NCT03589157
Unknown
Not Applicable
Comparison of Safety and Efficacy of Coronary Drug-coated Balloon (DCB) Combined With Spot Stenting of Drug-eluting Stent (DES) Versus Second-generation DES for Treating Diffuse Coronary Artery Lesions: a Prospective, Randomized, Controlled Clinical Trial
Chinese PLA General Hospital0 sites140 target enrollmentJuly 15, 2018
ConditionsDiffuse Coronary Artery Lesions
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diffuse Coronary Artery Lesions
- Sponsor
- Chinese PLA General Hospital
- Enrollment
- 140
- Primary Endpoint
- Late lumen loss
- Last Updated
- 7 years ago
Overview
Brief Summary
The prospective, randomized, controlled clinical trial aims to evaluate the safety and efficacy of paclitaxel-eluting PTCA-balloon catheter (SeQuent® Please) combined with provisional spot stenting of DES versus DES for treating diffuse coronary artery lesions concerning interventional therapy and vessel patency.
Investigators
Yun Dai Chen
Professor
Chinese PLA General Hospital
Eligibility Criteria
Inclusion Criteria
- •Patient-related
- •Patients who have typical angina pectoris symptoms with obvious evidence of ischemia;
- •Patients whose ages are between 18-80 years;
- •Patients who must agree to receive a 9-month angiographic follow-up;
- •Patients who must agree to receive clinical follow-up of 30 days, and 3, 6, 9, 12, 24 and 36 months;
- •Patients who can understand the purpose of this study both psychologically and linguistically, demonstrating sufficient compliance to the study protocol;
- •Patients who express their recognition of the risks and benefits described in the informed consent form by providing their inform consent;
- •Lesion-related
- •Diffuse coronary artery disease in situ;
- •Reference target vessel diameter of 2.5-4.0 mm and length of \> 25 mm;
Exclusion Criteria
- •Patient-related:
- •Patients who have the attack of myocardial infarction within the past week, or whose troponin fails to return to normal although myocardial infarction has occurred for over one week;
- •Patients with serious congestive heart failure or NYHA IV-level serious heart failure;
- •Patients whose left ventricular ejection fraction is \< 30%;
- •Patients who have medical history of stroke or TIA within 6 months prior to the surgery;
- •Patients who have a current or previous history of serious liver failure and thereby fail to meet the requirements of angiography;
- •Patients who have a current or previous history of serious kidney failure (GFR\<30 ml/min) and thereby fail to meet the requirements of angiography;
- •Patients who have a previous history of intracranial neoplasms, aneurysm, arteriovenous malformation or cerebral hemorrhage;
- •Patients whose life expectancy does not exceed 1 year or who are difficult to follow up clinically;
- •Patients who have been scheduled to undergo elective surgery which may lead to the early discontinuation of ADP receptor antagonists;
Outcomes
Primary Outcomes
Late lumen loss
Time Frame: 9 months
Late lumen loss (LLL) in the lesion segment within 9 months after surgery
Secondary Outcomes
- Interventional therapy success rate(3 years)
- Clinically-driven target lesion revascularization(3 years)
- Device-related cardiovascular clinical composite endpoints(3 years)
- Patient-related cardiovascular clinical composite endpoints(3 years)
- Restenosis rate (RR) in the lesion segment(9 months)
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