Stable Angina Clinical Trial
Official title:
Evaluation of Vascular Regeneration After a Drug Eluting Stent Implantation and the Development of Neointimal Hyperplasia and Stent Restenosis (REVER Trial).
This is a prospective cohort, one center. twenty patients who will undergo percutaneous stent implantation with everolimus eluting stent will be include. The primary endpoint was the correlation between the change (baseline vs. 1 week) in the number of circulating endothelial progenitor cells and in cell functionality following an everolimus eluting stent implantation with the grade of neointimal hyperplasia measured by optical coherence tomography
For the purpose of the study, flow cytometry analyses will be performed before intervention,
at 1 week, 1 month and 9 months. In addition, cell functionality analyses will be performed
by quantification of colony forming units, aldehidrodehidrogenase activity, cell
proliferation by WST-1 and senescence by !-galactosidase enzyme. At 9 months the degree of
neointimal proliferation will be measured by optical coherence tomography . A clinical
follow-up will be performed at 1 year. Secondary endpoints include: 1. to correlate the
change in the number and cell functionality of circulation progenitor cells following
everolimus eluting stent and the injury score analyses measured by optical coherence
tomography, and the percentage of non covered struts by optical coherence tomography at 9
months.
2.-. To evaluate the role of other subtypes of cells CD 133+/Kinase Insert Domain Receptor
(KDR+), CD 14+, mesenchymal stem cells, endothelial cell markers (VE cadherina, P1H12),
integrin expression of Macrophage-1 antigen (MAC-1) and the development of neointimal
hyperplasia.
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