In-stent Coronary Artery Restenosis
Conditions
Brief summary
This study aims to test the hypothesis that plaque composition differs within a stent between bare metal stents and drug eluting stents (DES). It is possible that a difference in plaque composition seen within a stent may be contributory to the late thrombotic events seen more frequently with DES.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Subject \> 18 years of age; * Subject, male or female, who underwent DES or BMS implantation in a native coronary vessel more than 3 year ago; * Subject is scheduled for a diagnostic coronary or interventional procedure; * Subject is willing to sign the informed consent.
Exclusion criteria
* Subject requires emergency catheterization; * Subject has an acute myocardial infarction defined as anginal symptoms with ST-elevation on the EKG or creatine kinase-MB elevation \>3times the upper limit of normal; * Angiographic evidence of ≥ 70% stenosis within the target stent (visual estimate); * Subject presented with cardiogenic shock; * Subject has angiographically confirmed thrombus in the target coronary artery; * Subject has a complex lesion not amenable to the IVUS/VH catheters and/or OCT catheters passing the stented segment; * Subject has a contraindication to angiography/IVUS/OCT; * Female subject is pregnant or lactating; * Subject has life threatening comorbid conditions for which the investigator feels the subject should not be enrolled
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Plaque composition | During hospital stay, about 2 days. | This study aims to test the hypothesis that plaque composition differs within the stent between BMS and DES. It is possible that a difference in plaque composition seen within the stent may be contributory to the late thrombotic events seen more frequently with DES. |
Countries
United States