Optical Coherence Tomography Guided Percutaneous Coronary Intervention for Drug-eluting In-stent Restenosis
Not Applicable
- Conditions
 - In-stent RestenosisCHD - Coronary Heart DiseasePercutaneous Coronary Intervention
 
- Registration Number
 - NCT03809754
 
- Lead Sponsor
 - Chinese PLA General Hospital
 
- Brief Summary
 This study is a prospective, registry trial aimed to compare the clinical and angiographic outcomes of OCT-guided and angiography-guided PCI in patients with coronary DES-ISR.
- Detailed Description
 Not available
Recruitment & Eligibility
- Status
 - UNKNOWN
 
- Sex
 - All
 
- Target Recruitment
 - 240
 
Inclusion Criteria
- Age 18 years or older
 - Patients with angina or evidence of myocardial ischaemia
 - Patients with restenotic lesions in a previously DES area of a coronary artery
 - Patients suitable to receive any types of percutaneous coronary intervention (including balloon angioplasty and stent implantation)
 - The stent diameter of DES-ISR is 2.5mm to 4.0mm
 - Target lesion length < 30mm
 - Target lesion stenosis ≥ 70% diameter stenosis on visual assessment, or ≥ 50% diameter stenosis and with evidence of myocardial ischaemia ischemic
 
Exclusion Criteria
- Patients with acute myocardial infarction with 1 week
 - Patients with evidence of extensive thrombosis in the target vessel
 - Patients with left main coronary artery disease
 - Patients with cardiogenic shock, left ventricular ejection fraction < 40%,significant renal dysfunction and severe heart valve disease
 - Patients who had cerebral stroke within 6 months before PCI
 - Patients with a life expectancy < 1 year
 - Patients not able to adhere to follow-up visits
 
Study & Design
- Study Type
 - INTERVENTIONAL
 
- Study Design
 - PARALLEL
 
- Primary Outcome Measures
 Name Time Method In-segment late loss at 9 months follow-up 9 months 
- Secondary Outcome Measures
 Name Time Method Rate of 9-month binary restenosis 9 months Rate of myocardial infarction 12 months Rates of acute success 1 month Rate of major adverse cardiovascular events 12 months Number of participants with all-cause death 12 months Number of Participants with target lesion failure (TLF) 12 months 
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie drug-eluting stent in-stent restenosis in coronary heart disease patients?
How does OCT-guided PCI compare to angiography-guided PCI in treating DES-ISR according to NCT03809754 outcomes?
Which biomarkers are associated with optimal patient selection for OCT-guided PCI in coronary DES-ISR treatment?
What are the potential adverse events and management strategies for OCT-guided PCI in DES-ISR cases?
Are there combination therapies or alternative imaging modalities being explored alongside OCT for DES-ISR intervention?
Trial Locations
- Locations (1)
 Yundai Chen
🇨🇳Beijing, China
Yundai Chen🇨🇳Beijing, China
