Comparison of Drug Eluting Balloon and Drug Eluting Stent
- Conditions
- Stable AnginaUnstable AnginaNSTEMICoronary Artery Disease
- Interventions
- Device: drug eluting stent (Zotarolimus-eluting stent)Device: Drug eluting balloon + Bare metal stent
- Registration Number
- NCT01539603
- Lead Sponsor
- Seoul National University Bundang Hospital
- Brief Summary
The purpose of this study is to evaluate the safety and efficacy of Drug-Eluting Balloon first and then bare metal stent compared with drug-eluting stent for treatment of de novo lesions (DEB first).
- Detailed Description
A recent trial to test premount bare metal stent on drug-eluting balloon failed to demonstrate non-inferiority and safety compared to drug-eluting stent alone for treatment of coronary artery stenosis.
We think that inappropriate drug delivery to diseased vessel due to stent strut might affect the efficacy of drug-eluting balloon. Therefore, we design a clinical study with a different protocol, that is, drug-eluting balloon first and then bare metal stent implantation in comparison to drug-eluting stent.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 180
- De novo lesion
- 2.5mm =< Reference diameter =< 4mm
- Lesion length =< 28mm
- Type A, B1/B2 lesion
- ST-segment elevation MI
- Reference diameter < 2.5mm or > 4mm
- Bifurcation lesion
- Type C lesion
- history of AMI or stroke within 1 year F. chronic renal disease (Cr > 2mg/dL)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Drug eluting stent drug eluting stent (Zotarolimus-eluting stent) conventional PCI with drug eluting stent drug eluting stent (Zotarolimus-eluting stent) DEB-BMS Drug eluting balloon + Bare metal stent Drug eluting balloon + Bare metal stent
- Primary Outcome Measures
Name Time Method in-segment late loss 9 month angiographic in-segment late loss measure by QCA program
- Secondary Outcome Measures
Name Time Method stent thrombosis 9 month any stent thrombosis
MACE 9 month death, MI and TVF
angiographic and procedure success 9 month Angiographic success denotes that residual diameter stenosis is less than 10% without complication such as coronarhy dissection or thrombosis.
Procedural success means that adequate DEB+BMS or DES delivery to the target lesion without geographic miss.
Trial Locations
- Locations (1)
Seoul National Universtiy Bundang Hospital
🇰🇷Seongnam, Korea, Republic of