Clinicals

Trial

 

The purpose of this trial is to assess the safety and efficacy of the Amazonia PAX® Drug Eluting Coronary Stent System for the treatment of single de novo lesions in native coronary arteries with a reference vessel diameter of 2.5-3.5 mm.

The PAX A clinical trial will enroll 30 patients with a 1:1 randomization Amazonia PAX®:TAXUS® Liberté
1. Percentage of neointimal hyperplesia obstruction by IVUS at 4 months post-procedure.
1. Clinically-driven Target Vessel Failure (TVF), Target Lesion Revascularization (TLR) and Target Vessel Revascularization (TVR) at 9 months post-procedure.
2. Acute success (device, lesion, and procedure).
3. Angiographic in-stent Late Lumen Loss (LLL) at 4 months post-procedure.
4. Angiographic Binary Restenosis (ABR) rate and Minimum Luminal Diameter (MLD) at 4 months post-procedure.
5. Angiographic parameters (in-stent and in-segment) including percent Diameter Stenosis (%DS) at 4 months post-procedure.
6. Major Adverse Cardiac Event (MACE) rate at 30 days, 4 and 9 months post-procedure.


Other point:
Percentage of stent coverage by OCT at 4 months post-procedure.
Alexandre Abizaid, MD, PhD
Instituto Dante Pazzanese de Cardiologia
São Paulo, SP
Brazil
1. De novo lesion in a native coronary artery.
2. Reference diameter
1. Bifurcation lesion(s) including left main.
2. Heavily calcified lesions (visual estimation).
3. Severe tortuous lesions.
4. Documented Left Ventricular Ejection Fraction (LVEF) < 30% at most recent evaluation.
5. A known hypersensitivity or contraindication to aspirin, heparin or bivalirudin, ticlopidine or clopidogrel, cobalt chromium or stainless steel alloys, polymer coatings, contrast media, which cannot be adequately pre-medicated.
6. History of an allergic reaction or significant sensitivity to paclitaxel or drugs in similar class.
7. Chronic total occlusion (CTO).
8. A serum creatinine level > 2.0 mg/dl within seven days prior to index procedure.
9. Evidence of an acute MI within 72 hours of the intended index procedure (defined as: Q wave myocardial infarction (QWMI) or non-Q wave myocardial infarction (NQWMI) having CK enzymes > 2X the upper laboratory normal with the presence of a CK-MB elevated above the Institution
All patients will have a clinical follow-up at 1, 4, 9 and 12 months and subsequently every year up to 5 years.
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