The accuracy, feasibility and safety of Fractional Flow Reserve in patients with acute ST-elevation myocardial infarction - FFR in STEMI

niversitair Medisch Centrum Groningen0 个研究点目标入组 50 人开始时间: 待定最近更新: 2024年5月6日

适应症

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•- A diagnosis of a STEMI defined by 1/A diagnosis of acute MI defined by chest pain suggestive for myocardial ischemia for at least 30 minutes, with a time from onset of symptoms of less than 12 hours, before hospital admission, 2/ ECG with ST- segment deviation of more than 0.1 mV in 2 or more leads and 3/Positive cardiac troponin T >0.01 *g/l.
•- Clinical indication for urgent PCI of the infarct related lesion as identified at coronary angiography
•- Planned staged PCI for a lesion in a non-infarct related vessel
•- Verbal followed by written informed consent
•- 18 years or older

•- Presence of cardiogenic shock
•- Implantation or planned implantation of an intra-aortic balloon pump
•- Failed reperfusion of the infarct related vessel (>30% residual stenosis and less than TIMI 3 coronary flow)
•- No staged PCI possible
•- Need for coronary artery bypass grafting
•- No suitable anatomy of the non-IRV (Left main stenosis of >50%, Diameter <2.5mm, Extremely tortuous or calcified coronary arteries, Chronic total occlusion, Collaterals visible, Previous CABG
•- Contra-indications for adenosine intracoronary (Second or third degree AV block, Sick sinus syndrome, Asthma, Hypersensitivity to adenosine)
•- Inability to provide informed consent

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