In-stent Arterial Restenosis
Conditions
Brief summary
The purpose of this study is to examine the treatment of coronary Bare Metal Stent restenosis with a drug coated AngioSculpt scoring balloon.
Detailed description
Prospective, controlled, multicenter, randomized, single-blind trial. The aim is to examine the treatment of coronary Bare Metal Stent restenosis with a drug coated AngioSculpt scoring balloon. Patients are randomized to treatment by an AngioSculpt scoring balloon (no drug coating)or a drug coated AngioSculpt scoring balloon (paclitaxel 3.0 µg/mm²). Primary efficacy endpoint is late lumen loss in-segment at 6 months. Key secondary endpoints include procedural Success, MACE (cardiac death, target vessel myocardial infarction, and clinically driven target lesion revascularization at 6 months). Individual clinical endpoints include stent thrombosis (ARC), cardiac death, any death, target vessel myocardial infarction, any infarction, clinically driven target lesion revascularization, clinically driven target vessel revascularization, any revascularization.
Interventions
Predilatation of coronary BMS-ISR with POBA followed by a AngioSculpt(R) scoring balloon (no drug coating)
Predilatation of coronary BMS-ISR with POBA followed by a drug coated AngioSculpt(R) scoring balloon (paclitaxel 3.0 µg/mm²)
Sponsors
Study design
Eligibility
Inclusion criteria
* \>18 years of age * clinical evidence of stable or unstable angina or a positive functional study * patients with ≤ 2 primary in-stent restenosis (ISR) lesions (≥ 70% diameter stenosis) within previously placed bare metal stents (BMS)
Exclusion criteria
* acute myocardial infarction within the past 72 hours * chronic renal insufficiency with serum creatinine levels \>2.0 mg per deciliter% * known hypersensitivity or contraindications to aspirin, heparin, clopidogrel, ticlopidine or paclitaxel, and sensitivity to contrast media not amenable to premedication * concomitant medical illness associated with a life-expectancy of less than two years * stented segment length ≥30 mm, vessel diameter \<2.5 mm, diameter stenosis \<70%
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| late lumen loss in-segment | 6 months | angiographic late lumen loss in-segment assessed by quantitative coronary angiography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Procedural Success | participants will be followed for the duration of hospital stay, an expected average of 2 days | \<50% final DS and the absence of in-hospital MACE |
| Major adverse cardiovascular events | 6 months | the occurence of cardiac death, target vessel myocardial infarction, or clinically driven target lesion revascularization at 6 months (before planned control angiography) |
Countries
Brazil, Germany