MedPath

Study of the Natural History of FFR Guided Percutaneous Coronary Intervention

Recruiting
Conditions
Coronary Artery Disease
Registration Number
NCT01366404
Lead Sponsor
Seung-Jung Park
Brief Summary

About 20,000 patients with FFR (Fractional Flow Reserve) will be enrolled and evaluated for the natural history of coronary lesions at 2 years clinical and imaging follow-up.

Detailed Description

This is a multicenter, prospective cohort. About 20,000 patients with FFR will be enrolled at multi centres in Korea.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
20000
Inclusion Criteria
  • Age 35 years and older
  • FFR measurement on one and more coronary artery stenosis
  • Willing and able to provide informed, written consent
Exclusion Criteria
  • Stenosis with TIMI<3 flow
  • Graft vessel
  • Ejection fraction < 30%
  • Angiographic evidence of extreme tortuosity or calcified coronary vessels
  • Suspected coronary spasm even after sufficient nitrate injected
  • Life expectancy <2 year
  • Planned cardiac surgery or planned major non cardiac surgery
  • Woman who are breastfeeding, pregnant or planning to become pregnant during the course of the study

Imaging study specific exclusion criteria

  • visually-estimated angiographic reference segment diameter of <2.75mm or >4.0mm
  • Inappropriate for IVUS/VH/OCT procedures : inability for imaging wire or catheter to pass through the tight stenosis, severe calcification, angulation

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
composite Cardiac Death,Non Fatal Myocardial Infarction, Target Vessel Revascularization, and Indeterminate eventsat 2 year after index FFR measurement
Target vessel failure2 year after index FFR measurement
Secondary Outcome Measures
NameTimeMethod
stented lesion related event including death, myocardial infarction, repeat revascularization2 year follow-up after index FFR measurement
change in IVUS-measured MLA2 year follow-up after index FFR measurement
number of anti-anginal medication prescribed2 year follow-up after index FFR measurement
change in FFR2 year follow-up after index FFR measurement
Target lesion revascularizationat 2 year after index FFR measurement
Any re-hospitalization with a cardiac cause2 year follow-up after index FFR measurement
cardiac death and myocardial infarction2 year follow-up after index FFR measurement
Target vessel revascularizationat 2 year after index FFR measurement
anginal status2 year follow-up after index FFR measurement
clinical predictors of events2 year follow-up after index FFR measurement
change in plaque composition (%necrotic core volume) in target segment2 year follow-up after index FFR measurement
Death (all cause and cardiac)at 2 year after index FFR measurement
MIat 2 year after index FFR measurement
stroke2 year follow-up after index FFR measurement
complication of FFR measurement2 year follow-up after index FFR measurement
change in plaque type assessed by VH(Virtual Histology) and OCT(Optical coherence tomography)2 year follow-up after index FFR measurement
change in total atheroma volume and percent atheroma volume2 year follow-up after index FFR measurement
stent thrombosis2 year follow-up after index FFR measurement

Trial Locations

Locations (29)

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

Hallym University Sacred Heart Hospital

🇰🇷

Anyang, Korea, Republic of

Soon Chun Hyang University Hospital Bucheon

🇰🇷

Bucheon, Korea, Republic of

Chungbuk National University Hospital

🇰🇷

Cheongju, Korea, Republic of

Gangwon National Univ. Hospital

🇰🇷

Chuncheon, Korea, Republic of

Daegu Catholic University Center

🇰🇷

Daegu, Korea, Republic of

Keimyung University Dongsan Medical Center

🇰🇷

Daegu, Korea, Republic of

Kyungpook National university hospital

🇰🇷

Daegu, Korea, Republic of

Yeungnam University Medical Center

🇰🇷

Daegu, Korea, Republic of

Chungnam National University Hospital

🇰🇷

Daejeon, Korea, Republic of

The Catholic University of Korea, Deajeon St.Mary's hospital

🇰🇷

Daejeon, Korea, Republic of

Gangneung Asan Hospital

🇰🇷

Gangneung, Korea, Republic of

Chonnam National University Hospital

🇰🇷

Gwangju, Korea, Republic of

Inje University Ilsan Paik Hospital

🇰🇷

Ilsan, Korea, Republic of

Dong-A Medical Center

🇰🇷

Pusan, Korea, Republic of

Pusan National University Hospital

🇰🇷

Pusan, Korea, Republic of

Seoul university Bundang hospital

🇰🇷

Seongnam, Korea, Republic of

Gangnam Severance Hospital

🇰🇷

Seoul, Korea, Republic of

Hallym University Kangdong Sacred Heart Hospital

🇰🇷

Seoul, Korea, Republic of

Korea University Anam Hospital

🇰🇷

Seoul, Korea, Republic of

Korea University Guro Hospital

🇰🇷

Seoul, Korea, Republic of

Kyung-Hee University Hospital at Kangdong

🇰🇷

Seoul, Korea, Republic of

Seoul National University Boramae Medical Center

🇰🇷

Seoul, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

The Catholic University of Korea, Seoul St.Mary's Hospital

🇰🇷

Seoul, Korea, Republic of

The Catholic University of Korea, Yeouido St. Mary's Hospital

🇰🇷

Seoul, Korea, Republic of

Ulsan University Hospital

🇰🇷

Ulsan, Korea, Republic of

Wonju Severance Christian Hospital

🇰🇷

Wonju, Korea, Republic of

Pusan National University Yangsan Hospital

🇰🇷

Yangsan, Korea, Republic of

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