Patient description: A 46-year-old man presents with dizziness and frequent headaches. He has a family history of CAD, but no other cardiovascular risk factors such as smoking, high blood pressure, and diabetes mellitus and is physically active. The patient's LDL-C and HDL-C levels were 545 and 53 mg/dL, respectively. His fasting glucose and triglyceride levels (85 and 158 mg/dL, resp.) were within normal limits. The patient reported no use of lipid-lowering medications. Neck auscultation revealed a systolic murmur 3+/6+ in the neck, radiating to the skull. Ultrasonography of the carotid arteries, revealed severe stenosis in the left internal carotid artery (LICA), as well as moderate stenosis in the right internal carotid artery (RICA) estimated between 40% and 50%. For the LICA, the peak-systolic (PSV) and end-diastolic velocity (EDV) cutoff values were 208.5 cm/s and 54.5 cm/s, respectively; RICA PSV was 91.72 cm/s and RICA EDV was 37.37 cm/s. Plaque was observed in the anterior and posterior walls of the internal carotid artery and common carotid artery, which were characterized as bulky plates extending to the middle third of the internal coronary arteries (ICAs) and as predominantly echogenic and hyperechoic, with less than 50% of the area being echolucent with uneven surfaces.

Clinical trial eligibility criteria: eligible ages (years): 18.0-85.0,  Coronary Artery Disease Coronary Artery Stenosis 18 to 85 years of age; 2. Symptomatic ischemic heart disease (CCS class 1-4, Braunwald class IB, IC, and/or objective evidence of myocardial ischemia); 3. Treatment of 1 or 2 de novo lesions; 4. Target lesion(s) is(are) located in a native coronary artery, which can be covered by one single stent of maximum 33 mm; The coronary artery lesion should be ≤27 mm in length (a margin of 3mm proximal and 3mm distal is recommended) and should be entirely covered by one single Genous Bio-engineered R stentTM . If predilation of the lesion is visually deemed necessary it should be performed prior to measuring the length of the lesion. 5. Reference vessel diameter ≥ 2.5 and ≤ 3.75 mm by visual estimate; 6. Acceptable candidate for coronary artery bypass surgery (CABG); 7. Target lesion stenosis is ≥50% and <100% (minimum TIMI flow I at the time of the PCI procedure) (visual estimate); 8. The patient is willing to comply with the specified follow-up evaluation; 9. The patient has been informed of the nature of the study agrees to its provisions and has provided written informed consent, approved by the appropriate Ethics Committee (EC)  General Women who are pregnant or women of childbearing potential who do not use adequate contraception; 2. A Q-wave or non-Q-wave myocardial infarction within 72 hours preceding the index procedure, unless the CK and CK-MB enzymes or Troponin levels are less than twice the Upper Normal Limit; 3. Impaired renal function (creatinine > 3.0 mg/dl or 265 µmol/l); 4. Any patient who has a platelet count < 100,000 cells/mm3 or > 700,000 cells/mm3 or a WBC of < 3,000 cells/mm3; 5. Documented or suspected liver disease (including laboratory evidence of hepatitis); 6. Recipient of heart transplant; 7. Any patient who previously received murine therapeutic antibodies and exhibited sensitization through the production of Human Anti-murine Antibodies (HAMA); 8. Patient with a life expectancy less than the follow-up period (5 years); 9. Known allergies to aspirin, clopidogrel bisulphate (Plavix®) and ticlopidine (Ticlid®), heparin, or stainless steel; 10. Known side-effects (clinically demonstrated by biological tests, elevated CK and liver assessments) to statins and previous attempts to treat side-effects were unsuccessful; 11. Any significant medical condition which in the Investigator's opinion may interfere with the patient's optimal participation in the study; 12. Currently participating in an investigational drug or another device study that has not completed the primary endpoint, or subject to in another investigational drug or another device study during follow-up of this study; 13. Patients currently undergoing chemotherapy or immunosuppressant therapy; 14. Patients with known malignancy(ies). Angiographic Unprotected left main coronary artery disease with ≥ 50% stenosis; 16. Ostial target lesion; 17. Totally occluded target vessel (TIMI flow 0); 18. Target lesion has excessive tortuosity unsuitable for stent delivery and deployment; 19. Target lesion involves bifurcation class D & type G including a side branch ≥ 2.5mm in diameter (either stenosis of both main vessel and major side branch or stenosis of just major side branch) that would require stenting of diseased side branch; 20. Angiographic evidence of thrombus in the target vessel; 21. A significant (> 50%) stenosis proximal or distal to the target lesion; 22. Impaired runoff in the treatment vessel with diffuse distal disease; 23. Ejection fraction ≤ 30%; 24. Pre-treatment with devices other than balloon angioplasty, although direct stenting is allowed; 25. Prior stent within 5mm of target lesion; 26. Intervention of another lesion within 6 months before or within the scheduled angiographic follow-up of the index procedure