Observational Study of Angiographic Coregistered Optical Coherence Tomography in Patients Undergoing PCI
Impact of Angiographic Coregistered Optical Coherence Tomography-diagnostics on Physicians Decision-making During Percutaneous Coronary Intervention in Patients With Advanced Coronary Artery Disease - the "OPTICO-Integration-Trial"
1 other identifier
observational
50
1 country
1
Brief Summary
To define and evaluate the impact of angiographic coregistered OCT on physicians decision-making through prospective data collection in PCI procedures.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jul 2016
Shorter than P25 for all trials
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
Study Start
First participant enrolled
July 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2016
CompletedFirst Submitted
Initial submission to the registry
September 27, 2016
CompletedFirst Posted
Study publicly available on registry
September 30, 2016
CompletedMay 16, 2017
May 1, 2017
2 months
September 27, 2016
May 14, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
The primary study objective is the change in PCI strategy after pre-procedural ACR as compared to OCT imaging alone
20 months
Secondary Outcomes (5)
Major adverse cardiac event (MACE)-rate (death, myocardial infarction, Re-angiography, Re-PCI and renal failure requiring dialysis), after recruitment.
30 days, 6 months, and 12 months.
Change in PCI strategy after pre-procedural OCT imaging in comparison to conventional angiography alone.
20 months
Longitudinal geographical miss (GM) with uncovered residual parts of "target lesion" at the proximal or distal reference segment of the stent. Detected by comparison between pre-PCI OCT with post-PCI OCT.
20 months
Rate of side branch occlusions (%).
20 months
Strategy changes based on post-procedural OCT and ACR Imaging.
20 months
Interventions
OCT-guided Percutaneous Coronary Intervention.
Eligibility Criteria
Elective or ad hoc PCI, stable Angina, acute coronary syndrome
You may qualify if:
- Age ≥ 18 years.
- Patient provides signed written informed consent before any study-specific procedure.
- Patients suffer from coronary artery disease (CAD) including at least one angiographically significant (\>70% visual estimation) stenosis present in a native coronary artery with planned PCI.
You may not qualify if:
- Subjects with emergent PCI or in cardiogenic shock.
- Subjects with target left main (LM) lesion, with restenosis or stent thrombosis in the target vessel or with aorto-ostial lesion location within 3 mm of the aorta junction (both right and left).
- Extreme angulation (\> 90°) or excessive tortuosity (\> two 45° angles) proximal to or within the target lesion.
- Known renal insufficiency (examples being but not limited to estimated glomerular Filtration rate (eGFR) \< 50 ml/kg/m2, serum creatinine ≥ 2.5 mg/dL or on dialysis).
- Any other medical condition that in the opinion of the investigator will interfere with patients safety or study results.
- Currently participating in another clinical study that interferes with study results.
- Pregnant or nursing subjects and those who plan pregnancy in the period up to 1 year following index procedure.
- Any condition that precludes the subject from undergoing PCI, for example subjects with heparin induced thrombocytopenia, or contrast allergy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Cardiology, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin
Berlin, 12203, Germany
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
David M Leistner, PD
Charite University, Berlin, Germany
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- PD M.D.
Study Record Dates
First Submitted
September 27, 2016
First Posted
September 30, 2016
Study Start
July 1, 2016
Primary Completion
September 1, 2016
Study Completion
September 1, 2016
Last Updated
May 16, 2017
Record last verified: 2017-05