Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06746233

Drug-Eluting Balloon or Drug-Eluting Stent in Acute Myocardial Infarction: A Randomized Controlled Trial

Led by Institute of Cardiovascular Diseases, Vojvodina · Updated on 2026-03-30

598

Participants Needed

5

Research Sites

205 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The objective of the study is to compare drug-coated balloon (DCB) with the gold standard drug-eluting stent (DES) in percutaneous coronary intervention (PCI) for patients presenting with ST-elevation myocardial infarction (STEMI). Randomization will be performed after successful culprit-lesion preparation and confirmation that all angiographic entry criteria are met. Patients will be randomly assigned in a 1:1 fashion to receive either treatment with a Paclitaxel-coated balloon alone or second or third-generation DES.

CONDITIONS

Official Title

Drug-Eluting Balloon or Drug-Eluting Stent in Acute Myocardial Infarction: A Randomized Controlled Trial

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age >18 years with a life expectancy of >1 year
  • Diagnosis of STEMI with chest pain lasting more than 20 minutes
  • At least 1 mm ST-elevation in at least two contiguous leads, new left bundle branch block, or confirmed true posterior myocardial infarction
  • Reperfusion feasible within 12 hours after symptom onset
  • Infarct-related artery suitable for PCI with de novo lesion in native coronary artery
  • Reference vessel diameter between 2.5 mm and 4 mm
  • Absence of severe artery calcification
  • Residual diameter stenosis ≤30% after lesion preparation
  • No coronary dissection type ≥C after lesion preparation
Not Eligible

You will not qualify if you...

  • Killip class > II on admission
  • Known allergy or contraindication to aspirin, clopidogrel, ticagrelor, heparin, or GP IIb/IIIa inhibitors
  • Previous myocardial infarction
  • Previous PCI in the infarct-related artery
  • Previous coronary artery bypass graft (CABG)
  • Presence of three-vessel disease requiring revascularization
  • Left-main coronary artery disease
  • Extremely angulated or severely calcified vessels
  • History of ischemic or hemorrhagic stroke within the last 6 months
  • Planned CABG for a non-culprit vessel
  • Participation in another investigational trial that might interfere with this study

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 5 locations

1

University Clinical Centre of the Republic of Srpska

Banja Luka, Bosnia and Herzegovina, 21204

Actively Recruiting

2

University Clinical Centre of Nis

Niš, Serbia, Serbia, 18105

Not Yet Recruiting

3

University Clinical Center of Serbia

Belgrade, Serbia, 11000

Actively Recruiting

4

Institute of Cardiovascular Diseases of Vojvodina

Kamenitz, Serbia, 21204

Actively Recruiting

5

University Clinical Center of Kragujevac

Kragujevac, Serbia, 34000

Not Yet Recruiting

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Research Team

M

Mila Kovačević, MD, PhD

CONTACT

B

Branislav Crnomarković, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Drug-Eluting Balloon or Drug-Eluting Stent in Acute Myocardial Infarction: A Randomized Controlled Trial | DecenTrialz