Comparison of Drug-coated Balloon and Drug-eluting Stent for Severe Calcification of de Novo Lesion in Elderly Coronary Heart Disease
Overview
- Phase
- Not Applicable
- Intervention
- DES
- Conditions
- Coronary Artery Disease
- Sponsor
- Henan Institute of Cardiovascular Epidemiology
- Enrollment
- 218
- Locations
- 2
- Primary Endpoint
- LLL
- Status
- Completed
- Last Updated
- 26 days ago
Overview
Brief Summary
The goal of this clinical trial was to compare the effectiveness of drug balloons versus drug-coated stents in calcified lesions in elderly coronary artery disease. The main question it aims to answer is whether the application of DCB is non-inferior to DES for in situ large vessel calcified lesions in the elderly coronary arteries.
And to develop a method to precisely identify the nature and extent of calcified lesions and to rationalize the choice of pretreatment.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. older than 60 years of age.
- •2\. meeting the indications for coronary intervention.
- •3\. IVUS examination suggests severe calcified lesions (calcification angle \> 270° at the target lesion) ;
- •4\. Target lesion vessel diameter \> 2.75 mm
Exclusion Criteria
- •1\. inability to provide written informed consent.
- •2\. unable to administer antiplatelet agents and anticoagulant therapy; have allergies to heparin, contrast agents, etc.
- •3\. the subject is participating in another uncompleted clinical trial
- •4\. life expectancy \<1 year.
- •5\. non-in situ vascular lesions.
- •6\. cardiogenic shock.
- •7\. Patients with hemodynamic instability
Arms & Interventions
DES Group
Implantation of drug-eluting stents in patients with satisfactory pretreatment
Intervention: DES
DCB Group
Implantation of drug-coated balloons in patients with satisfactory pretreatment
Intervention: DCB
Outcomes
Primary Outcomes
LLL
Time Frame: 12 months
Late lumen loss (LLL) of the target lesion segment
Secondary Outcomes
- MACE(Perioperative period, 30 days, 3 months, 6 months, 12 months after discharge)