MAGnesium-based bioresorbable scaffold and vasomotor function in patients with acute ST segment elevation myocardial infarction: The MAGSTEMI trial: Rationale and design.
Catheter Cardiovasc Interv
; 93(1): 64-70, 2019 01 01.
Article
in En
| MEDLINE
| ID: mdl-30196572
ABSTRACT
AIM:
Use of a Bioresorbable Scaffolds (BRS) either in clinical practice or in the setting of an acute myocardial infarction (MI) is controversial. Despite an overall high rate of thrombosis, vascular healing response following BRS implantation tend to superiority as compared to metallic drug-eluting stent in ST-segment elevation myocardial infarction (STEMI) patients. We sought to compare the in-stent/scaffold vasomotion between metallic BRS and sirolimus eluting stent (SES) at 12-month angiographic follow-up in the setting of patients with STEMI treated by primary PCI. STUDYDESIGN:
This is an investigator-driven, prospective, multicenter, randomized, single blind, two-arm, controlled trial (ClinicalTrials.gov number NCT03234348). This trial will randomize ~148 patients 11 to SES or BRS. Primary end-point is the in-stent/scaffold change in mean lumen diameter after nitroglycerin administration at 12-month angiographic follow-up. Besides, patient-oriented combined endpoint of all-cause death, any MI, and any revascularization, together with scaffold/stent thrombosis rate and device-oriented endpoint of cardiac death, target vessel (TV)-MI and TVR at 1 year will be also evaluated. Clinical follow-up will be scheduled yearly up to 5 years.CONCLUSION:
This trial will shed light on the vascular vasomotion following BRS implantation in the complex scenario of STEMI.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Vasomotor System
/
Cardiovascular Agents
/
Angioplasty, Balloon, Coronary
/
Sirolimus
/
Absorbable Implants
/
Drug-Eluting Stents
/
ST Elevation Myocardial Infarction
/
Magnesium
Type of study:
Clinical_trials
/
Observational_studies
Limits:
Humans
Country/Region as subject:
Europa
Language:
En
Journal:
Catheter Cardiovasc Interv
Journal subject:
CARDIOLOGIA
Year:
2019
Type:
Article
Affiliation country:
Spain