Stable Angina, Unstable Angina
Conditions
Keywords
Restenosis, POBA, Stenting, Paclitaxel
Brief summary
This is a multicentric randomized comparison between paclitaxel-coated balloon angioplasty or paclitaxel-eluting stent implantation in patients with stable or unstable angina with the evaluation of restenosis by Quantitative Coronary Analysis.
Detailed description
The purpose of this study is to determine the late luminal loss by Quantitative Coronary Analysis at 6 month-follow up after paclitaxel-coated balloon angioplasty or paclitaxel-eluting stent implantation in the treatment of in-stent restenosis.
Interventions
POBA
Stenting
Sponsors
Study design
Eligibility
Inclusion criteria
* informed consent * \>18y * Stable Angina or Unstable Angina * Single restenotic lesion in a previously stented coronary artery
Exclusion criteria
* Acute Myocardial Infarction within 72h * Serum Creatinine\>2.0 mg/dL * Contraindications to ASA, Heparin, Clopidogrel, Ticlopidine, Abciximab, Tirofiban, Paclitaxel * Contraindications to contrast media * Life expectancy \< 2y * Target Lesion length \> 30mm * Target Lesion diameter \<= 2.5 mm * Target stenosis \< 70% * Massive Calcifications in the target segment * Evidence of intra-coronary thrombus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Late Luminal Loss defined as the difference between the minimal luminal diameter after stenting and at follow-up by Quantitative Coronary Analysis | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Binary restenosis defined as >50% diameter stenosis by QCA | 6 months |
| Major Adverse Cardiac Events | 6, 12 months |
| Target Lesion Revascularization | 6, 12 months |
Countries
Italy