Coronary Artery Disease, Percutaneous Coronary Intervention (PCI)
Conditions
Keywords
Drug coated balloon, Drug-eluting stent, High bleeding risk
Brief summary
Studies exploring the feasibility of drug-eluting balloon (DCB) in de-novo coronary lesions are limited. There are scarce data comparing DCB with drug-eluting stent (DES) in patients with high bleeding risk (HBR), a situation in which long-term maintenance of dual antiplatelet therapy (DAPT) is a clinical dilemma. This target trial emulation aims to compare clinical outcomes between DCB angioplasty and conventional DES implantation in de-novo coronary lesions in patients with coronary artery disease.
Interventions
Patients receiving drug coated balloon angioplasty for de novo coronary artery disease
Patients receiving drug-eluting stent implantationfor de novo coronary artery disease
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with coronary artery disease undergoing percutaneous coronary intervention * Used devices number less than three (relatively simple lesion)
Exclusion criteria
* Hybrid strategy (DCB and DES use) * Failed percutaneous coronary intervention * Previous revascularization procedure before index percutaneous coronary intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rates of MACCE (major adverse cardiac and cerebrovascular events) | 3 years after index procedure | all-cause death, myocardial infarction, revascularization, and stroke |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rates of Major bleeding | 3 years after index procedure | major bleeding requiring transfusion |
| Rates of NACE (net adverse clinical events) | 3 years after index procedure | MACCE and any major bleeding requiring transfusion |
| Rates of all-cause death | 3 years after index procedure | death from any causes |
| Rates of myocardial infarction | 3 years after index procedure | — |
| Rates of revascularization | 3 years after index procedure | repeat revascularization |
| Rates of stroke | 3 years after index procedure | — |
Countries
South Korea
Contacts
Samsung Medical Center