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The study aims to find a DCB treatment for STEMI patients can achieve early and mid-term functional outcomes that are not inferior to DES, and realize the strategy of intervention without implantation.
The main objective of this study is to compare a Drug-coated Ballon with Drug-eluting stent in the treatment of coronary arty lesions in STEMI patients in de novo coronary lesions.The study aims to find a DCB treatment for STEMI patients can achieve early and mid-term functional outcomes that are not inferior to DES, and realize the strategy of intervention without implantation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Drug-coated ballon | Experimental | Treatment of in suit coronary lesions with drug-coated balloon |
|
| Drug-eluting stent | Active Comparator | Treatment of in suit coronary lesions with drug-eluting stent |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Drug-coated balloon | Device | Treatment of in suit coronary lesions with drug-coated balloon |
|
| Measure | Description | Time Frame |
|---|---|---|
| Late luminal loss (LLL) | LLL was the difference between the in-segment minimal lumen diameter after the procedure and at angiographic follow-up, as evaluated by quantitative coronary angiography | 9 months |
| Measure | Description | Time Frame |
|---|---|---|
| Restenosis rate (RR) | in-stent restenosis | 12-24 months |
| Target lesion failure (TLF) | The occurrence of cardiac death, target vessel myocardial infraction and target vessel revascularization |
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Inclusion Criteria:
Exclusion Criteria:
1.Clinical criteria
1)Left main lesion 2)The grade of dissection is greater than or equal to grade C lesions. 3)Coronary artery bridge lesions 4)In-stent restenosis 5)Severe stenosis of non-criminal lesions requiring selective treatment
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jiang Jun, PhD | Contact | 13588706891 | hu888po@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Jiang Jun, PhD | Second Affiliated Hospital Zhejiang University School of Medicine | Study Director |
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| Drug-eluting stent | Device | Treatment of in suit coronary lesions with drug-eluting balloon |
|
| 12-24 months |
| Target lesion thrombosis | Thrombus was classified as definite, probable, or possible, according to the definitions provided by the Academic Research Consortium (ARC). Regarding timing, ST was defined as early (<30 days), late (30 days to 1 year), or too late (>1 year) | 12-24 months |
| MACE | Non-fatal acute myocardial infarction, severe arrhythmia, heart failure, cardiovascular death | 12-24 months |
| ID | Term |
|---|---|
| D054855 | Drug-Eluting Stents |
| ID | Term |
|---|---|
| D015607 | Stents |
| D019736 | Prostheses and Implants |
| D004864 | Equipment and Supplies |
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