To identify the high-risk patients who might have in-stent thrombosis after PCI with thromboelastography and to head-to-head compare two intensified antiplatelet therapeutic strategies of double-dosage Clopidogrel and triple antiplatelet therapy with Cilostazol with the standard antiplatelet therapy.
Study population: Age 18 - 75, male or non-pregnant female; stable or unstable angina with evidence of myocardial ischemia, or patient with myocardial infarction; coronary angiography reveals stenosis lesions; discovery of ADP induced platelet inhibition rate \< 50% and MAADP \> 47mm via thromboelastography (indicating low responsiveness to Clopidogrel with high risk for stent thrombosis formation); is able to understand the objective of the trial, takes part voluntarily and signs the written informed consent form.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
1,078
Fuwai Cardiovascular Hospital
Beijing, China
Fuwai Cardiovascular Hospital
Beijing, China
Major adverse cardiac and cerebrovascular events
MACCE, including cardiac death, myocardial infarction, target vessel revascularization and cerebrovascular events
Time frame: within 1.5years of patient enrolled
Secondary endpoint
Occurrence of stent thrombosis
Time frame: within 1.5 years of patients enrolled
bleeding
Major bleeding and minor bleeding
Time frame: within 1.5 years of patients' enrolled
quality of life of patient
to evaluate with Seattle Angina Scale
Time frame: within 1.5 years of patients' enrolled
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