Minimizing Contrast Utilization With IVUS Guidance in Coronary Angioplasty to Avoid Acute Nephropathy
NCT02743156 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 300
Last updated 2016-04-26
Summary
Contrast-induced acute kidney injury (CI-AKI) is an important adverse effect of percutaneous coronary interventions. Despite various efforts, very few preventive measures have been shown effective in reducing its incidence.
The final volume of contrast media utilized during the procedure is a well- known independent factor affecting the occurrence of CI-AKI.
Intravascular ultrasound (IVUS) has been largely used as an adjunctive diagnostic tool during percutaneous coronary intervention (PCI). When fully explored, IVUS provides precise information for guiding PCI, thereby reducing the usage of contrast media. Accordingly, the recent MOZART study demonstrated that IVUS may lead to a 2-3-fold decrease in the volume of contrast media during PCI.
In the present study, the hypothesize that IVUS guidance, and its consequent reduction in the volume of contrast media, will in decrease the risk of CI-AKI after PCI, in comparison to standard angiography-guided intervention.
Conditions
- Acute Kidney Injury
- Acute Renal Failure
- Acute Renal Injury
Interventions
- PROCEDURE
-
IVUS-guided PCI
intravascular ultrasound-guided percutaneous coronary intervention
- PROCEDURE
-
Angiography-guided PCI
Angiography-guided percutaneous coronary intervention. This is the conventional treatment.
Sponsors & Collaborators
-
InCor Heart Institute
lead OTHER
Principal Investigators
-
Pedro A. Lemos, MD PhD · Heart Institute - InCor. University of Sao Paulo Medical School
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-04-30
- Primary Completion
- 2017-04-30
- Completion
- 2017-05-31
Countries
- Brazil
- Spain
Study Locations
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