Does Co-registration of OCT and Angiography Reduce Geographic Miss of Stent Implantation?
Evaluation of Effect of Co-registration Between Optical Coherence Tomography (OCT) and Coronary Angiography Onto OCT Guided Percutaneous Coronary Intervention (PCI)
1 other identifier
interventional
200
1 country
1
Brief Summary
The purpose of this study is to determine whether co-registration of OCT and angiography reduce geographic miss defined as stent edge dissection or significant residual stenosis at stent edge after stent implantation during percutaneous coronary intervention.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable coronary-artery-disease
Started Feb 2016
Shorter than P25 for not_applicable coronary-artery-disease
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 26, 2016
CompletedStudy Start
First participant enrolled
February 1, 2016
CompletedFirst Posted
Study publicly available on registry
February 2, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedFebruary 5, 2016
February 1, 2016
10 months
January 26, 2016
February 4, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Geographic miss
Geographic miss defined as evidence of residual disease at stent edge or significant edge dissection after stent deployment
Intraoperative
Secondary Outcomes (7)
Number of participants with Residual disease at stented edge
Intraoperative
Number of participants with stent edge dissection
peri procedure
Distance between the planned and actual stent location
Intraoperative
Number of additional stents required
Intraoperative
Procedure time
Intraoperative
- +2 more secondary outcomes
Study Arms (2)
Coronary PCI with OCT with Co-Registration
ACTIVE COMPARATORCoronary stenting will be performed with OCT guidance as per local practice. Pre and post stenting procedure will be performed with OCT guidance with the use of the Co-Registration software tool after stent implanted.
Coronary PCI with OCT without Co-Registration
PLACEBO COMPARATORCoronary stenting will be performed with OCT guidance as per local practice. Pre and post stenting procedure will be performed with OCT guidance without the use of the Co-Registration software tool after stent implanted. I
Interventions
Co-Registration is an online tool used to take measurements during a stent procedure ( PCI-percutaneous coronary intervention) as part of the OCT ( Optical Coherence Tomography intravascular system. Co Registration software may provide additional imaging details during stent implantation when using OCT.
Coronary PCI will be performed using OCT ( Optical Coherence Tomography intravascular system) guidance without the Co Registration software tool enabled.
Eligibility Criteria
You may qualify if:
- Patients ≥18 years old who undergo percutaneous coronary intervention per clinical indications.
You may not qualify if:
- Left main disease
- Ostial lesion at Right Coronary Artery
- Tortuous artery in which OCT is unable to pass
- Lesion at bypass graft
- In-stent restenosis
- Chronic total occlusion
- Cardiogenic shock (sustained \[\>10 min\] systolic blood pressure \<90 mm Hg in absence of inotropic support or the presence of an intra-aortic balloon pump)
- Acute phase heart failure
- Sustained ventricular arrhythmias
- Known ejection fraction \<35%
- Known severe valvular heart disease Known severe renal insufficiency (estimated glomerular filtration rate \<30 mL/min/1.72 m2)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
St. Francis Hospital
Roslyn, New York, 11576, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Richard A Shlofmitz, MD
Chairman of Cardiology St Francis Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Chairman of Cardiology- Principal Investigator
Study Record Dates
First Submitted
January 26, 2016
First Posted
February 2, 2016
Study Start
February 1, 2016
Primary Completion
December 1, 2016
Study Completion
December 1, 2016
Last Updated
February 5, 2016
Record last verified: 2016-02