OPtimal TIming of Fractional Flow Reserve-Guided Complete RevascularizatiON for Non-Infarct Related Artery in ST-Segment Elevation Myocardial Infarction with Multivessel Disease

Chonnam National University Hospital0 个研究点目标入组 994 人开始时间: 待定最近更新: 2024年1月22日

试验速览

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•1) Age = 19 years old
•2) ST-segment elevation myocardial infarction
•: ST-segment elevation = 0.1 mV in at least 2 contiguous leads or,
•: New onset left bundle branch block
•3) Primary PCI within 12 hours after symptom development
•4) Multivessel disease: Non-IRA with at least 2.5 mm diameter and 50% diameter stenosis by visual estimation
•5) Patient’s or protector’s agreement about study design and the risk of PCI

•1) Cardiogenic shock at initial presentation or after treatment of IRA
•2) Unprotected left main coronary artery disease with at least 50% diameter stenosis by visual estimation
•3) TIMI flow at non-IRA = 2
•4) Severe procedural complications (e.g. persistent no-reflow phenomenon, coronary artery perforation) which restricts study enrollment by operators’ decision
•5) Non-IRA lesion not suitable for PCI treatment by operators’ decision
•6) Chronic total occlusion at non-IRA
•7) History of anaphylaxis to contrast agent
•8) Pregnancy and lactation
•9) Life expectancy < 1-year
•10) Severe valvular disease
•11) History of CABG, or planned CABG
•12) Fibrinolysis before admission
•13) Severe asthma
•14) Patient's refusal to participate in study

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