NCT04426396已完成不适用
Coronary CT Angiography-Derived Fractional Flow Reserve for Functional Evaluation of Coronary Artery Disease
Second Affiliated Hospital, School of Medicine, Zhejiang University1 个研究点 分布在 1 个国家目标入组 339 人开始时间: 2020年4月15日最近更新:
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 339
- 试验地点
- 1
- 主要终点
- Sensitivity and specificity of CT-FFR compared to FFR
研究概览
简要总结
This is a blind evaluation, self-control, multicenter clinical trial designed to determine the diagnostic performance of CT-FFR from coronary computed tomographic angiography (CCTA), as compared to CCTA alone, for non-invasive diagnosis of the presence of a hemodynamically significant coronary stenosis, using invasive fractional flow reserve (FFR) as the reference standard.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age≥ 18 years old;
- •Subjects with clinical need and consent for coronary angiography;
- •Can provide the results of coronary CT angiography within 60 days prior to ICA or agree to undergo coronary CT angiography;
- •The subjects knew about the experiment and signed the informed consent voluntarily.
排除标准
- •Patients who have had percutaneous coronary intervention (PCI);
- •Patients who had CABG;
- •Acute coronary syndrome, such as acute ST segment elevation;
- •Severe tachycardia or arrhythmia;
- •Patients with severe hepatorenal insufficiency;
- •Patients with congenital heart disease, implanted pacemaker or defibrillator, artificial heart valve;
- •Failure to perform invasive FFR examination or obtain FFR value due to various reasons;
- •Allergic to β - blockers, nitrates and adenosine, sick sinus syndrome, long QT syndrome, severe hypotension, severe asthma, severe COPD or COPD;
- •Persistent or significant clinical instability, including acute chest pain (sudden onset), cardiogenic shock, blood pressure instability (systolic blood pressure < 90mmHg) and severe congestive heart failure (according to the heart classification of the New York Heart Association, grade III or IV of cardiac function) or acute pulmonary edema;
- •The CTA images of coronary artery showed that the stenosis rate was less than 30% or greater than 90%, or the diameter of diseased segment was less than 2.0mm;
- •CT-FFR can not be calculated because of the quality of CTA image;
- •Known pregnant and lactating women;
- •Having participated in other clinical trials within 3 months;
- •Other situations that the researchers judged were not suitable for inclusion.
结局指标
主要结局
Sensitivity and specificity of CT-FFR compared to FFR
时间窗: 1 day
次要结局
- Diagnostic accuracy and AUC of CT-FFR compared to FFR(1 day)
研究者
研究点 (1)
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