Status:

UNKNOWN

RIBS IV (Restenosis Intra-stent of Drug-eluting Stents: Paclitaxel-eluting Balloon vs Everolimus-eluting Stent)

Lead Sponsor:

Fundación Médica para la Investigación y Desarrollo en el Area Cardiovascular

Collaborating Sponsors:

Hospital San Carlos, Madrid

B.Braun Surgical SA

Conditions:

In-stent Restenosis

Eligibility:

All Genders

20-85 years

Phase:

PHASE4

Brief Summary

Treatment of patients with drug-eluting stent restenosis remains a challenge. This study will assess which interventional strategy (paclitaxel-eluting balloon vs everolimus-eluting stent) is superior ...

Detailed Description

Treatment of patients with drug-eluting stent restenosis remains a major clinical and technical challenge. Currently, drug-eluting stents are widely used in the management of these patients. Recently,...

Eligibility Criteria

Inclusion

  • PATIENT:
  • Age between 20 and 85 years
  • Signed informed consent
  • Acceptance of late angiographic control (6-9 months)
  • Angina and / or objective evidence of ischemia
  • LESION:
  • In-Stent restenosis (\> 50% visual) any drug-eluting stent
  • Knowledge of prior stent location

Exclusion

  • PATIENT:
  • Inclusion in another clinical research protocol
  • Women of childbearing age
  • Severe associated systemic disease (including renal or liver failure)
  • Severe depression of left ventricular ejection fraction (LVEF \<25%)
  • Disease that affects life expectancy
  • Recent myocardial infarction ( \<7 days)
  • Time of implantation of the previous DES \<1 month
  • Severe difficulties expected for late angiographic study
  • LESION:
  • Angiographic failure during implementation of initial stent(residual stenosis\> 50%)
  • Image of large thrombus in-stent (\> vessel diameter)
  • Tortuosity or Ca + + with very severe difficulties during prior stent deployment
  • Vessel diameter \<2 mm (visual estimate)
  • Restenosis only "outside" the stent (The edge of the stent is not affected)
  • Completely occlusive restenosis (100%, TIMI 0)
  • Very diffuse restenosis (\> 30 mm length)

Key Trial Info

Start Date :

January 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

Estimated Enrollment :

310 Patients enrolled

Trial Details

Trial ID

NCT01239940

Start Date

January 1 2010

Last Update

June 27 2011

Active Locations (25)

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Page 1 of 7 (25 locations)

1

Complejo Hospitalario Universitario A Coruña

A Coruña, A Coruña, Spain, 15006

2

Hospital General Universitario de Alicante

Alicante, Alicante, Spain, 03010

3

Complejo Hospitalario de Torrecardenas

Almería, Almeria, Spain, 04009

4

Hospital Universitario Infanta Cristina

Badajoz, Badajoz, Spain, 06080