MedPath

Myocardial Injury following Coronary Artery bypass Surgery versus percutaneous coronary Angioplasty with stents: a randomised controlled trial using biochemical markers and cardiovascular magnetic resonance imaging

Completed
Conditions
Circulatory System
Coronary artery disease
Multivessel coronary artery disease
Registration Number
ISRCTN25699844
Lead Sponsor
Oxford Radcliffe Hospitals NHS Trust (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
60
Inclusion Criteria

1. Patients with greater than or equal to two vessel CAD (greater than or equal to 50% stenosis) including the Left Anterior Descending (LAD), and/or a functionally significant left main stem stenosis of 50% or more
2. Equivalent revascularisation can be provided by PCI and CABG
3. Angina (stable or unstable), or documented silent ischaemia on functional stress testing

Exclusion Criteria

1. Contraindication to aspirin or clopidogrel
2. Women of childbearing potential
3. Non-viable myocardium in the area subtended by diseased vessels
4. Patients requiring concomitant cardiac surgery
5. Acute myocardial infarction

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The frequency of new myocardial injury following PCI and CABG as assessed by biochemical markers (troponin I) and MRI.
Secondary Outcome Measures
NameTimeMethod
1. Total amount of new myocardial necrosis (in grams) assessed by MRI<br>2. Change in left ventricular function assessed by MRI
© Copyright 2025. All Rights Reserved by MedPath