Coronary Artery Disease
Conditions
Keywords
bioresorbable vascular scaffold, drug eluting stent, coronary artery disease
Brief summary
PCI of diffuse long coronary lesions still remains challenging because of relatively high risk of in-stent restenosis and stent thrombosis compared to short coronary lesions. The purpose of the study is to compare an incidence of composite of major adverse cardiovascular events (MACEs) at 1 year between Absorb everolimus-eluting BVS and Xience EES after coronary intervention in long lesions.
Interventions
Patients allocated to this arm will undergone PCI with Absorb everolimus-eluting bioresorbable vascular scaffold. It will be allowed to used multiple stents for a long coronary lesion.
Patients allocated to this arm will undergone PCI with Xience everolimus-eluting metallic stent. It will be allowed to used multiple stents for a long coronary lesion.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 19-85 years * Patients with ischemic heart disease requiring PCI * Significant coronary de novo lesion (stenosis \>50% by quantitative angiographic analysis) requiring stent ≥28 mm in length based on angiographic estimation * Reference vessel diameter of 2.5 to 3.75 mm by operator assessment
Exclusion criteria
* Acute myocardial infarction within 48 hours with unstable hemodynamics requiring pharmacologic or mechanical support * Complex coronary morphology including left main disease and bifurcation lesion requiring two-stent technique * Contraindication or hypersensitivity to anti-platelet agents or contrast media * Treated with any metallic stent or BVS within 3 months at other vessel * Cardiogenic shock * Left ventricular ejection fraction \<40% * Pregnant women or women with potential childbearing * Inability to follow the patient over the period of 1 year after enrollment, as assessed by the investigator * Inability to understand or read the informed content
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of composite of major adverse cardiovascular events | 1 year after PCI | Cardiac death, nonfatal myocardial infarction (MI), stent thrombosis and target-lesion revascularization (TLR) |
Countries
South Korea