Comparative Study Between Intravascular Ultrasonography Guided and Angiography-guided Recanalization of Coronary Chronic Total Occlusions
NCT03159650 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 80
Last updated 2017-05-19
Summary
Chronic total occlusion is defined as thrombolysis in myocardial infarction (TIMI) flow grade 0 with an estimated duration of at least 3 months. The interest in chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has increased, but with failure rate up to 20%, leading to important developments in dedicated equipment and techniques.
In the 2014 European Guidelines on Myocardial Revascularization, intravascular ultrasound was recommended to guide stent implantation in selected patients, and this recommendation was a class IIa/level of evidence B.
In CTO PCI, certain angiographic features such as blunt proximal CTO cap, tortuosity, heavy calcification, and lack of visibility of path in the distal vessel increase procedural difficulty
Conditions
- Coronary Occlusion
Interventions
- DEVICE
-
intravascular ultrasonography
intravascular ultrasonography will be used during the study for the resolving proximal cap ambiguity of chronic total occlusion, facilitating re-entry into the true lumen after subintimal crossing and confirming distal true lumen guidewire position
Sponsors & Collaborators
-
Assiut University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DEVICE_FEASIBILITY
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-06-01
- Primary Completion
- 2019-06-01
- Completion
- 2019-10-01
More Related Trials
-
Risk Factors and Outcomes in Coronary Chronic Total Occlusion
NCT06137521 ·Status: RECRUITING
-
IVUS Assessment of Atheroma Burden After Acute Coronary Syndrome
NCT01578005 ·Status: COMPLETED
-
Role of CT Scan for the Successful Recanalization of Chronic Total Occlusion; a Randomized Comparison Between 3D CT-guided PCI vs. Conventional Treatment (CT-CTO Trial)
NCT02037698 ·Status: UNKNOWN ·Phase: NA
-
Tissue Characterization and Primary Percutaneous Coronary Intervention Guidance Using Intravascular Ultrasound
NCT05007535 ·Status: UNKNOWN
-
The Evaluation of Fractional Flow Reserve and D SPECT for the Intervention of Chronic Total Occlusion
NCT03803020 ·Status: UNKNOWN
-
Assessment of Lumen Expansion After Thrombus Extraction in Primary Percutaneous Coronary Intervention
NCT01878487 ·Status: COMPLETED ·Phase: NA
-
Contemporary Clinical Treatment and Long-term Outcomes in Patient With Coronary Chronic Total Occlusion
NCT03614559 ·Status: UNKNOWN
-
Intravascular Ultrasound (IVUS) in Complex Aortic Endovascular Interventions
NCT04663074 ·Status: COMPLETED
-
Observational Registry on Clinical Outcome After Diagnosis of Chronic Total Occlusions
NCT04145167 ·Status: UNKNOWN
-
To Evaluate Whether IVUS-guided Drug-eluting Stent (DES) Implantation Leads to Better Clinical Outcomes Compared to Conventional Angiography in the Treatment of Chronic Complete Occlusion (CTO) Disease.
NCT04944615 ·Status: RECRUITING ·Phase: NA
-
Intravascular ULTRAsound-Guided PCI in Patients With ST-Elevation Myocardial Infarction
NCT05974930 ·Status: NOT_YET_RECRUITING
-
IVUS Analysis for Coronary Obstruction in TAVI
NCT05164796 ·Status: UNKNOWN ·Phase: NA
-
Stereotaxis and Chronic Total Occlusion
NCT01980537 ·Status: COMPLETED ·Phase: NA
-
Properties of Myocardial Microcirculation in Patients With Different Pathomorphological Substrates, Before and After Recanalization of Coronary Artery CTO
NCT04060615 ·Status: UNKNOWN ·Phase: NA
-
The European Collaborative Project on Inflammation and Vascular Wall Remodeling in Atherosclerosis - Intravascular Ultrasound Study
NCT01789411 ·Status: UNKNOWN
-
Sonolysis in Risk Reduction of Symptomatic and Silent Brain Infarctions During Coronary Stenting
NCT02351050 ·Status: COMPLETED ·Phase: NA
-
Computed Tomography Angiography Prediction Score for Percutaneous Revascularization of Chronic Total Occlusions
NCT02022878 ·Status: COMPLETED
-
Investigating the Utility of Remote Index of Microvascular Resistance in Patients With Chronic Total Occlusion
NCT04226326 ·Status: COMPLETED ·Phase: NA
-
CTO Registry From Insight of IVUS in Fuwai Hospital
NCT03461367 ·Status: ACTIVE_NOT_RECRUITING
-
Intracoronary Thrombus Assessed by OFDI After Successful Fibrinolysis And Its Impact On Myocardial Reperfusion
NCT02850315 ·Status: COMPLETED
-
Study on the Improvement of Myocardial Microcirculation After Acute Anterior Myocardial Infarction
NCT06154395 ·Status: RECRUITING ·Phase: NA
-
IVUS VS CAG Guided PCI for Patients With LMB Lesion
NCT04072003 ·Status: UNKNOWN
-
Effect of PCI on Clinical Prognosis of Chronic Coronary Artery Occlusion
NCT06542653 ·Status: RECRUITING
-
Long-term Clinical Outcomes of intraVascular Ultrasound-guided vs Angiography-guided Primary pErcutaneous Intervention in Patients With Acute ST Segment Elevated Myocardial Infarction
NCT04063345 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Artificial Intelligence Based Timing, Infarct Size and Outcomes in Acute Coronary Occlusion Myocardial Infarction
NCT06910436 ·Status: RECRUITING