About this trial
The goal of this clinical trial is to compare the use of a specific drug eluting balloon (Magic Touch, Concept Medical®) versus standard drug eluting stent based strategies in patients with long coronary lesions.
Participants with chronic coronary disease and long coronary stenosis will be randomly assign to be treated either with Magic Touch balloon or drug eluting stent.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patients (≥18 years old) with chronic coronary syndrome deemed suitable for PCI
At least one significant de-novo coronary lesion (defined as diameter stenosis > 50% on angiography, with flow limiting features, confirmed with FFR ≤0.80 or iFR ≤0.89 and intended implantation of a long (≥30 mm) DES based on IVUS findings
Written informed consent
Disqualifiers
Patients referred to the index procedure for an acute coronary syndrome
Target lesion involving the left main and/or ostial left coronary artery, ostial left circumflex artery or ostial right coronary artery
Severe renal impairment (eGFR<15ml/min/1.73m2) or patient on dialysis treatment
Spontaneous coronary artery dissection (SCAD)
Trial design
Parallel
Treatments tested in this trial
Magic Touch drug eluting balloon based strategy
DeviceAdult patients with chronic coronary syndrome deemed suitable for percutaneous intervention and significant long de-novo coronary lesion randomized in the experimental arm will receive treatment with drug eluting balloon (Magic Touch®) followed by invasive follow up (FFR and IVUS) at 6 ot 12 months in a randomized fashion.
Drug-eluting stent-based strategy
DeviceAdult patients with chronic coronary syndrome deemed suitable for percutaneous intervention and significant long de-novo coronary lesion randomized in the control arm will receive treatment with drug-eluting stent followed by invasive follow up (FFR and IVUS) at 6 ot 12 months in a randomized fashion.
Treatment groups
Trial outcomes
Primary outcomes
Absolute change of FFR values (ΔFFR)
Absolute change of fractional flow reserve (FFR) values (ΔFFR) measured at the final assessment immediately after the index PCI and invasive follow-up at 6(±30days) or 12(±30 days) months
Secondary outcomes
QCA parameter (minimal lumen diameter, MLD, mm) before and after the intervention and at follow-up angiography
Minimal lumen diameter (MLD,mm) before the intervention, immediately after the intervention and at follow-up angiography.
QCA parameter (maximal diameter stenosis, MaxS, percent) before and after the intervention and at follow-up angiography
Maximal diameter stenosis (MaxS, percent) before the intervention, immediately after the intervention and at follow-up angiography.
QCA parameter (reference vessel diameter, RVD, mm) before and after the intervention and at follow-up angiography
Reference vessel diameter (RVD, mm) before the intervention, immediately after the intervention and at follow-up angiography.
QCA parameter (lesion length, LL, mm) before and after the intervention and at follow-up angiography.
Lesion length (LL, mm) before the intervention, immediately after the intervention and at follow-up angiography.
Sponsors and contacts
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Cardiocentro Ticino
Lead sponsor
University of Bern
Collaborator