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Integrated Coronary Multicenter Imaging Registry

NCT03298282 — Unknown, 180 participants, Yonsei University

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RegistryNCT03298282
StatusUnknown
Study typeObservational
Enrollment180 (Estimated)
SponsorYonsei University (Other)
ConditionsCoronary Artery Disease
InterventionsOCT (Optical Coherence Tomography), Coronary CTA, FFR (Other)
Datesstart 2017-10-10, primary completion 2021-09-01 (estimated), completion 2021-09-30 (estimated), first posted 2017-10-02, last updated 2020-10-19
Locations1 site in South Korea

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-Summary

The coronary images of selective angiography and optical coherence tomography with FFR(Fractional Flow Reserve) values of the intermediate lesions (40-70% stenosis) will be prospectively registered.

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+Detailed description

The patients with intermediate lesions after CT angiography and invasive coronary angiography will be screened, and optical coherence tomography, FFR and selective CT angiography will be performed. The coronary images and FFR values will be registered, and the patients will be followed-up up to 2 years to investigate the adverse clinical events.

+Arms and interventions

ArmTypeInterventionsDescription
Imaging RegistryOther: OCT (Optical Coherence Tomography); Other: Coronary CTA; Other: FFRImaging cohort: Patients with intermediate lesions
  • OCT (Optical Coherence Tomography) (Other): Coronary images by OCT and selective CTA and FFR values will be registered.
  • Coronary CTA (Other): Coronary images by OCT and Coronary CTA and FFR values will be registered.
  • FFR (Other): Coronary images by OCT and selective CTA and FFR values will be registered.

+Outcome measures

Primary outcomes

  • Change of plaque on coronary CTA for during 2 years [at registration]
  • Change of plaque on coronary CTA for during 2 years [at 2-year follow up]
  • Change of plaque on coronary OCT for during 2 years [at registration]
  • Change of plaque on coronary OCT for during 2 years [at 2-year follow up]
  • Change of FFR value during 2 years [at registration]
  • Change of FFR value during 2 years [at 2-year follow up]
  • Comparison of computational FFR derived from OCT to invasive FFR [at registration]
  • Comparison of computational FFR derived from OCT to invasive FFR [at 2-year follow up]

Secondary outcomes

  • Adverse event for 2 years (myocardial infarction, cardiovascular death) [within 2 years after registration]
  • Power of plaque characteristics on coronary CTA for predicting adverse events [within 2 years after registration]
  • Power of plaque characteristics on OCT for predicting adverse events [within 2 years after registration]

+Eligibility

Sex: All, ages: 20 Years to 80 Years

Inclusion Criteria:

* Patients who underwent coronary CT angiography because of chest pain
* Patients who need OCT or FFR evaluation because of intermediate lesions according to invasive angiography (diameter stenosis of 40-70%)
* Age: 20-80 yrs
* Patients who consent and fully understand the protocol
* Patients who consent the clinical follow-up
* Patients who can be followed-up

Exclusion Criteria:

* Patients who had contrast allergy
* Patients who had unstable blood pressure needing the vasopressors
* Patients who had severe left ventricular function (left ventricular ejection fraction<30%)
* Chronic kidney disease who had Cr level of greater than 2.0 mg/dl
* Patients whose expected survival is less than 12 months
* Patients who had a severe valvular disease

+Locations (1)

FacilityCityCountryStatus
Division of Cardiology, Cardiovascular Hospital, Yonsei UniversitySeoulSouth Korea

+Publications

  • Results publication: Lee YJ, Park G, Lee SG, Cho YK, Yoon HJ, Kim U, Jang JY, Oh SJ, Lee SJ, Hong SJ, Ahn CM, Kim BK, Chang HJ, Ko YG, Choi D, Hong MK, Jang Y, Kim JS. Predictive value of plaque characteristics for identification of lesions causing ischemia. Int J Cardiol. 2024 Jul 1;406:132097. doi: 10.1016/j.ijcard.2024.132097. Epub 2024 Apr 23. PMID 38663808
  • Results publication: Lee YJ, Kim YW, Ha J, Kim M, Guagliumi G, Granada JF, Lee SG, Lee JJ, Cho YK, Yoon HJ, Lee JH, Kim U, Jang JY, Oh SJ, Lee SJ, Hong SJ, Ahn CM, Kim BK, Chang HJ, Ko YG, Choi D, Hong MK, Jang Y, Lee JS, Kim JS. Computational Fractional Flow Reserve From Coronary Computed Tomography Angiography-Optical Coherence Tomography Fusion Images in Assessing Functionally Significant Coronary Stenosis. Front Cardiovasc Med. 2022 Jun 13;9:925414. doi: 10.3389/fcvm.2022.925414. eCollection 2022. PMID 35770218

+Investigators

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