Status:

UNKNOWN

Pressure-wire Guided PTCA: Drug Eluting Stent Versus Drug Eluting Balloon (WinDEB Study)

Lead Sponsor:

Medical University of Vienna

Conditions:

Coronary Artery Disease

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The aim of the study is to show the safety and efficacy of the SeQuent® Please (Drug Eluting Balloon or DEB) vs. commonly used Drug Eluting Stents in the treatment of small vessel disease and side bra...

Detailed Description

This study is a randomized, prospective, multi-center, efficacy study with a DES control group assessing the 6-month loss in FFR in patients treated with the "matrix coated paclitaxel-eluting PTCA-bal...

Eligibility Criteria

Inclusion

  • Patients of at least 18 years of age.
  • Patients with stable angina pectoris (CCS class 1-3) or with unstable angina pectoris (Braunwald class 1-2, A-C) or documented ischemia or with documented silent ischemia
  • Patients must agree to undergo the angiographic 6-month and clinical follow-ups at 12 and 36 months.
  • De novo coronary lesions including side branches in native coronary arteries (reference vessel between ≥ 2.0 and ≤ 3.0 mm, lesion length ≤ 25 mm as angiographically documented)
  • Diameter stenosis pre procedure must be either ≥ 70 % or ≥ 50 % if ischemia corresponding to the target lesion is documented either by exercise stress ECG, stress echocardiography, scintigraphy, MRT, or suspected based on angina pectoris.
  • Fractional Flow Reserve (FFR) must be less or equal to 0.75.

Exclusion

  • Patients with a life expectancy of less than 12 months
  • Patients that were treated with one or more DES during the last 12 months which would not allow 3-month dual antiplatelet therapy if the patient were randomized in the DEB treatment group.
  • Patients who are obliged to be on dual antiplatelet aggregation therapy for more than 3 months following study inclusion
  • Patients with acute (\< 24 h) or recent (48 hours) myocardial infarction
  • Patients with severe congestive heart failure or with severe heart failure NYHA IV or with severe valvular heart disease
  • Patients demonstrating clinical signs of cardiogenic shock at the time of the procedure (systolic blood pressure of less than 80 mmHg requiring inotropic support, IABP and/or fluid challenge)
  • DES treated lesion(s) during the last 12 months.
  • Thrombus burden (STEMI, NSTEMI) and/or total occlusion in the culprit segment
  • In-segment stenosis of the native vessel within the 5 mm adjacent to the stent

Key Trial Info

Start Date :

August 1 2011

Trial Type :

INTERVENTIONAL

End Date :

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT01399463

Start Date

August 1 2011

Last Update

July 21 2011

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