Coronary Heart Disease, NSTEMI
Conditions
Keywords
drug coated balloon, NSTEMI
Brief summary
The aim of the present trial is to assess the efficacy of the standalone use of SeQuent(R) Please coated balloon compared to a bare metal stent (BMS) in patients with NSTEMI.
Detailed description
The aim of the present trial is to assess the efficacy of the standalone use of SeQuent(R) Please coated balloon compared to a bare metal stent (BMS) in patients with NSTEMI. Primary efficacy endpoint will be MACE (cardiac mortality, reinfarction, and target lesion revascularization) after 9 months.
Interventions
bare metal stent implantation, any bare metal stent is allowed from different companies
Angioplasty with Drug coated balloon (DCB)
Sponsors
Study design
Eligibility
Inclusion criteria
* NSTEMI with * Ischemic symptoms (angina pectoris) \> 30 minutes * Last symptoms within 72 hours before randomization * Positive cardiac troponin T, I, or hs-Troponin above 99th percentile * age \> 18 years * Identifiable culprit lesion without angiographic evidence of large thrombus with intended early PCI (treatment of up to two lesions allowed)
Exclusion criteria
* Cardiogenic shock * ST-elevation myocardial infarction * No identifiable culprit lesion, Indication for acute bypass surgery * Comorbidity with limited life expectancy \< 9-12 months * Contraindication for treatment with heparin, ASA and thienopyridines
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| MACE | 9 months | MACE means the occurence of cardiac death, reinfarction, or target lesion revascularization |
Secondary
| Measure | Time frame |
|---|---|
| Mortality (cardiac and non-cardiac) | 9 months, 3 years, 5 years |
| Reinfarction | 9 months, 3 years, 5 years |
| Stent thrombosis (ARC | 9 months, 3 years, 5 years |
| target vessel revascularization | 9 months, 3 years, 5 years |
| any revascularization | 9 months, 3 years, 5 years |
| target lesion revascularization | 9 months, 3 years, 5 years |
Countries
Germany