Drug eluting BALLoon angioplasty to prime bifuRcation lesiOns for stenting: a prOspective randoMized trial
- Conditions
- coronary atherosclerosiscoronay bifurcation lesion10011082
- Registration Number
- NL-OMON33521
- Lead Sponsor
- Sint Antonius Ziekenhuis
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Withdrawn
- Sex
- Not specified
- Target Recruitment
- 200
- 18 years or older
-stable or unstable angina pectoris or silent ischemia
-and a de novo coronary bifurcation lesion. (A bifurcation lesion is defined according to Louvard/Lefevre (15) et al. and can be located in the anterior descending artery and a diagonal, the circumflex artery and an obtuse marginal or the right coronary artery and posterior descending artery/posterolateral artery).
-The diameter of the main vessel and of the side branch should be 2.5 mm and 2.0 mm, respectively, by visual estimate.
- ST-segment elevation acute myocardial infarction within 24 hours,
- life expectancy <1 year,
- S-creatinine > 200 µmol/L,
- allergy to any of the drugs used (aspirin, clopidogrel, sirolimus, and paclitaxel)
- left main bifurcation lesion.
- Inability to cover the lesion in the main vessel with one stent
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>The primary end point of the study is the clinical combined end point (MACE) of<br /><br>cardiac death, myocardial infarction, and stent thrombosis or target-vessel<br /><br>revascularization by PCI or coronary artery bypass surgery after 12 months.</p><br>
- Secondary Outcome Measures
Name Time Method <p>Secondary study parameters/endpoints (if applicable)<br /><br>(1) the individual end points of death from any cause, cardiac death,<br /><br>myocardial infarction, target-lesion revascularization, and target-vessel<br /><br>revascularization;<br /><br>(2) procedure-related biomarker increase ( 3 times the upper limit of normal of<br /><br>CK-MB mass, troponin-T, or troponin-I); and<br /><br>(3) the combined angiographic end point of significant restenosis (>50%<br /><br>diameter stenosis) of the main vessel and/or occlusion of the side branch.<br /><br>(4) The number of major bleedings according to the TIMI -and/or GUSTO criteria.</p><br>