Diagnostic Performance of Coronary CT Angiography With CT FFR in Kidney Transplantation Candidates
NCT03248674 · Status: TERMINATED · Type: OBSERVATIONAL · Enrollment: 26
Last updated 2022-01-06
Summary
Patients with chronic kidney disease (CKD) before kidney transplantation require that obstructive coronary artery disease (CAD) is excluded, as cardiovascular complications are the leading cause of mortality in kidney transplant patients. However, in this patient population, the optimal method for the detection of obstructive CAD has not been identified. Noninvasive stress tests such as Dobutamine stress echocardiography or nuclear perfusion study have low diagnostic accuracy. CT fractional flow reserve measurement (CT FFR) is a novel non-invasive (FDA approved) imaging test to identify obstructive CAD. The goal of this project is to evaluate the diagnostic accuracy of CT FFR in the detection of obstructive coronary artery disease in patients with chronic kidney disease before kidney transplantation.
Conditions
- Coronary Artery Disease
- Computed Tomography
Interventions
- DIAGNOSTIC_TEST
-
CT FFR
CT FFR calculated the fractional flow reserve based on the data derived for a regular coronary CT angiography. Computation is based on development of an anatomic model of the epicardial coronary arteries for each case and calculating the maximum coronary flow during maximal hyperaemia based on a mathematical model incorporating fluid dynamics. These post-processing steps require quantification of the patient-specific myocardial mass as this allows for an estimation of the baseline coronary blood flow.
Sponsors & Collaborators
-
Siemens Medical Solutions
collaborator INDUSTRY - lead OTHER
Principal Investigators
-
Dominik Fleischmann, M.D. · Stanford Radiology
Eligibility
- Min Age
- 21 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-08-28
- Primary Completion
- 2020-01-24
- Completion
- 2020-01-24
- FDA Device
- Yes
Countries
- United States
Study Locations
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