Safety and Efficacy Study of Dual-axis Rotational Versus Standard Coronary Angiography

NCT ID: NCT01625533

Last Updated: 2015-06-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

576 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-06-30

Study Completion Date

2013-07-31

Brief Summary

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The purpose of this study is to assess the clinical safety and efficacy of dual-axis rotational coronary angiography (DARCA) in the diagnosis of coronary artery disease by directly comparing it to standard coronary angiography (SA).

Detailed Description

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Dual-axis rotational coronary angiography (DARCA) was developed as an innovative adaptation of rotational angiography (RA), but it requires a longer coronary injection compared to standard coronary angiography (SA). The risk of complications from the contrast agent (such as discomfort, warmth, pain, hypotension and bradycardia) is increased with the use of DARCA. It remains to be evaluated whether this approach is also suitable for coronary angiography, especially using in the patients with complex coronary lesions. Previous studies revealed promising results, but the number of patients included did not provide sufficient statistical power to allow a valid comparison of DARCA with SA. The purpose of this study is to evaluate the feasibility, safety, clinical tolerance, and hemodynamic effect of DARCA in comparison to the well-established SA.

Conditions

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Coronary Artery Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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SA group

Patients using SA for the diagnosis of coronary artery disease are assigned to the SA group.

Standard Coronary Angiography

Intervention Type PROCEDURE

Using standard coronary angiography (SA) for the diagnosis of coronary artery disease.

DARCA group

Patients using DARCA for the diagnosis of coronary artery disease are assigned to the DARCA group.

Dual-axis Rotational Coronary Angiography

Intervention Type PROCEDURE

Using dual-axis rotational coronary angiography (DARCA) for the diagnosis of coronary artery disease.

Interventions

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Standard Coronary Angiography

Using standard coronary angiography (SA) for the diagnosis of coronary artery disease.

Intervention Type PROCEDURE

Dual-axis Rotational Coronary Angiography

Using dual-axis rotational coronary angiography (DARCA) for the diagnosis of coronary artery disease.

Intervention Type PROCEDURE

Other Intervention Names

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Conventional Coronary Angiography DARA XPERSWING

Eligibility Criteria

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Inclusion Criteria

* Age \>18 years old
* A clinical indication for diagnostic coronary angiography to evaluate possible CAD

Exclusion Criteria

* Pregnancy
* Known allergy to iodinated contrast
* Renal insufficiency (\>1.5mg/dL)
* Cardiogenic shock
* Acute myocardial infarction within one week
* Prior coronary artery bypass graft treatment
* Prior percutaneous coronary intervention treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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General Hospital of Chinese Armed Police Forces

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Liu Huiliang, M.D.

Role: STUDY_CHAIR

Division of Cardiology, General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China

Jin Zhigeng, M.M.

Role: STUDY_DIRECTOR

Division of Cardiology, General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China

Luo Jianping, M.M.

Role: PRINCIPAL_INVESTIGATOR

Division of Cardiology, General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China

Yang Shengli, M.D.

Role: PRINCIPAL_INVESTIGATOR

Division of Cardiology, General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China

Ma Dongxing, M.D.

Role: PRINCIPAL_INVESTIGATOR

Division of Cardiology, General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China

Liu Ying, M.M.

Role: PRINCIPAL_INVESTIGATOR

Division of Cardiology, General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China

Han Wei, M.D.

Role: PRINCIPAL_INVESTIGATOR

Division of Cardiology, General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China

Jing Limin, B.S.M.

Role: PRINCIPAL_INVESTIGATOR

Division of Cardiology, General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China

Locations

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Division of Cardiology, General Hospital of Chinese People's Armed Police Forces

Beijing, Beijing Municipality, China

Site Status

Countries

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China

References

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Garcia JA, Agostoni P, Green NE, Maddux JT, Chen SY, Messenger JC, Casserly IP, Hansgen A, Wink O, Movassaghi B, Groves BM, Van Den Heuvel P, Verheye S, Van Langenhove G, Vermeersch P, Van den Branden F, Yeghiazarians Y, Michaels AD, Carroll JD. Rotational vs. standard coronary angiography: an image content analysis. Catheter Cardiovasc Interv. 2009 May 1;73(6):753-61. doi: 10.1002/ccd.21918.

Reference Type BACKGROUND
PMID: 19180661 (View on PubMed)

Maddux JT, Wink O, Messenger JC, Groves BM, Liao R, Strzelczyk J, Chen SY, Carroll JD. Randomized study of the safety and clinical utility of rotational angiography versus standard angiography in the diagnosis of coronary artery disease. Catheter Cardiovasc Interv. 2004 Jun;62(2):167-74. doi: 10.1002/ccd.20036.

Reference Type BACKGROUND
PMID: 15170705 (View on PubMed)

Empen K, Kuon E, Hummel A, Gebauer C, Dorr M, Konemann R, Hoffmann W, Staudt A, Weitmann K, Reffelmann T, Felix SB. Comparison of rotational with conventional coronary angiography. Am Heart J. 2010 Sep;160(3):552-63. doi: 10.1016/j.ahj.2010.06.011.

Reference Type BACKGROUND
PMID: 20826266 (View on PubMed)

Gomez-Menchero AE, Diaz JF, Sanchez-Gonzalez C, Cardenal R, Sanghvi AB, Roa-Garrido J, Rodriguez-Lopez JL. Comparison of dual-axis rotational coronary angiography (XPERSWING) versus conventional technique in routine practice. Rev Esp Cardiol (Engl Ed). 2012 May;65(5):434-9. doi: 10.1016/j.recesp.2011.12.014. Epub 2012 Apr 1. English, Spanish.

Reference Type BACKGROUND
PMID: 22465608 (View on PubMed)

Grech M, Debono J, Xuereb RG, Fenech A, Grech V. A comparison between dual axis rotational coronary angiography and conventional coronary angiography. Catheter Cardiovasc Interv. 2012 Oct 1;80(4):576-80. doi: 10.1002/ccd.23415. Epub 2012 Jan 12.

Reference Type BACKGROUND
PMID: 22105940 (View on PubMed)

Klein AJ, Garcia JA, Hudson PA, Kim MS, Messenger JC, Casserly IP, Wink O, Hattler B, Tsai TT, Chen SY, Hansgen A, Carroll JD. Safety and efficacy of dual-axis rotational coronary angiography vs. standard coronary angiography. Catheter Cardiovasc Interv. 2011 May 1;77(6):820-7. doi: 10.1002/ccd.22804. Epub 2011 Mar 11.

Reference Type RESULT
PMID: 20853352 (View on PubMed)

Liu HL, Jin ZG, Yang SL, Luo JP, Ma DX, Liu Y, Han W. Randomized study on the safety and efficacy of dual-axis rotational versus standard coronary angiography in. Chin Med J (Engl). 2012 Mar;125(6):1016-22.

Reference Type RESULT
PMID: 22613524 (View on PubMed)

Other Identifiers

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20120601

Identifier Type: -

Identifier Source: org_study_id

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