Anti Ischemic Effects of Abciximab in Angioplasty and Stenting Patients
Status: | Recruiting |
---|---|
Conditions: | Peripheral Vascular Disease, Cardiology |
Therapuetic Areas: | Cardiology / Vascular Diseases |
Healthy: | No |
Age Range: | 18 - 80 |
Updated: | 7/16/2013 |
Start Date: | January 2003 |
Contact: | Tanuj K Kamineni |
Email: | tkamine@emory.edu |
Phone: | 404 712 0168 |
AIR STUDY
TITLE: Anti-Ischemic effects of Abciximab(Reopro)
PATIENT POPULATION: Patients undergoing PCI(an interventional procedure placing a small
stent/metallic tube to keep a narrowed artery in your heart open) and either on a stable
statin dose or not on a statin. Statin= cholesterol lowering drug(ie, lipitor, zocor).
INTERVENTION: Heparin vs. heparin + abciximab during PCI
PURPOSE: Measure the effects of abciximab on special healing blood stem cells
(EPC's-Endothelial Progenitor Cells), on inflammation, on oxidative stress and on
microvascular blood flow.
PATIENT ASSESSMENT:
1. 50ccs blood draw on day 1(from sheath), day 2 ,day 7 and day 28.
2. Measurement of blood flow in selected suitable patients
3. 10 minute questionnaire before discharge and on visit on day 28.
Inclusion Criteria:
1. Have either:
- clinical history of anginal symptoms or positive stress test or
- in stent restenosis
2. Have an angiographic >70% coronary artery stenosis that will be treated with coronary
angioplasty or stenting procedure
3. For at least four weeks prior to the procedure have been on, no Hmgcoa- reductase
inhibitor or a stable statin dose
4. negative pregnancy test
5. are able to give informed consent
Exclusion Criteria:
1. Coronary intervention within four weeks prior to enrollment.
2. Treatment with abciximab antagonistwithin four weeks.
3. treatment with thrombolytic therapy within 48 hours
4. MI within 2 months.
5. recent infections
6. general anesthesia within 3 months.
7. renal failure
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