About this trial
This study aims to investigate whether DCB angioplasty, compared to statin-based medical treatment alone, will lead to more reduction in plaque lipid burden as assessed by near infrared spectroscopy (NIRS) at 6-9 months following the index procedure.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with significant multivessel coronary artery disease requiring revascularization
Any De novo lesions (reference vessel diameter of 2.25mm~4.0mm) suitable for DCB angioplasty
Lesion suitable for intravascular imagings
Written informed consent
Disqualifiers
Hemodynamically unstable or cardiogenic shock
Left main stenotic lesion or graft vessel lesion
Visible angiographic thrombus, not resolved by balloon angioplasty
Pregnancy or breastfeeding
Trial population
Patients with significant multi-vessel coronary artery disease requiring revascularization
Trial design
Cohort
Prospective
Treatments tested in this trial
SeQuent Please Neo
DeviceDCB angioplasty will be performed in accordance with the recent recommendations. Specifically, aggressive lesion predilation (balloon-to-artery ratio: 0.8 to 1.2) using either a plain balloon or a scoring balloon will be performed.
Treatment groups
Trial outcomes
Primary outcomes
Difference of serially-assessed lipid core burden index (LCBI) change between DCB-treated lesion vs. medically-treated lesion
ΔLCBI: NIRS-assessed changes in LCBI between baseline and follow-up.
Secondary outcomes
Difference of serially-assessed plaque burden change between DCB-treated lesion vs. medically-treated lesion.
ΔPlaque burden: IVUS-assessed changes in plaque burden between baseline and follow-up.
Sponsors and contacts
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Korea University Ansan Hospital
Lead sponsor
B. Braun Korea Co., Ltd.
Collaborator