NCT04426396
Completed
Not Applicable
Coronary CT Angiography-Derived Fractional Flow Reserve for Functional Evaluation of Coronary Artery Disease
Second Affiliated Hospital, School of Medicine, Zhejiang University1 site in 1 country339 target enrollmentApril 15, 2020
ConditionsCoronary Artery Disease
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Coronary Artery Disease
- Sponsor
- Second Affiliated Hospital, School of Medicine, Zhejiang University
- Enrollment
- 339
- Locations
- 1
- Primary Endpoint
- Sensitivity and specificity of CT-FFR compared to FFR
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •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.
Exclusion Criteria
- •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;
Outcomes
Primary Outcomes
Sensitivity and specificity of CT-FFR compared to FFR
Time Frame: 1 day
Secondary Outcomes
- Diagnostic accuracy and AUC of CT-FFR compared to FFR(1 day)
Study Sites (1)
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