Research on New Technologies for the Diagnosis and Treatment of Cardiovascular Diseases-Multi-parameter Noninvasive Early Diagnosis of Coronary Microvascular Diseases Series I: Clinical Study Protocol for a New Method of Evaluating Coronary Microvessels Based on Coronary IMR Calculated from Coronary Angiography Images
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Coronary Arterial Disease (CAD)
- Sponsor
- Second Affiliated Hospital, School of Medicine, Zhejiang University
- Enrollment
- 452
- Locations
- 1
- Primary Endpoint
- major adverse cardiac events
- Status
- Active, not recruiting
- Last Updated
- last year
Overview
Brief Summary
The goal of this observational study is to learn about the long-term prognostic of coronary microvascular dysfuction in Patients Treated with Rotational Atherectomy During Percutaneous Coronary Intervention.
The main question it aims to answer is: Does the coronary microvascular dysfunction impact the outcomes in Patients Treated with Rotational Atherectomy During Percutaneous Coronary Intervention.
Participants will answer survey questions about their clinical outcomes for 2 years by telephone.
Detailed Description
This study was a retrospective, multicenter observational investigation and approved by the local Human Research Ethics Committee and conducted in accordance with the principles outlined in the Helsinki Declaration.Patients aged 18 years or older who had severe coronary calcification and underwent successful RA during PCI were eligible for inclusion in the study. Exclusion criteria included target vessel was chronic total occlusion, poor angiographic image quality, failed RA and RA not used for severe coronary calcification. Angiography-derived index of microcirculatory resistance was measured in the target vessel treated with RA pre-PCI and post-PCI and blinded and performed by an independent core laboratory.The follow-up entailed the utilization of a multipronged approach, encompassing clinic visits, medical record reviews and telephone contacts.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients aged 18 years or older who had severe coronary calcification and underwent successful RA during PCI
Exclusion Criteria
- •target vessel was chronic total occlusion, poor angiographic image quality, failed RA and RA not used for severe coronary calcification
Outcomes
Primary Outcomes
major adverse cardiac events
Time Frame: 24 months after PCI
the composite of cardiac death, myocardial reinfarction, target vessel revascularization, and readmission for unstable angina
Secondary Outcomes
- target vessel failure(24 months after PCI)