ECG-guided Immediate Primary PCI for Culprit Vessel to Reduce Door to Device Time
NCT ID: NCT03272451
Last Updated: 2022-06-01
Study Results
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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COMPLETED
NA
560 participants
INTERVENTIONAL
2017-02-10
2019-07-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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culprit vessel intervention
culprit vessel PCI prior to contralateral angiography using a single transradial guiding catheter
culprit vessel intervention
ECG guided immediate culprit vessel intervention using a single transradial guiding catheter such as MAC or JL 3.5
traditional approach
complete coronary angiography followed by guiding catheter selection for culprit vessel PCI
traditional approach
single diagnostic catheter for complete coronary angiography and guiding catheter selection for PCI
Interventions
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culprit vessel intervention
ECG guided immediate culprit vessel intervention using a single transradial guiding catheter such as MAC or JL 3.5
traditional approach
single diagnostic catheter for complete coronary angiography and guiding catheter selection for PCI
Eligibility Criteria
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Inclusion Criteria
* Patients have typical chest pain for at least 20 minutes and have ECG changes typical for STEMI (ST elevation≥2mm in two continuous precordial leads or ST elevations≥1mm in two limb leads or new left bundle branch block) or ECG changes compatible with true posterior MI
* Symptoms ≥ 30 min and ≤12 hours
* Patient and treating interventional cardiologist agree for randomization
* Patient provides written informed consent
* Diagnostic and therapeutic intervention performed through transradial artery approach
* Palpable radial artery.
Exclusion Criteria
* Current platelet count \<100 x 10\^9cells/L or Hgb \<10 g/dL
* Absence of radial artery pulsation
* Active bleeding or significant increased risk of bleeding, severe hepatic insufficiency, current peptic ulceration, proliferative diabetic retinopathy
* Uncontrolled hypertension
* Prior CABG surgery
* Fibrinolytic therapy for current MI treatment
* patient have a life expectancy of \<180days
18 Years
ALL
No
Sponsors
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Beijing Luhe Hospital
OTHER
Responsible Party
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Locations
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Beijing Luhe hospital
Beijing, , China
Beijing Luhe hospital
Beijing, , China
Countries
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References
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Guo J, Wang G, Li Z, Liu Z, Wang Y, Wang S, Wang Y, Wu Y, Wang H, Wang Y, Zhang L, Hua Q. Culprit vessel revascularization first with primary use of a dedicated transradial guiding catheter to reduce door to balloon time in primary percutaneous coronary intervention. Front Cardiovasc Med. 2022 Oct 28;9:1022488. doi: 10.3389/fcvm.2022.1022488. eCollection 2022.
Other Identifiers
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BeijingLH
Identifier Type: -
Identifier Source: org_study_id
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