Coronary Artery Disease, NSTEMI, Stable Angina, Unstable Angina
Conditions
Keywords
drug eluting balloon, bare metal stent, drug eluting stent, coronary artery disease
Brief summary
The purpose of this study is to evaluate the safety and efficacy of Drug-Eluting Balloon first and then bare metal stent compared with drug-eluting stent for treatment of de novo lesions (DEB first).
Detailed description
A recent trial to test premount bare metal stent on drug-eluting balloon failed to demonstrate non-inferiority and safety compared to drug-eluting stent alone for treatment of coronary artery stenosis. We think that inappropriate drug delivery to diseased vessel due to stent strut might affect the efficacy of drug-eluting balloon. Therefore, we design a clinical study with a different protocol, that is, drug-eluting balloon first and then bare metal stent implantation in comparison to drug-eluting stent.
Interventions
PCI using Sequent Please and then Coroflex Blue
conventional PCI using Endeavor Integrity
Sponsors
Study design
Eligibility
Inclusion criteria
* De novo lesion * 2.5mm =\< Reference diameter =\< 4mm * Lesion length =\< 28mm * Type A, B1/B2 lesion
Exclusion criteria
* ST-segment elevation MI * Reference diameter \< 2.5mm or \> 4mm * Bifurcation lesion * Type C lesion * history of AMI or stroke within 1 year F. chronic renal disease (Cr \> 2mg/dL)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| in-segment late loss | 9 month | angiographic in-segment late loss measure by QCA program |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| stent thrombosis | 9 month | any stent thrombosis |
| angiographic and procedure success | 9 month | Angiographic success denotes that residual diameter stenosis is less than 10% without complication such as coronarhy dissection or thrombosis. Procedural success means that adequate DEB+BMS or DES delivery to the target lesion without geographic miss. |
| MACE | 9 month | death, MI and TVF |
Countries
South Korea