About this trial
To evaluate the efficacy of the two DES (Drug Eluting Stent) used in terms of device-related adverse events at 12 months after PCI (Percutaneous Coronary Intervention).
To compare the clinical safety and efficacy by comparing net clinical events (defined as the combination of ischemic and hemorrhagic events) of the two DES used at 12 months after PCI.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients aged ≥18 years, and
Patients diagnosed with an acute coronary syndrome (ACS), either SCASEST (Acute Coronary Syndrome without Persistent ST-Segment Elevation) or IAMCEST (Acute Myocardial Infarction with Persistent ST-Segment Elevation), for which they will undergo PCI, and
Patients with de novo lesions in vessels with a reference diameter of ≥2.25 mm and ≤4.5 mm in whom implantation of one or more DES is clinically indicated, and
Patients who have been informed of the characteristics of the study and have provided written informed consent.
Disqualifiers
Patients in cardiogenic shock according to the severity criteria defined by the Society of Cardiovascular Angiography and Interventions (SCAI): "C" (Classic Shock), "D" (Deteriorating) and "E" (Extremis).
Patients unable to provide informed consent.
Patients with a known hypersensitivity or allergy to aspirin or any P2Y12 receptor inhibitor (clopidogrel, prasugrel, ticagrelor), heparin, contrast agents, or any of the components of DES.
Patients with active bleeding at the time of PCI requiring medical attention.
Trial design
Parallel
Treatments tested in this trial
ihtDEStiny® DES implanted
DeviceihtDEStiny® DES implanted
Xience™ DES implanted
DeviceXience™ DES implanted
Treatment groups
Trial outcomes
Primary outcomes
EFFICACY: Device-oriented Composite Endpoint (DoCE)
Composite clinical endpoint cardiac Rate at 12 months cause death, target vessel myocardial infraction (TV-MI), and Clinically individual target lesion revascularization (CI-TLR)
NACE
Composite clinical endpoint Rate of all-cause death, any stroke, any MI, any revascularization and BARC type 3 or 5 bleeding events
Secondary outcomes
All-Cause Death Rate at 12 months
All-Cause Death Rate at 12 months
All-Cause Death Rate at 24 months
All-Cause Death Rate at 24 months
Cardiac Death Rate at 12 months
Cardiac Death Rate at 12 months
Cardiac Death Rate at 24 months
Cardiac Death Rate at 24 months
Sponsors and contacts
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