Coronary Artery Disease
Conditions
Brief summary
OCT allows precise evaluation of intimal injury after lesion preparation and may improve the acute results and long-term outcomes after paclitaxel drug-coated balloon angioplasty. This prospective multicenter cohort study aims to assess the efficacy and safety of OCT- versus angiography-guided paclitaxel drug-coated balloon angioplasty in middle-sized de novo coronary artery after lesion preparation with scoring balloon.
Interventions
OCT-guided paclitaxel drug-coated balloon angioplasty in middle-sized de novo coronary artery
Angiography-guided paclitaxel drug-coated balloon angioplasty in middle-sized de novo coronary artery
Sponsors
Study design
Eligibility
Inclusion criteria
1. 18 to 85 years old 2. Patients have ischemic symptoms or evidence of myocardial ischemia (inducible or spontaneous) in the presence of a stenosis of at least 50% in a native coronary artery, including stable angina, unstable angina, or silent ischemia. 3. Reference vessel diameter \>2.5 mm, and \<4.0 mm. 4. Lesion length of \<22 mm 5. Written informed consent
Exclusion criteria
1. Myocardial infarction within 4 weeks, including ST-elevation myocardial infarction and non-ST-elevation myocardial infarction 2. Cardiogenic shock (systolic arterial pressure \<90mmHg), congestive heart failure (NYHA or Killip≥3) 3. Chronic kidney disease (eGFR \<30 ml/min) 4. Lesion length \>22 mm, or vessel diameters of \<2.5 mm or \>4.0 mm 5. Stents covering a major side branch (\>2 mm) 6. Left main lesion 7. Graft lesion 8. Aortic-coronary ostial lesion 9. In-stent restenotic lesion 10. Chronic total occlusion 11. Severe calcified lesions. 12. Visible angiographic thrombus 13. Severe comorbidities: eg. malignancy (life expectancy \<2 years)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Late lumen loss | 9 months | Evaluated by QCA |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of binary restenosis | 9 months | Evaluated by QCA |
| Target lesion failure | 9 months | Including death, target vessel myocardial infarction, or target lesion revascularization |
Countries
China