Status:

COMPLETED

Comparison of Endothelial Dysfunction (BMS vs SES) in the Same Patient With Multiple Coronary Artery Lesions

Lead Sponsor:

Azienda Ospedaliera San Camillo Forlanini

Conditions:

Endothelial Dysfunction

Eligibility:

All Genders

18-90 years

Phase:

PHASE1

PHASE2

Brief Summary

This is a prospective, randomised study to compare the endothelial dysfunction of BMS vs SES, both implanted in the same patient with multiple de novo coronary artery lesions undergoing elective PCI. ...

Detailed Description

This prospective, randomised study compares the endothelial dysfunction of BMS vs SES, both implanted in the same patient with multiple de novo coronary artery lesions undergoing elective PCI. From fe...

Eligibility Criteria

Inclusion

  • stable angina pectoris
  • at least two significant angiographic stenoses in different native coronary vessels or in the same vessel but two different ramifications with similar diameter
  • non-surgical patients

Exclusion

  • acute coronary syndromes
  • myocardial infarction within 3 months from event
  • clinical or angiographic coronary vasospasm
  • coronary angiographic findings of a fresh thrombus in the initial angiography (filling defect proximal to or involving the stenosis)
  • coronary anatomy unsuitable for for intracoronary acetylcholine testing (left main coronary artery disease \>30%, surgical three vessel disease or other anatomical considerations that make it unsafe to perform intracoronary studies)
  • progression of lesions or development of de novo lesions in nontarget lesions or vessels on follow-up angiography
  • patients with a vessel diameter \< 2,50 mm and length lesions \<10 and \>30 mm.
  • patients with vessel diameter difference (SES vs BMS) \>0,5mm and length difference of the stenosis \>50%
  • lesions treated with balloon injury \<10 mm or \>50 mm in length
  • severe left ventricular (LV) systolic dysfunction
  • bifurcation/ostial
  • presence of an unhealed dissection identified by intravascular ultrasound (IVUS) performed at the end of the study.
  • angiographic restenosis in follow-up angiography
  • patients with severe risk factors for endothelial dysfunction: severe renal failure, life expectancy less than 1 year, uncontrolled diabetes, uncontrolled hypertension (systolic blood pressure \>180mmHg), currently smoking, uncontrolled hypercholesterolemia (total cholesterol \>240mg/dl)
  • any contraindication/nontolerance to the use of aspirin, heparin and/or clopidogrel
  • lack of consent to participate

Key Trial Info

Start Date :

March 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2009

Estimated Enrollment :

25 Patients enrolled

Trial Details

Trial ID

NCT01242306

Start Date

March 1 2009

End Date

December 1 2009

Last Update

November 17 2010

Active Locations (1)

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1

Azienda Ospedaliera San Camillo Forlanini

Roma, Roma, Italy, 00151