Revascularization Strategy of Multivessel Disease for Patients with Acute Myocardial Infarction Complicated by Cardiogenic Shock Undergoing Veno-arterial Extracorporeal Membrane Oxygenator
NCT05527717 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 560
Last updated 2024-11-06
Summary
This study is a prospective, open-label, two-arm, randomized multicenter trial to identify whether immediate multi-vessel PCI would be better in clinical outcomes compared with culprit lesion-only PCI for AMI and multi-vessel disease with an advanced form of CS patients who require veno-arterial extracorporeal membrane oxygenator (VA-ECMO).
Conditions
- Cardiogenic Shock
- Acute Myocardial Infarction
- Multi Vessel Coronary Artery Disease
- Extracorporeal Membrane Oxygenation
Interventions
- PROCEDURE
-
Culprit lesion only PCI
Randomization will be done after coronary angiography before or during primary PCI for IRA. Patients will be randomized to either immediate multi-vesesl PCI group or culprit-lesion only PCI group with 1:1 ratio. This group will be taken culprit-lesion only PCI during primary PCI.
- PROCEDURE
-
Immediate multi-vessel PCI
Randomization will be done after coronary angiography before or during primary PCI for IRA. Patients will be randomized to either immediate multi-vesesl PCI group or culprit-lesion only PCI group with 1:1 ratio. This group will be taken immediate multi-vesesl PCI during primary PCI.
Sponsors & Collaborators
-
Samsung Medical Center
lead OTHER
Principal Investigators
-
Jeong Hoon Yang, MD · Samsung Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 19 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-11-16
- Primary Completion
- 2027-12-31
- Completion
- 2028-12-31
Countries
- South Korea
Study Locations
More Related Trials
-
Clinical Efficacy of Extracorporeal Cardiac Shock Wave Therapy in Patients With Ischemia-reperfusion Injury
NCT05624203 ·Status: UNKNOWN ·Phase: NA
-
Can Escalation Reduce Acute Myocardial Infarction Mortality in Cardiogenic Shock
NCT05800951 ·Status: ACTIVE_NOT_RECRUITING
-
Incorporating Supersaturated Oxygen in Shock
NCT04876040 ·Status: WITHDRAWN ·Phase: NA
-
Individualized or Conventional Transfusion Strategies During Peripheral VA-ECMO
NCT05699005 ·Status: RECRUITING ·Phase: PHASE1
-
Efficacy Study of LV Assist Device to Treat Patients With Cardiogenic Shock (ISAR-SHOCK)
NCT00417378 ·Status: COMPLETED ·Phase: PHASE4
-
Long-term Remote Ischemic Preconditioning Improve the Prognosis of Myocardial Infarction Patients With Emergency Reperfusion Therapy
NCT03018873 ·Status: UNKNOWN ·Phase: NA
-
Strategies of Revascularization in Patients With ST-segment Elevation Myocardial Infarction (STEMI) and Multivessel Disease
NCT01179126 ·Status: UNKNOWN ·Phase: PHASE3
-
Phase 2 Study to Evaluate the Efficacy, Safety and PK of Intravenous Single Injection LC28-0126 Immediately Before PCI in STEMI Patients
NCT02070471 ·Status: COMPLETED ·Phase: PHASE2
-
Low-Dose Dobutamine and Single-Dose Tocilizumab in Acute Myocardial Infarction With High Risk of Cardiogenic Shock
NCT05350592 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Timing of Complete Revascularization for Multivessel Coronary Artery Disease in STEMI
NCT02756000 ·Status: COMPLETED ·Phase: NA
-
The Thrombus Aspiration During PCI After Thrombolysis in STEMI
NCT06654453 ·Status: RECRUITING ·Phase: NA
-
Complete Lesion Versus Culprit Lesion Revascularization
NCT01180218 ·Status: TEMPORARILY_NOT_AVAILABLE
-
Effects of Postconditioning On Myocardial Reperfusion
NCT00942500 ·Status: COMPLETED ·Phase: NA
-
Safety and Efficacy of Percutaneous Coronary Intervention Combined With Thrombolysis at Different Time
NCT03137212 ·Status: UNKNOWN ·Phase: NA
-
Efficacy of Thrombosuction in Primary Percutaneous Coronary Intervention of Acute Myocardial Infarction
NCT01156662 ·Status: UNKNOWN ·Phase: PHASE4
-
STem cElls Mobilization in Acute Myocardial Infarction Outcome Trial
NCT01969890 ·Status: TERMINATED ·Phase: PHASE3
-
Effects of Percutaneous Coronary Intervention in Patients With Cardiac Arrest After Acute Myocardial Infarction: a 2-Year Study
NCT02576691 ·Status: COMPLETED
-
Effects of Pressure-controlled Intermittent Coronary Sinus Occlusion (PiCSO) Therapy on miRNAs Expression and Absolute Microvascular Resistance by Continuous Thermodilution in ST-segment Elevation Myocardial Infarction (STEMI) Patients: PiCSO-STEMI TRIAL
NCT05644925 ·Status: WITHDRAWN ·Phase: NA
-
Remote Ischemic Perconditioning in Patients With ST-segment Elevation Myocardial Infarction
NCT02164695 ·Status: COMPLETED ·Phase: NA
-
Impact of Ischemic Post-conditioning
NCT04068116 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Standard Treatment Versus Standard Treatment Plus Extracorporeal Life Support (ECLS) in Myocardial Infarction Complicated With Cardiogenic Shock
NCT00314847 ·Status: TERMINATED ·Phase: PHASE4
-
Post Cond No Reflow
NCT01208727 ·Status: COMPLETED ·Phase: NA
-
Thrombolysis in STEMI Patients Compared With pPCI on Recanalization Time in the Context of the COVID-19 Outbreak.
NCT05354128 ·Status: UNKNOWN ·Phase: NA
-
Cardiac Shock Wave Therapy for the Treatment of Myocardial Infarction With Non-obstructive Coronary Arteries
NCT05935436 ·Status: RECRUITING ·Phase: NA
-
Pressure-controlled Intermittent Coronary Sinus Occlusion (PiCSO) in Acute Myocardial Infarction
NCT03625869 ·Status: COMPLETED ·Phase: NA