FLOW Evaluation to Guide Revascularization in Multi-vessel ST-elevation Myocardial Infarction
NCT02943954 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1170
Last updated 2021-11-19
Summary
Although current guidelines recommend fractional flow reserve (FFR) to identify haemodynamically relevant coronary lesion(s) in stable patients when evidence of ischaemia is not available (Class I, Level of Evidence: A), no published study has assessed the usefulness of FFR to guide percutaneous coronary intervention (PCI) in ST-elevation myocardial infarction (STEMI) patients with multi-vessel disease (MVD).
The main objective of this study is to determine whether, in STEMI patients with MVD amenable to PCI, the use of FFR in addition to angiography will improve cardiovascular outcomes, compared with the current practice of angiography- guided PCI, by improving the appropriateness of revascularisations by assessing the relevance of non-culprit lesions in the context of STEMI with multivessel coronary artery disease.
The secondary objective is to assess the safety and the cost-effectiveness of the FFR-guided strategy compared to the angiography-guided strategy.
Conditions
- Acute ST Segment Elevation Myocardial Infarction
- Acute Myocardial Infarction
- Multi Vessel Coronary Artery Disease
Interventions
- PROCEDURE
-
Angiography guided PCI
- DEVICE
-
Fractional Flow Reserve (FFR)
Sponsors & Collaborators
- collaborator INDUSTRY
-
Ministry of Health, France
collaborator OTHER_GOV -
Assistance Publique - Hôpitaux de Paris
lead OTHER
Principal Investigators
-
Etienne PUYMIRAT, MD · AP - HP, Hôpital Europeen Georges-Pompidou, Paris, France
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-12-31
- Primary Completion
- 2020-10-24
- Completion
- 2022-01-31
Countries
- France
Study Locations
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