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临床试验/NCT04426396
NCT04426396已完成不适用

Coronary CT Angiography-Derived Fractional Flow Reserve for Functional Evaluation of Coronary Artery Disease

Second Affiliated Hospital, School of Medicine, Zhejiang University1 个研究点 分布在 1 个国家目标入组 339 人开始时间: 2020年4月15日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
339
试验地点
1
主要终点
Sensitivity and specificity of CT-FFR compared to FFR

研究概览

简要总结

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.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 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.

排除标准

  • 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;
  • CT-FFR can not be calculated because of the quality of CTA image;
  • Known pregnant and lactating women;
  • Having participated in other clinical trials within 3 months;
  • Other situations that the researchers judged were not suitable for inclusion.

结局指标

主要结局

Sensitivity and specificity of CT-FFR compared to FFR

时间窗: 1 day

次要结局

  • Diagnostic accuracy and AUC of CT-FFR compared to FFR(1 day)

研究者

发起方
Second Affiliated Hospital, School of Medicine, Zhejiang University
申办方类型
Other
责任方
Sponsor

研究点 (1)

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