Coronary Artery Disease
Conditions
Brief summary
The objective of the present study is to determine the relation between vascular injury induced by the stent and strut thickness.
Detailed description
Thinner struts produce less arterial injury after stent implantation.The objective of the present study is to determine the relation between vascular injury induced by the stent and strut thickness. Vessel injury after stent implantation will be evaluated with optical coherence tomography (OCT). Two stents platforms with different strut thickness (Coroflex ISAR 50 microns and Biomatrix 120 microns) will be compared.
Interventions
PCI using a polymer-free dual-drug sirolimus- and probucol-eluting stent (Coroflex ISAR)
PCI using a biodegradable-polymer biolimus-eluting stent (Biomatrix)
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients older than 18 years * Ischemic symptoms or evidence of myocardial ischemia (inducible or spontaneous) in the presence of \>50% de novo stenosis located in native coronary vessels
Exclusion criteria
* Target lesion located in the left main stem * STEMI * Restenosis * Cardiogenic shock * Malignancies or other comorbid conditions with life expectancy less than 12 months or that may result in protocol noncompliance * Known allergy to the study medications (probucol, sirolimus, zotarolimus) * Pregnancy (present, suspected, or planned)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| OCT-based intimal injury score | Up to 1 day (evaluated after stent implantation) | OCT-based intimal injury score estimated after implantation of the Coroflex-ISAR and Biomatrix DES |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tissue prolapse area | Up to 1 day (evaluated after stent implantation) | Tissue prolapse area assessed by OCT after implantation of Coroflex-ISAR and Biomatrix will be measured |
| Incidence of stent malapposition | Up to 1 day (evaluated after stent implantation) | Stent apposition after implantation of Coroflex-ISAR and Biomatrix as assessed by OCT |
| Incidence of stent underexpansion | Up to 1 day (evaluated after stent implantation) | Stent expansion will be measured with OCT after implantation of Coroflex-ISAR and Biomatrix |
| Stent symmetry after implantation | Up to 1 day (evaluated after stent implantation) | Stent symmetry will be measured with OCT after implantation of Coroflex-ISAR and Biomatrix |
| Baseline plaque type | Up to 1 day (evaluated after stent implantation) | Baseline plaque type will be assessed by OCT (fibrous, fibrocalcific or lipid-rich) |
Countries
Spain