MedPath

Coronary Interventions Ulm - Coronary Chronic Total Occlusions

Recruiting
Conditions
Chronic Total Occlusion of Coronary Artery
Chronic Total Occlusion
Interventions
Procedure: PCI - percutaneous coronary intervention
Registration Number
NCT04650139
Lead Sponsor
University Hospital Ulm
Brief Summary

The aim of the proposed project is to provide the long-term results after a recanalization attempt of chronically occluded coronary arteries.

To investigate recanalization attempt of chronically occluded coronary arteries at the Ulm University Hospital. As shown, it is known that successful recanalization of a chronic occlusion is associated with a lower event rate (reduced mortality and the need for operative myocardial revascularization) compared to unsuccessful recanalization (drug therapy). The standard in the therapy of successfully recanalized chronic occlusions is the use of drug-releasing vascular supports.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
500
Inclusion Criteria
  • Patients over 18 years

Coronary intervention in chronic coronary artery occlusion

Occlusion > 3 months

Indication for PTCA or recanalization according to guidlines

such as:

Symptoms of the patient

Evidence of myocardial ischemia (stress ECG, scintigraphic

Methods, magnetic resonance imaging, stress echocardiography)

pathological intracoronary flow reserve, prognostic

Exclusion Criteria
  • No chronic occlusion,
  • Contraindication to anti-platelet therapy

Acetylsalicylic acid plus clopidogrel for at least 3 months such as e.g.

with florid gastrointestinal ulcer disease,

History of hemorrhagic stroke

or urgent non-postponable surgical intervention.

Basic disease with a life expectancy of less than 12 months (here as a rule

no indication for PTCA or reopening available)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
successful CTOPCI - percutaneous coronary intervention-
non- successful CTOPCI - percutaneous coronary intervention-
Primary Outcome Measures
NameTimeMethod
MACE1 year

major adverse cardiac event

Secondary Outcome Measures
NameTimeMethod
TLR1 year

target lesion revascularization

Trial Locations

Locations (1)

University Ulm

🇩🇪

Ulm, Germany

© Copyright 2025. All Rights Reserved by MedPath