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Comparison of 2 Different Drug-Coated Balloons in In-Stent Restenosis: The RESTORE ISR China Randomized Trial

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机构: [a]Department of Cardiology, Chinese PLA General Hospital, Beijing, China [b]Department of Cardiology, Tianjin Chest Hospital, Tianjin, China [c]Department of Cardiology, Nanjing First Hospital, Nanjing, China [d]Department of Cardiology, Cangzhou Central Hospital, Cangzhou, China [e]Department of Cardiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China [f]Department of Cardiology, Beijing Chaoyang Hospital, and gDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China [h]Department of Cardiology, The First Hospital of Jilin University, Jinlin, China [i]Department of Cardiology, The First Hospital of Lanzhou University, Lanzhou, China [j]Department of Cardiology, Daqing Oilfield General Hospital, Daqing, China [k]Department of Cardiology, Tangdu Hospital of the Fourth Military Medical University, Xi’an, China [l]Department of Cardiology, Sir Run Run Shaw, Zhejiang University School of Medicine, Zhejiang, China [m]Medical Research and Biometrics Center, National Center for Cardiovascular Diseases of China, Beijing, China [n]Catheterization Laboratories, Fu Wai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Beijing, China
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关键词: drug-coated balloon drug-eluting stent(s) in-segment late loss in-stent restenosis

摘要:
Objectives: The aim of the present study was to evaluate the angiographic efficacy, clinical safety, and effectiveness of the Restore paclitaxel-coated balloon in a randomized trial designed to enable the approval of the new device in China. Background: Drug-coated balloon (DCB) angioplasty offers an effective treatment for in-stent restenosis. Restore is a new DCB with a SAFEPAX shellac-ammonium salt excipient that can avoid drug washing off during catheter delivery to the target lesion site. Methods: In the noninferiority RESTORE ISR China (Compare the Efficacy and Safety of RESTORE DEB and SeQuent Please in Chinese Patient With Coronary In-stent Restenosis) trial, eligible patients with first occurrence of drug-eluting stent ISR were randomized to the Restore DCB or SeQuent Please DCB in a 1:1 ratio stratified by diabetes. Angiographic and clinical follow-up was planned at 9 months and 1 year, respectively, in all patients. The study was powered for the primary endpoint of 9-month in-segment late loss. Results: Between May 2016 and July 2017, a total of 240 subjects at 12 sites were randomized to either the Restore group (n = 120) or the SeQuent Please group (n = 120). Nine-month in-segment late loss was 0.38 ± 0.50 mm with Restore versus 0.35 ± 0.47 mm with SeQuent Please; the 1-sided 97.5% upper confidence limit of the difference was 0.17 mm, achieving noninferiority of Restore compared with SeQuent Please (p for noninferiority = 0.02). Both DCBs had similar 1-year rates of target lesion failure (13.3% vs. 12.6%; p = 0.87). Conclusions: In this head-to-head randomized trial, the Restore DCB was noninferior to the SeQuent Please DCB for the primary endpoint of 9-month in-segment late loss. (Compare the Efficacy and Safety of RESTORE DEB and SeQuent Please in Chinese Patient With Coronary In-stent Restenosis; NCT02944890) © 2018 American College of Cardiology Foundation

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出版当年[2017]版:
大类 | 1 区 医学
小类 | 1 区 心脏和心血管系统
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 心脏和心血管系统
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出版当年[2016]版:
Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
最新[2023]版:
Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [a]Department of Cardiology, Chinese PLA General Hospital, Beijing, China [*1]Department of Cardiology, Chinese PLA General Hospital, No. 28, Fuxing Road, Haidian District, Beijing 100853, China
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通讯作者:
通讯机构: [a]Department of Cardiology, Chinese PLA General Hospital, Beijing, China [n]Catheterization Laboratories, Fu Wai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Beijing, China [*1]Department of Cardiology, Chinese PLA General Hospital, No. 28, Fuxing Road, Haidian District, Beijing 100853, China [*2]Catheterization Laboratories, Fu Wai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, A 167, Beilishi Road, Xicheng District, Beijing 100037, China.
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