Magnetic Resonance Adenosine Perfusion Imaging as Gatekeeper of Invasive Coronary Intervention
NCT02580851 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 200
Last updated 2018-05-02
Summary
Current guidelines for the diagnosis and management of patients with stable coronary artery disease (CAD) strongly support the performance of non-invasive imaging techniques for the detection of myocardial ischemia prior to revascularization procedures. This recommendation originates from the strong evidence base showing the lack of prognostic benefit from percutaneous coronary interventions (PCI) over optimal medical therapy in patients without verification of myocardial ischemia. On the other hand, it could be demonstrated that patients with functionally significant coronary artery stenoses do benefit from revascularization. Cardiac magnetic resonance imaging (CMR) has emerged to be a diagnostic modality of choice for the detection of myocardial ischemia with high sensitivity and specificity. The investigators therefore designed this prospective and randomized trial to compare a CMR-driven vs. angiography-driven management of patients with stable CAD concerning major cardiac endpoints, futile angiographies and quality of life.
Conditions
- Stable Coronary Artery Disease
- Cardiac Magnetic Resonance Imaging
- Coronary Angiography
- Myocardial Revascularization
- Outcomes and Prognosis
- Quality of Life
Interventions
- OTHER
-
diagnostic test - cardiac magnetic resonance imaging
- OTHER
-
diagnostic test - coronary angiography
Sponsors & Collaborators
-
University of Ulm
lead OTHER
Principal Investigators
-
Peter Bernhardt, Prof. Dr. · University of Ulm
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-12-31
- Primary Completion
- 2018-01-31
- Completion
- 2018-02-28
Countries
- Germany
Study Locations
More Related Trials
-
iNav-based, Automated Coronary Magnetic Resonance Angiography for the Detection of Coronary Artery Stenosis
NCT05473117 ·Status: NOT_YET_RECRUITING
-
Advanced Cardiac Magnetic Resonance Imaging for Assessment of Obstructive Coronary Artery Disease: ADVOCATE-CMR
NCT06419894 ·Status: NOT_YET_RECRUITING
-
Intracoronary Thrombus Detection by Magnetic Resonance Imaging
NCT02776657 ·Status: COMPLETED ·Phase: NA
-
Angio-IMR and Cardiac MR-derived MVO in STEMI Patients
NCT04828681 ·Status: COMPLETED
-
Detection and Significance of Heart Injury in ST Elevation Myocardial Infarction.
NCT02072850 ·Status: ACTIVE_NOT_RECRUITING
-
Non-Contrast Magnetic Resonance Angiography Assessment of Patients Referred for Transcatheter Aortic Valve Implantation
NCT02007967 ·Status: TERMINATED
-
Imaging of Vulnerable Plaques in Coronary Artery Disease by Multidetector Computed Tomography
NCT00482651 ·Status: COMPLETED ·Phase: NA
-
Using Cardiac MRI to Predict Outcomes in Patients With STEMI
NCT07072858 ·Status: RECRUITING
-
Magnetic Resonance Imaging of the Coronary Vessel Wall
NCT00456950 ·Status: COMPLETED
-
Contrast-Enhanced Whole-Heart Coronary Magnetic Resonance Angiography at 3.0-T: A Multicenter Trial
NCT01024478 ·Status: COMPLETED
-
Implementation of Non-size Markers Derived From 4D Flow MRI of Patients With Aortic Disease.
NCT02467062 ·Status: COMPLETED ·Phase: NA
-
Multimodal Imaging Assessment After Revascularization in Patients With Acute Myocardial Infarction
NCT07130409 ·Status: RECRUITING
-
Characterization of Irreversible Myocardial Injury in Cardiomyopathies by Contrast-enhanced CMR
NCT00549861 ·Status: COMPLETED ·Phase: NA
-
Improved Prediction of Functional Recovery After Revascularisation Using Combined Assessment of Myocardial Ischaemia and Viability by CMR - Pilot Study
NCT03798652 ·Status: UNKNOWN
-
Magnetic Resonance Angiography to Diagnose Atherosclerotic Disease
NCT00382564 ·Status: COMPLETED
-
Non-contrast 3-dimensional Cardiac Magnetic Resonance Imaging
NCT04496297 ·Status: COMPLETED
-
The Use of Myocardial Deformation Imaging
NCT00476320 ·Status: COMPLETED
-
iFR Guided Multi-vessel Revascularization During Percutaneous Coronary Intervention for Acute Myocardial Infarction
NCT03298659 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Non-contrast Enhanced Cardiac Magnetic Resonance Normal Values and Imaging Protocols
NCT01728597 ·Status: RECRUITING
-
Whole Body Magnetic Resonance Angiography in Ischemic Patients
NCT00538408 ·Status: UNKNOWN
-
A Study of Gadodiamide Injection in Myocardial Perfusion Magnetic Resonance Imaging
NCT00977093 ·Status: COMPLETED ·Phase: PHASE3
-
CMR in the Assessment of Patient With ACS in the Emergency Room
NCT00564382 ·Status: COMPLETED ·Phase: NA
-
Utility of MR Lymphangiography in Postoperative Follow-up of Lymphedema: Comparison With Lymphoscintigraphy
NCT02550951 ·Status: UNKNOWN ·Phase: NA
-
Myocardial Perfusion Imaging by Combined 15O-H2O PET and MR
NCT04940247 ·Status: COMPLETED
-
Use of Stress-CMR Using Regadenoson and GE-267 in Adult Patients with Known or Suspected Coronary Artery Disease
NCT06246188 ·Status: NOT_YET_RECRUITING