Comprehensive Assessment of Morphometric, Functional, Biomechanical and Biological Interactions Between Atherosclerotic Plaque and Platelets Within the Stenosed Coronary Artery
NCT06275399 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 105
Last updated 2024-02-23
Summary
The main objective of the present study is to verify, in vivo, whether shear forces computed solely based on coronary angiography and computational fluid dynamics (CFD) techniques are associated with the biomarkers indicating the prothrombotic tendency of circulating blood in situ - distally and proximally to the coronary stenosis. The study will prospectively assess the relationship between i) the value and distribution of shear rate and shear stress (SS) estimated using three-dimensional angiography and CFD techniques, and ii) atherosclerotic plaque characteristics as assessed by optical coherence tomography (OCT), iii) functional parameters of diseased vessels assessed by vessel fractional flow reserve (vFFR), and iv) in situ platelet activation, as expressed by platelet-derived microvesicles (pMVs) and small extracellular vesicles (sEVs), platelet aggregometry and other serum prothrombotic or inflammatory biomarkers sampled within the coronary artery.
Conditions
- Chronic Coronary Syndrome
- Atherosclerosis
Interventions
- DIAGNOSTIC_TEST
-
OCT examination
OCT examination for precise evaluation of plaque morphology within the coronary stenosis.
- DIAGNOSTIC_TEST
-
Blood sampling
Blood sampling directly from coronary artery (proximal and distal segment) arteries
- DIAGNOSTIC_TEST
-
Assessment of vFFR and shear stress parameters
The procedure is based on non-invasive assessment of vFFR and shear stress parameters with dedicated software, deriving parameters directly from coronary angiography with the calculation based on the computational fluid dynamics
Sponsors & Collaborators
-
National Science Centre, Poland
collaborator OTHER_GOV -
University College, London
collaborator OTHER -
Queen Mary University of London
collaborator OTHER -
Medical University of Warsaw
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-07-21
- Primary Completion
- 2025-07-21
- Completion
- 2026-07-21
Countries
- Poland
Study Locations
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