NCT02208388招募中不适用
Prospective Evaluation of MyocaRdial PerFUSion ComputEd Tomography Trial: Ischemia-guided Revascularization Using Perfusion Coronary CT vs. Fractional Flow Reserve
Young-Hak Kim, MD, PhD7 个研究点 分布在 1 个国家目标入组 1,000 人开始时间: 2014年8月12日最近更新:
适应症
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 1,000
- 试验地点
- 7
- 主要终点
- Composite Events
研究概览
简要总结
The purpose of this study is to evaluate safety and effectiveness of CTP(computed tomography perfusion) guided revascularization vs FFR(Fractional flow reserve) guided revascularization
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 20 and more
- •Diagnosed angina or angina equivalent symptom or positive exercise treadmill test
- •Patients with intermediate- or high-risk probability of CAD defined by Diamond and Forester
- •70 % stenosis or more in coronary CTA
- •Willing to provide informed, written consent
排除标准
- •Requirement for surgical procedure
- •Cardiogenic shock and/or need for mechanical/pharmacologic hemodynamic support
- •Recent STEMI (<5 days)
- •Non STEMI, if the cardiac troponin is not stable or starting to decline
- •Left ventricular ejection fraction <30%
- •Life expectancy <2 years
- •Impaired renal function with an effective glomerular filtration rate less than 30mL/min/1.73 ㎡ or creatinine more than 2.0 mg/dL
- •Undergoing evaluation for organ transplantation
- •Participation or planned participation in another cardiovascular clinical trial
- •Pregnancy
- •Inability to take dual antiplatelet therapy for six months
- •Previous CABG
- •Left main disease requiring revascularization
- •Any target lesion with in-stent restenosis
- •NYHA class 3 or 4a
- •Severe and persistent angina with severe limitation in everyday living activities (Canadian Cardiovascular Society grading Class IV)
结局指标
主要结局
Composite Events
时间窗: 1 year
All cause death, Myocardial infarction, Diseased-related unplanned hospitalization or stroke
次要结局
- Myocardial infarction(5 year)
- Target vessel revascularization(5 year)
- All cause death(5 year)
- Seattle Angina Questionnaire,EQ5D questionnaire(5 year)
- Success of intervention(5 year)
- Stent thrombosis(5 year)
- Cost effective analysis(1 year)
研究者
Young-Hak Kim, MD, PhD
MD
Asan Medical Center
研究点 (7)
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