion within 5 mm from ostium * Different DES in other vessel simultaneously * Creatinine level 2.5 mg/dL * Left main stenosis more than 50%. * vein graft lesion * Triple vessel disease with stenosis more than 50% in 3 epicardial coronary arteries * Life expectancy 1 year * Reference vessel \< 2.5 mm or \> 4.0 mm diameter by visual * Long lesion that require more than three stents
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare coronary endothelial function after primary angioplasty. | 6 months and 12 months |
| To compare the presence of neointimal stent strut coverage via optical coherence tomography. | 6 months and 12 months |
| To compare the serum biomarker levels measured in coronary artery blood. | 6 months and 12 months |
Countries
Japan