Coronary Artery Disease
Conditions
Brief summary
Sirolimus-eluting stent (SES) has been proven to improve outcomes in patients with significant coronary artery diseae(\> 70% lumen diameter narrowing). But, acute coronary syndrome may occur in those with intermediate lesions(50%-70% lumen diameter narrowing), and the effect of SES in these patients remains unclear. Here the investigators hypothesize that application of China-made SES may improve the clinical outcomes in these setting.
Interventions
patients with coronary 50-70% narrowing treated with China-made SES stent,i.e. Firebird 2 (cobalt-alloy platform with durable polymer coating sirolimus-eluting stent) and Excel (stainless steel platform with biodegradable polymer coating sirolimus-eluting stent).
patients with coronary 50-70% narrowing treated with routine medicine
Sponsors
Study design
Eligibility
Inclusion criteria
* age 18-80 years old * both gender * native coronary lesion * narrowing 50-70% * vessel size 2.5-4.0 in diameter
Exclusion criteria
* without informed consent, * ST elevation myocardial infarction within 7 days, * left main lesion, * by-pass graft, * restenosis * abnormal liver function before randomization, * active hepatitis or muscular disease, * impaired renal function with serum creatinine level \> 3mg/dl , * impaired left ventricular function with LVEF \< 30%, * participate in other studies.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| target vessel failure | 12 months | defined as the occurrence of any of the following within 12 months after the index procedure: death from cardiac causes, Q-wave or non-Q-wave myocardial infarction, or revascularization of the target vessel (emergency or elective coronaryartery bypass grafting \[CABG\] or repeated percutaneous transluminal coronary angioplasty \[PTCA\]). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| major adverse cardiac events | 12 months | including cardiac death, re-infarction and target vessel revascularization. |
Countries
China