Outcomes and Safety in Patients Treated With STAR and Deferred Stenting After Unsuccessful CTO PCI
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 150
- 试验地点
- 2
- 主要终点
- Staged Procedure Success
研究概览
简要总结
STAR is a minimal-risk pragmatic clinical trial of patients admitted for a CTO-PCI procedure. The overall objective of the STAR Study is to address the current gaps in knowledge regarding use of STAR during CTO-PCI, as a prospective, multi-center study of 150 participants with randomization of timing of staged PCI. Five sites will be selected to participate in STAR from a national network of highly experienced CTO-PCI centers across the United States.
详细描述
To date, there have been no studies that prospectively and systemically evaluated the efficacy and safety of STAR with deferred stenting and described the frequency of its use in the hybrid approach. The aim of this study is to address these current gaps in knowledge, including the frequency of use of STAR by experienced operators, the safety of its use, optimal timing of staged stenting and health status change associated with this procedure. This prospective study will enroll 150 patients undergoing elective PCI of native CTO utilizing the STAR technique and will subsequently randomize patients in a 1:1 fashion to early (5-7 weeks) and later (12-14 weeks) timing of subsequent stenting.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
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
- •Subject is scheduled for a PCI procedure for at least one chronic total occlusion with TIMI antegrade flow of zero.
- •Subject is ≥ 18 years of age at the time of consent
- •The operator attempted STAR technique defined as knuckle guidewire across or into the CTO segment during the CTO PCI and is planned for a staged procedure.
- •English speaking due to follow up.
排除标准
- •The CTO segment is in a graft.
- •Female subjects with a positive quantitative or qualitative pregnancy test, in accordance with hospital policy.
- •Unable to participate in telephone follow-up
- •Too hard of hearing to do follow-up by telephone or deaf.
- •Incarcerated prisoner.
- •History of dementia.
- •Subjects without a way for contact by telephone for follow-up.
- •Previously enrolled in STAR.
- •Patient not a candidate for baseline and final angiography (CKD with eGFR<30).
- •The knuckled guidewire did not cross into the CTO segment during STAR attempt.
- •A stent was placed into the STAR segment during the Index Procedure.
- •Refused participation in the study.
- •Patient enrolled in another study.
结局指标
主要结局
Staged Procedure Success
时间窗: 14 weeks
success of the staged stenting procedure will be core lab adjudicated and defined as TIMI 3 flow, no major side branch loss, and residual stenosis \<30%
次要结局
- Vessel patency at time of staged stenting procedure(14 weeks)