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The STARS (steroids against re-stenosis) trial: the use of peri-procedural oral corticosteriods to prevent in-segment re-stenosis after percutaneous coronary interventio

Not Applicable
Completed
Conditions
Atherosclerosis
Circulatory System
Registration Number
ISRCTN05886349
Lead Sponsor
South Tees Hospitals NHS Trust (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
548
Inclusion Criteria

1. Any patient awaiting percutaneous coronary intervention for symptomatic coronary artery disease (elective or acute)
2. Documented myocardial ischaemia
3. Coronary angiography demonstrating at least a 50% reduction of the luminal diameter in at least one native coronary artery (as measured by quantitative computerised angiography)
4. Any lesion more than 3 mm diameter

Exclusion Criteria

1. Proposed use of a drug eluting stent (in the study vessel[s])
2. Left Main Stem stenosis
3. Primary Percutaneous Coronary Intervention (PCI) for ST elevation myocardial infarction
4. Steroid therapy within 30-days of study enrolment
5. Contraindication to corticosteroid use
6. Previous inclusion in this study
7. Non-cardiac disease likely to cause death within six months
8. Inter-hospital transfers from Cumbria

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Angiographically documented in-segment re-stenosis.
Secondary Outcome Measures
NameTimeMethod
1. Late loss <br>2. Target lesion revascularisation: defined as repeat intervention of re-stenotic lesions, which include the target site of the stent implantation or 5 mm proximal and distal in the same epicardial coronary artery<br>3. Target vessel revascularisation: defined as repeat intervention within the same epicardial coronary artery<br>4. Target vessel failure: target vessel revascularisation plus any peri-procedural complication related to the procedure<br>5. Myocardial Infarction (MI) related to the target vessel<br>6. Incidence of death<br>7. Unstable angina, congestive cardiac failure<br>8. Non-fatal MI<br>9. Q wave MI<br>9. Non-Q wave MI<br>10. Cardio-Vascular Accident (CVA)<br>11. Intracranial haemorrhage<br>12. Infarction<br>13. Repeat hospitalisation<br>14. Major/minor bleeding complications<br>15. Poor glycaemic control
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