Serial Evaluation of Drug-Eluting Stents Using OCT (STRUT-OCT)
Study Details
Study Description
Brief Summary
The study is proposed as a 48-patient randomized-controlled pilot study that will use Optical Coherence Tomography (OCT) imaging to compare stent strut coverage and malapposition of three second-generation Drug Eluting Stents (DES) [Xience EES (Abbott Vascular, Santa Clara, CA), Resolute Integrity ZES (Medtronic, Minneapolis, MN) and Promus Element EES (Boston Scientific, Natick, MA)] at 6 weeks post implantation.
Study Hypothesis is that the rates of stent strut coverage and malapposition of the Xience EES, Promus EES and will be similar to each other and improved (higher rates of stent strut coverage and lower rates of malapposition) compared to the Resolute ZES at 6 weeks post-implantation.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Xience EES This arm of patients will receive Xience Everolimus Eluting Stents(EES) as part of their clinically indicated PCI procedure and they will undergo Optical Coherence Tomography Imaging |
Device: Drug-eluting stent implantation
|
Active Comparator: Resolute Integrity ZES This arm of patients will receive Resolute Integrity Zotaralimus Eluting Stents (ZES) as part of their clinically indicated PCI procedure and they will undergo Optical Coherence Tomography Imaging |
Device: Drug-eluting stent implantation
|
Active Comparator: Promus Element EES This arm of patients will receive Promus Element Everolimus Eluting Stents (EES) as part of their clinically indicated PCI procedure and they will undergo Optical Coherence Tomography Imaging |
Device: Drug-eluting stent implantation
|
Outcome Measures
Primary Outcome Measures
- Stent Strut Coverage [6 weeks post-implantation]
- Stent Strut Malapposition [6 weeks post-implantation]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age greater than or equal to 18 years
-
Clinical need for percutaneous coronary intervention using either a Xience, Promus Element, or Resolute Integrity drug-eluting stent using optical coherence tomography optimization
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Native coronary artery de novo lesion with ≥70% angiographic percent diameter stenosis by visual estimation
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Target vessel reference diameter between 2.5 and 4.0 mm by visual estimate
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Target lesion ≤28 mm in length by visual estimate
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Agree to participate and provide informed consent
Exclusion Criteria:
1.Presentation with acute ST-elevation myocardial infarction (defined as electrocardiographic (ECG) ST-elevation ≥ 2 mm in 2 or more contiguous ECG leads along with symptoms compatible with ischemia)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | VA North Texas Health Care System | Dallas | Texas | United States | 75216 |
Sponsors and Collaborators
- North Texas Veterans Healthcare System
Investigators
- Principal Investigator: Shuaib Abdullah, MD, North Texas Veterans Healthcare System
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 13-043