Intracoronary Brachytherapy for Recurrent Restenosis After Multiple Drug-Eluting Stents. Short Title: Scripps V
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 65
- 试验地点
- 2
- 主要终点
- To determine the safety and efficacy of intracoronary brachytherapy for the treatment of recurrent restenosis within drug-eluting stents.
研究概览
简要总结
This study is a prospective study of patients treated at Scripps Clinic with intracoronary brachytherapy for recurrent restenosis within drug eluting stents.
详细描述
This is an investigator-initiated protocol examining the effectiveness of intracoronary brachytherapy using the Novoste beta-emitting catheter for recurrent stenosis after treatment with multiple drug-eluting stents. While intracoronary brachytherapy has been used for this purpose by clinicians for some time, data supporting this clinical decision-making is lacking.
Currently, when cardiologists find restenosis after implanting a drug-eluting stent, they often place a stent that elutes a different drug within that stent. If a patient presents with restenosis in the segment that has already been treated with both sirolimus and paclitaxel-eluting stents, further options are limited. Intracoronary brachytherapy is often used in this scenario, but the efficacy of this approach has not been well studied. The investigators recently reviewed the clinical outcomes of five patients who underwent intracoronary radiation after drug-eluting stents. They discovered only one episode of target vessel revascularization and no episodes of stent thrombosis. While this sample is small, investigators believe that a prospective study will provide important information regarding this approach.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 years or older.
- •Eligible for percutaneous coronary intervention.
- •Target lesion with recurrent restenosis (>50% by visual estimate) previously treated with any 2 or more combination of DES stents.
- •Signs or symptoms of ischemia attributable to the target lesion, or stenosis > 50% by visual estimation of the lesion during angiography.
- •Target lesion is located within a native coronary artery or bypass graft.
- •Be reliable, cooperative and willing to comply with all protocol-specified procedures and follow-up.
- •Able to understand and sign informed consent.
排除标准
- •Confirmed pregnancy at the time of index PCI.
- •Has known allergies to aspirin, and to both clopidogrel (Plavix ®) and ticlopidine (Ticlid ®).
- •Has known allergies or contraindication to heparin and Bivalirudin (Angiomax ®).
- •Has a significant medical condition which in the investigator's opinion may interfere with the patient's optimal participation in the study.
- •Any serious disease condition with life expectancy of less than 1 year.
- •Unsuccessful coronary revascularization procedure (residual stenosis > 30%).
- •Angiographic evidence of thrombus.
- •No Previous intracoronary radiation to the target artery.
结局指标
主要结局
To determine the safety and efficacy of intracoronary brachytherapy for the treatment of recurrent restenosis within drug-eluting stents.
时间窗: 2 years
次要结局
未报告次要终点
研究者
Paul S Teirstein, MD
Director, Scripps Cardiovascular Institute
Scripps Health