This study is designed to investigate whether scoring balloon (non-slip element, NSE) predilation compared to non-compliant (NC) balloon predilation for de novo lesion in patients with high bleeding risk and planning to receive drug-coated balloon (DCB) treatment will lead to lower change in minimal lumen area (MLA) at 6 months by intravascular ultrasound (IVUS).
This is a pilot study that aim to enroll 60 subjects with high bleeding risk. All patients with coronary artery stenosis suitable for DCB treatment will undergo 1:1 randomization either to NSE predilation or NC balloon predilation using a randomization schedule. All subjects will be screened according to the predefined inclusion and exclusion criteria per protocol and will further undergo IVUS before DCB treatment. Data and images will be collected during the index procedure, and at the predefined 6-month IVUS follow-up visit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
NSE (Goodman®) predilation + DCB (Sequent® Please) treatment
NC balloon predilation + DCB (Sequent® Please) treatment
Nanjing First Hospital
Nanjing, Jiangsu, China
The absolute change in minimal lumen area (MLA)
The absolute change in MLA from post-procedure to 6-month follow-up identified by intravascular ultrasound (IVUS)
Time frame: 6 months
Bailout drug-eluting stents (DES) implantation rate
Bailout DES implantation rate during procedure by angiographic criteria
Time frame: During procedure
Fractional Flow Reserve (FFR) value
FFR value after balloon predilation measured by FFR
Time frame: immediately after balloon predilation
Minimum lumen area (MLA)
MLA after procedure by IVUS
Time frame: immediately after procedure
Minimum lumen diameter (MLD)
MLD after procedure by IVUS
Time frame: immediately after procedure
Plaque burden
Plaque burden after procedure by IVUS
Time frame: immediately after procedure
Dissection
Dissection after procedure by IVUS
Time frame: immediately after procedure
Atheroma volume
Atheroma volume after procedure by IVUS
Time frame: immediately after procedure
The diameter stenosis of target lesion
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The diameter stenosis of target lesion from post-procedure to 6-month follow-up by angiography
Time frame: 6 months
The late lumen loss of target lesion
The late lumen loss of target lesion from post-procedure to 6-month follow-up by angiography
Time frame: 6 months
The binary restenosis of target lesion
The binary restenosis of target lesion from post-procedure to 6-month follow-up by angiography
Time frame: 6 months
The composite of cardiac death, myocardial infarction, target lesion revascularization (TLR), and target lesion thrombosis
The composite of cardiac death, myocardial infarction, TLR, and target lesion thrombosis at 6 months.
Time frame: 6 months