Diagnostic and Prognostic Value of Angiography-derived IMR
NCT04825028 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 271
Last updated 2021-04-01
Summary
The importance of the microvasculature in determining clinical outcomes has been highlighted in patients with coronary artery disease (CAD). For patients with stable CAD, despite the success of percutaneous coronary intervention (PCI) in relieving a stenosis in the epicardial coronary artery, microvascular dysfunction may preclude sufficient coronary flow and myocardial perfusion, possibly leading to worse clinical outcome. With the technical development of computational fluid dynamics, angiographic derivation of index of Index of Microcirculatory Resistance (IMR) without pressure wire, hyperemic agents, or theromdilution method is available as a potential alternative for pressure wire-derived IMR. In this regard, the current study will evaluate diagnostic implication of angiography-derived IMR and its prognostic implication after PCI in patients with stable CAD.
Conditions
- Coronary Microvascular Dysfunction
- Myocardial Ischemia
Interventions
- DEVICE
-
Angiography-drived Index of Microcirculatory Resistance
From coronary angiographic images, angiography-derived IMR will be calculated based on mathematical calculation. Angiography-derived IMR = (hyperemic Pa x angiography-derived FFR) x (vessel length / {K x V diastole}). Hyperemic Pa will be estimated from resting Pa according to prespecified equation.
Sponsors & Collaborators
-
Shanghai 10th People's Hospital
collaborator OTHER -
Shanghai Zhongshan Hospital
lead OTHER
Principal Investigators
-
Junbo Ge, Professor · Fudan University
Eligibility
- Min Age
- 19 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-04-01
- Primary Completion
- 2021-05-01
- Completion
- 2021-10-01
Countries
- China
Study Locations
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