Synergistic Effect of Combination Therapy With Cilostazol and Probucol on Plaque Stabilization and Lesion Regression: Serial Intravascular Ultrasound and Virtual Histology Study(SECURE Study)

Inclusion criteria

• Patients treated with PCI with stent
• Male or female over 20 years of age
• Presence of at least one PCI target lesion(lesion length ≤26mm) with ≥50% diameter stenosis that can be covered with a single Endeavor Sprint stent(Medtronic)
• Other PCI target lesions also should be treated with Endeavor Sprint stents
• Presence of an intermediate non-PCI target lesion with luminal narrowing of ≥30% and ≤70% by visual estimation
• Signed written informed consent to participate in the study

Exclusion criteria

• Intermediate (non-PCI target) lesions that might provide difficulty for IVUS evaluation because of following reasons: heavy calcification (>90° Arc), tortuous vessel with sever angulation, total occlusion, or bifurcation lesions
• Previous PCI in the last 6 months
• Previous CABG
• Patients with AMI undergoing primary PCI or rescue PCI after thrombolysis
• Cardiogenic shock
• Inability to take adequate anti-platelet therapy
• Thrombocytopenia (platelet count <70 x 109/l)
• Known hypersensitivity or contraindication to any of the following medications: Heparin, aspirin, clopidogrel, cilostazol, probucol, statin, contrast media*

*Patients with documented sensitivity to contrast media which can be effectively pre-medicated with steroids and diphenhydramine [e.g. rash] may be enrolled. Those with true anaphylaxis to prior contrast media, however, should not be enrolled.

• History of severe ventricular arrhythmia
• Significant QTc prolongation (≥470 ms) on ECG
• NYHA class III/IV heart failure or LV ejection fraction ≤35%
• Familial hypercholesterolemia
• Uncontrolled hypertriglyceridemia (>400 mg/dL)
• Chronic renal failure with serum creatinine level ≥2mg/dL
• Severe liver disease or transaminase level ≥3 times the upper limit of normal.
• Pregnant or breastfeeding