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Yonsei OCT (Optical Coherence Tomography) Registry for Evaluation of Efficacy and Safety of Coronary Stenting

Conditions
Ischemic Heart Disease
Coronary Artery Disease
Registration Number
NCT02099162
Lead Sponsor
Yonsei University
Brief Summary

Optical coherence tomography (OCT) has been recently studied for evaluation of coronary stenting. Because of high resolutions, several reports have shown that OCT is appropriate for evaluating neointimal tissue after coronary stent implantation. Also, the strut coverage and the characterization of neointimal tissue can be accurately evaluated. Furthermore, OCT-defined coverage of a stent strut was proposed to be related with clinical safety in drug-eluting stents-treated patients. Therefore, the investigators will evaluate the appropriateness of currently using coronary stents (e.g. Sirolimus eluting stent, Paclitaxel-eluting stent, Zotarolimus-eluting stent, Everolimus-eluting stent, Biolimus eluting stent, EPC(endothelial progenitor cell) Capture stent, etc) based on the findings of OCT. Additionally, the investigators will evaluate neointimal hyperplasia, malposition or strut coverage to decide the differences in the stent characteristics, the duration of antiplatelet use, and the differences according to the clinical presentations.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
3000
Inclusion Criteria
  1. Patients with coronary stents
  2. Patients who will have coronary stents because of coronary artery stenosis
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Exclusion Criteria
  1. Hemodynamically unstable patients
  2. Ostial lesions that begin within 15 mm of the left main coronary artery
  3. Lesions with diameter more than 4 mm
  4. Patients with allergy to antiplatelet agent (asprin or clopidogrel)
  5. Patients with hepatic dysfunction (Liver enzyme 3 times the upper limit of normal)
  6. Pregnant and lactating patients
  7. Patients with life expectancy less than 1 year
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Comparison of OCT findings with physiologic findingsat index PCI, at follow-up coronary angiography (3, 6, 9 or 12 months and at the time clinically indicated)
OCT findings (stented lesions, native vessels)at index PCI, at follow-up coronary angiography (3, 6, 9 or 12 months and at the time clinically indicated)
Clinical outcomesup to 10 years

Death, Cardiac death, Stent thrombosis, Myocardial infarction, Target-lesion revascularization, Target-vessel revascularization

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Division of Cardiology, Yonsei Cardiovascular Hospital, Yonsei University College of Medicine, Seodaemun-gu, Shinchondong

🇰🇷

Seoul, Korea, Republic of

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