Coronary Artery Disease
Conditions
Brief summary
The purpose of this study is to compare the degree of stent malapposition on an immediate optical coherence tomography (OCT) after nominal stent pressure and at a final post-procedure OCT (ANCHOR-I) and the neointimal coverage on 3-months OCT following the intervention with the randomly assigned two drug-eluting stents (DES), PromusTMElementTM stents versus Xience PRIME® stents.
Interventions
Patients with native coronary arteries fulfilling all enrollment criteria will be randomly assigned to each DES group; either Promus Element or Xience Prime
Patients with native coronary arteries fulfilling all enrollment criteria will be randomly assigned to each DES group; either Promus Element or Xience Prime
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient is ≥ 20 years old * Significant coronary de novo lesion (\> 70% by quantitative angiographic analysis) treated by single DES in each vessel. * Patients with stable angina who are considered for coronary revascularization with stent implantation. * Reference vessel diameter of 2.5 to 3.5 mm by operator assessment
Exclusion criteria
* Complex lesion morphologies such as aorto-ostial, unprotected left main, chronic total occlusion, graft, thrombosis, and restenosis * Reference vessel diameter \< 2.5 mm or \> 4.0mm and lesion length \> 28 mm * Heavy calcified lesions (definite calcified lesions on angiogram) * Lesions requiring more than 2 DES in each vessel * Acute coronary syndrome * Contraindication to anti-platelet agents * Treated with any DES within 3 months at other vessel * Creatinine level ≥ 2.0 mg/dL or ESRD * Severe hepatic dysfunction (3 times normal reference values) * Pregnant women or women with potential childbearing * Life expectancy 1 year
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the ratio of the malapposed strut | Participants will be followed from first OCT invervention to 3month OCT following intervention | The ratio of the malapposed strut, on an immediate OCT after nominal stent pressure and at a final post-procedure between two different DES; ANCHOR-I |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of stent malapposition | 3months OCT following intervention |
| Neointimal coverage(ANCHOR II) | 3 month-OCT after stent implantation |
| Incidence of plaque prolapse | final postprocedural OCT |
| Evaluation of stent expansion | an immediate and post-procedural OCT |
| Stent malapposition | on 3 month OCT intervention |
Countries
South Korea