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The European Bifurcation Club Left Main Study

Not Applicable
Conditions
Percutaneous Transluminal Coronary Angioplasty
Coronary Artery Disease
Registration Number
NCT02497014
Lead Sponsor
European Cardiovascular Research Center
Brief Summary

The objective of the study is to investigate clinical outcomes following single versus dual stenting strategies for the treatment of true bifurcation distal left main coronary artery lesions.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
450
Inclusion Criteria

Patients must meet ALL of the inclusion criteria:

  • Bifurcation distal left main stem stenosis >50% and

    • Ischaemic symptoms, or
    • Positive non-invasive imaging for ischaemia, or
    • Positive FFR, or
    • LMS IVUS MLA <6mm2
  • Left main diameter ≤5.75mm

  • True bifurcation lesion type 1,1,1 or 0,1,1

  • LAD and Cx diameter both >2.75mm

  • Unprotected left main

  • Patient ≥18 years old

Exclusion Criteria
  • STEMI <72 hours preceding
  • Cardiogenic shock
  • Chronic total occlusion of either vessel
  • >2 other coronary lesions planned for treatment
  • SYNTAX score for planned lesions to be treated >32
  • LMS trifurcation if all vessels are ≥2.75mm diameter
  • Either bifurcation vessel not suitable for stenting
  • Platelet count ≤50 x 10^9/mm3
  • Left ventricular ejection fraction ≤20%
  • Patient life expectancy less than 12 months
  • Participation in another investigational drug or device study
  • Patient unable to give informed consent
  • Women of child-bearing potential or lactating

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Composite of Death, Myocardial infarction and Target Lesion Revascularisation1 year
Secondary Outcome Measures
NameTimeMethod
Stent thrombosis1 year
Angina status1 year
Death3 years
Target Lesion Revascularization3 years
Myocardial Infarction3 years

Trial Locations

Locations (24)

Aarhus University Hospital

🇩🇰

Aarhus, Denmark

Rigshospitalet Copenhagen University Hospital

🇩🇰

Copenhagen, Denmark

Clinique de Fontaine

🇫🇷

Fontaine-lès-Dijon, France

HCL CHU Luis Pradel

🇫🇷

Lyon, France

Hopital Jacques Cartier

🇫🇷

Massy, France

Clinique Saint Hilaire

🇫🇷

Rouen, France

Clinique Pasteur

🇫🇷

Toulouse, France

CHU Rangueil

🇫🇷

Toulouse, France

Herzzentrum Bad Krozingen

🇩🇪

Bad Krozingen, Germany

Elisabeth Krankenhaus Essen

🇩🇪

Essen, Germany

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Aarhus University Hospital
🇩🇰Aarhus, Denmark

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