Coronary Flow and Myocardial Viability: the FloVITA Study
NCT04818918 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 45
Last updated 2024-02-01
Summary
Evaluation of fractional flow reserve (FFR) is a key method for assessing ischemia with a view to guiding revascularization strategy following acute coronary syndrome. A stenosis that appears to be severe by angiography may cause limited ischemia (with an FFR value \>0.80) due to the incapacity of the necrotic zone to achieve physiological hyperemia, i.e. maximal coronary flow. Recently, it has been demonstrated that absolute coronary flow, and micro- and macrovascular resistance, as measured by a thermodilution technique, using the Rayflow microcatheter (Hexacath) are strongly associated with myocardial mass. In extensive necrosis, there is a loss of myocardial mass, and these tools could be of potential interest in measuring myocardial viability, which reflects the extent of remaining viable myocardial mass.
Therefore, this study aims to investigate the relationship between both absolute coronary flow and microvascular resistance, and myocardial viability assessed by MRI.
In a prospective, single-centre, interventional study, we will compare absolute coronary flow and microvascular resistance in the left anterior descending artery, in patients with and without a history of ST segment elevation MI.
Conditions
- Myocardial Infarction
- Myocardial Ischemia
Interventions
- DEVICE
-
Absolute coronary flow measurement
Absolute coronary flow will be measured.
- DEVICE
-
Microvascular resistance measurement
Microvascular resistance will be measured.
- OTHER
-
Cardiac MRI
Cardiac MRI will be performed to evaluate myocardial viability.
Sponsors & Collaborators
-
Centre Hospitalier Universitaire de Besancon
lead OTHER
Principal Investigators
-
Nicolas Meneveau, MD, PhD · Centre Hospitalier Universitaire de Besancon
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-05-19
- Primary Completion
- 2024-08-20
- Completion
- 2024-08-20
Countries
- France
Study Locations
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