Coronary Artery Bypass Grafting Clinical Trial
Official title:
Sealing Moderate Coronary Saphenous VEin Graft LEsions With the Paclitaxel-eluting Stent (Taxus) as a New Approach to Maintain Vein Graft Patency and Reduce Cardiac Events: a Pilot Intravascular Ultrasound Study.
HYPOTHESIS
1. Sealing moderate SVG lesions with the TAXUS stent prevents SVG atherosclerosis
progression as evaluated by IVUS.
2. Sealing moderate SVG lesions with the TAXUS stent does not accelerate SVG
atherosclerosis in the angiographically non-diseased segments of the SVG as evaluated
by IVUS.
OBJECTIVES
1. To determine the effect of stenting moderate SVG lesions with the paclitaxel-eluting
stent in comparison with medical treatment on limiting SVG disease progression as
evaluated by IVUS.
2. To evaluate by IVUS the effect of stenting moderate SVG lesions with the
paclitaxel-eluting stent in comparison with medical treatment on atherosclerosis
progression in angiographically non-diseased SVGs segments.
This will be a prospective randomized study assessing the efficacy of stenting moderate SVG lesions with the taxus stent in the prevention of atherosclerosis progression of SVGs as evaluated by IVUS. Patients with previous coronary bypass surgery with SVG implantation undergoing coronary angiography by clinical indication will be screened. If the patient has a moderate lesion at any level of the SVGs it will be includable in the study. After inclusion, the patients will be randomized to either stenting the moderate SVG lesion with the taxus stent or standard medical treatment. The use of a filter wire during dilation will be strongly recommended. Following this procedure, all patients will have clinical controls at 1 month and at 6 months and an angiographic and IVUS control study at 1 year follow-up. ;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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