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临床试验/NCT01046409
NCT01046409Unknown不适用

Comparison of Clinical, Electrical and Physiologic Significance Between Main Branch and Side Branch Vessels

Seoul National University Hospital1 个研究点 分布在 1 个国家目标入组 51 人开始时间: 2010年1月最近更新:
适应症

试验速览

阶段
不适用
入组人数
51
试验地点
1
主要终点
ST elevation during 1min balloon occlusion

研究概览

简要总结

The purpose of this trial is

  1. to compare the clinical significance of the main vessel and the side branch vessel using EKG, pain score and coronary wedge pressure
  2. to develop a new scoring system to predict the clinical significance of a side branch

详细描述

  1. Clinical significance EKG change, pain score during 1 min balloon occlusion
  2. Different characteristics between ST segment elevation vs non-elevation side branches
  3. Comparison of coronary wedge pressure
  4. Establishing a new scoring system to predict the ST elevation during 1min balloon occlusion

研究设计

研究类型
Observational
观察模型
Case Only
时间视角
Cross Sectional

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

  • Able to verbally confirm understandings of risks, benefits of receiving percutaneous coronary intervention (PCI) for true bifurcation lesions, and he/she or his/her legally authorized representative provides written informed consent prior to any study related procedure
  • Significant stenosis at bifurcation lesion (>50% by visual estimate) which always includes stenosis of side branch (true bifurcation)
  • Target main branch lesion(s) located in a native coronary artery with diameter of ≥ 2.5 mm and ≤ 4.5 mm. Target side branch lesion(s) in a native coronary artery with diameter of ≥ 2.25 mm
  • Target lesion(s) amenable for PCI with final kissing balloon angioplasty for the side branch

排除标准

  • Non-cardiac co-morbid conditions are present with life expectancy <1 year or that may result in protocol non-compliance (per site investigator's medical judgment)
  • Patients refuse to give informed consent
  • Patients with left main coronary artery stenosis
  • Patients with total occlusion of the bifurcation lesion
  • Patients with infarct-related artery at the lesion of interest
  • Patients with left ventricular ejection fraction<40%
  • Patients with primary cardiomyopathy
  • Patients with chronic kidney disease defined as serum Cr>2.0
  • Patients who have severe side effects or contraindication to adenosine

结局指标

主要结局

ST elevation during 1min balloon occlusion

时间窗: Day 1 after PCI

次要结局

  • Pain score during 1min balloon occlusion(Day 1 after PCI)
  • coronary wedge pressure(during the procedure)
  • Usefulness of new scoring system(During the procedure)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Bon-Kwon Koo

Associate professor

Seoul National University Hospital

研究点 (1)

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