Comparison of Fractional Flow Reserve-Guided Strategy Versus Intravascular Ultrasound-Guided Stent Implantation after Angiography-Derived Fractional Flow Reserve-based Decision-Making

Seoul National University Hospital0 个研究点目标入组 1,936 人开始时间: 待定最近更新: 2024年6月24日

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•?Subject must be = 19 years.
•?Subject is able to verbally confirm understandings of risks, benefits and treatment alternatives of receiving invasive physiologic or imaging evaluation and PCI with a drug-eluting stent (DES) and he/she or his/her legally authorized representative provides written informed consent.
•?Subjects suspected with ischemic heart disease.
•?Subjects with coronary artery diameter stenosis 50-90% by angiography-based visual estimation eligible for stent implantation.
•?Target vessel size = 2.5mm in visual estimation.

•?Known hypersensitivity or contraindication to any of the following medications: Heparin, Aspirin, Clopidogrel, Prasugrel, Ticagrelor.
•?Active pathologic bleeding.
•?Gastrointestinal or genitourinary major bleeding within the prior 3 months.
•?History of bleeding diathesis, known coagulopathy.
•?Non-cardiac co-morbid conditions with life expectancy < 2 year.
•?Target lesion located in coronary arterial bypass graft.
•?Left main coronary artery diameter stenosis = 50%.
•?Chronic total occlusion in the study target vessel.
•?Culprit lesion of STEMI
•?Not eligible for angiography-derived FFR (ostial RCA = 50% stenosis, severe tortuosity, severe overlap, poor image quality)

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