NCT03398850

Brief Summary

A retrospective and prospective registry will evaluate demographic and angiographic data in patients with spontaneous coronary artery dissection (SCAD) using medical records, invasive coronary angiography, intravascular imaging and/or computed multislice coronary tomography. The type of treatment applied during index hospitalization (i.e., clinical management, percutaneous coronary intervention or coronary artery bypass grafting) will be evaluated. Long-term follow-up (up to 10 years) will be also reported.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
250

participants targeted

Target at P75+ for all trials

Timeline
20mo left

Started Jan 2000

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress94%
Jan 2000Dec 2027

Study Start

First participant enrolled

January 1, 2000

Completed
18 years until next milestone

First Submitted

Initial submission to the registry

December 29, 2017

Completed
18 days until next milestone

First Posted

Study publicly available on registry

January 16, 2018

Completed
10 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2027

Last Updated

January 17, 2018

Status Verified

January 1, 2018

Enrollment Period

28 years

First QC Date

December 29, 2017

Last Update Submit

January 12, 2018

Conditions

Keywords

spontaneous coronary artery dissectionacute coronary syndromecoronary angiographycoronary tomography

Outcome Measures

Primary Outcomes (1)

  • Long-term clinical outcomes in patients presented with spontaneous coronary artery dissection

    All major adverse cardiac events will be collected

    10 years

Secondary Outcomes (1)

  • Multimodality intravascular imaging findings in patients with spontaneous coronary artery dissection.

    10 years

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The present study population will be selected retrospectively and prospectively from several Brazilian tertiary Hospitals. Clinical data and coronary imaging will be imputed through electronic case report form (eCRF), which will be kept confidential at dedicated server at the Coordinator Center, Hospital Israelita Albert Einstein.

You may qualify if:

  • Patients with coronary manifestations due spontaneous coronary artery dissection
  • Angiographic findings of SCAD in coronary angiogram or coronary tomography
  • Agreement between two or more invasive cardiologists (adjudicated committee) for the diagnosis.

You may not qualify if:

  • Non-agreement for SCAD diagnosis
  • Coronary dissections due other mechanisms: unstable atherosclerotic plaque or trauma-induced.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital Israelita Albert Einstein

São Paulo, São Paulo, Brazil

RECRUITING

Related Publications (6)

  • Cade J, Mintz GS, Silva RM Filho, Caixeta A. Spontaneous coronary artery dissection and healing documented by optical coherence tomography. Einstein (Sao Paulo). 2016 Jul-Sep;14(3):435-436. doi: 10.1590/S1679-45082016AI3551. Epub 2016 Jul 4. No abstract available.

    PMID: 27383563BACKGROUND
  • Cade JR, Abizaid A, Caixeta A. Organized thrombus mimicking spontaneous coronary artery dissection. JACC Cardiovasc Interv. 2014 Dec;7(12):1458. doi: 10.1016/j.jcin.2014.08.004. Epub 2014 Nov 12. No abstract available.

    PMID: 25457056BACKGROUND
  • Saw J. Pregnancy-Associated Spontaneous Coronary Artery Dissection Represents an Exceptionally High-Risk Spontaneous Coronary Artery Dissection Cohort. Circ Cardiovasc Interv. 2017 Mar;10(3):e005119. doi: 10.1161/CIRCINTERVENTIONS.117.005119. No abstract available.

    PMID: 28302643BACKGROUND
  • Saw J. Coronary angiogram classification of spontaneous coronary artery dissection. Catheter Cardiovasc Interv. 2014 Dec 1;84(7):1115-22. doi: 10.1002/ccd.25293. Epub 2013 Dec 4.

    PMID: 24227590BACKGROUND
  • Saw J, Ricci D, Starovoytov A, Fox R, Buller CE. Spontaneous coronary artery dissection: prevalence of predisposing conditions including fibromuscular dysplasia in a tertiary center cohort. JACC Cardiovasc Interv. 2013 Jan;6(1):44-52. doi: 10.1016/j.jcin.2012.08.017. Epub 2012 Dec 19.

    PMID: 23266235BACKGROUND
  • Cade JR, Szarf G, de Siqueira ME, Chaves A, Andrea JC, Figueira HR, Gomes MM Jr, Freitas BP, Filgueiras Medeiros J, Dos Santos MR, Fiorotto WB, Daige A, Goncalves R, Cantarelli M, Alves CM, Echenique L, de Brito FS Jr, Perin MA, Born D, Hecht H, Caixeta A. Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients. Eur Heart J Cardiovasc Imaging. 2017 Jan;18(1):54-61. doi: 10.1093/ehjci/jew021. Epub 2016 Feb 28.

MeSH Terms

Conditions

Coronary Artery Dissection, SpontaneousAcute Coronary Syndrome

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular Diseases

Study Officials

  • Jamil Cade, MD, PhD

    Hospital Israelita Albert Einstein

    PRINCIPAL INVESTIGATOR
  • Adriano Caixeta, MD, PhD

    Hospital Israelita Albert Einstein

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Carolina Pereira, RN

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
CROSS SECTIONAL
Target Duration
10 Years
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Medicine

Study Record Dates

First Submitted

December 29, 2017

First Posted

January 16, 2018

Study Start

January 1, 2000

Primary Completion (Estimated)

December 31, 2027

Study Completion (Estimated)

December 31, 2027

Last Updated

January 17, 2018

Record last verified: 2018-01

Data Sharing

IPD Sharing
Will share

Data from this observational registry will be shared with others researchers and presented at medical conferences.

Shared Documents
STUDY PROTOCOL, ICF
Time Frame
The first data will be available by 2019
Access Criteria
All researchers will be have the data available upon requested

Locations