Cardiac Cath Lab Staff Radiation Exposure

NCT ID: NCT03959072

Last Updated: 2023-02-02

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

TERMINATED

Total Enrollment

74 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-09-05

Study Completion Date

2021-09-15

Brief Summary

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The objective of this randomized safety and observational study is to demonstrate CorPath GRX chronic total occlusion PCI is safe, and that Cardiac Catheterization Laboratory staff have no additional exposure to radiation when compared to conventional manual chronic total occlusion PCI procedures without added procedure time.

Detailed Description

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This is prospective, dual-arm, randomized, multi-center, observational study comparing patient outcomes and staff radiation exposure in chronic total occlusion PCI procedures through 48 hours post procedure or hospital discharge, whichever occurs first.

Conditions

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Coronary Artery Disease Chronic Total Occlusion of Coronary Artery Percutaneous Coronary Intervention

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Robotic Chronic Total Occlusion PCI

The procedure will be randomized in a 1:1 fashion to either CorPath GRX robotic-assisted Chronic Total Occlusion PCI or conventional manual Chronic Total Occlusion PCI.

Robotic CTO PCI

Intervention Type DEVICE

Randomized to robotic CTO PCI.

Conventional (manual) Chronic Total Occlusion PCI

The procedure will be randomized in a 1:1 fashion to either CorPath GRX robotic-assisted Chronic Total Occlusion PCI or conventional manual Chronic Total Occlusion PCI.

Conventional (Manual) CTO PCI

Intervention Type PROCEDURE

Randomized to manual CTO PCI.

Interventions

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Robotic CTO PCI

Randomized to robotic CTO PCI.

Intervention Type DEVICE

Conventional (Manual) CTO PCI

Randomized to manual CTO PCI.

Intervention Type PROCEDURE

Other Intervention Names

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CorPath GRX System

Eligibility Criteria

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Inclusion Criteria

* CTO lesion, successfully crossed with conventional manual techniques;
* The Investigator deems the procedure appropriate for robotic-assisted CTO PCI with the CorPath GRX System;
* Individual monitoring of radiation dose, using the pocket dosimeter, was initiated at start of procedure;
* The subject has been informed of the nature of the study, agrees to its provisions and has provided written informed consent.

Exclusion Criteria

* Failure/inability/unwillingness to provide informed consent, or
* Cardiogenic Shock; or
* Perforation which requires treatment (e.g. covered stent, coil and other embolization techniques, or pericardiocentesis).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Corindus Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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William Lombardi (Acting), MD

Role: PRINCIPAL_INVESTIGATOR

University of Washington

William Nicholson (Emeritus), MD

Role: PRINCIPAL_INVESTIGATOR

WellSpan York Hospital

Locations

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St. Luke's Hospital of Kansas City

Kansas City, Missouri, United States

Site Status

WellSpan York Hospital

York, Pennsylvania, United States

Site Status

University of Washington

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Hirshfeld JW Jr, Balter S, Brinker JA, Kern MJ, Klein LW, Lindsay BD, Tommaso CL, Tracy CM, Wagner LK, Creager MA, Elnicki M, Lorell BH, Rodgers GP, Weitz HH; American College of Cardiology Foundation; American Heart Association/; HRS; SCAI; American College of Physicians Task Force on Clinical Competence and Training. ACCF/AHA/HRS/SCAI clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures: a report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training. Circulation. 2005 Feb 1;111(4):511-32. doi: 10.1161/01.CIR.0000157946.29224.5D. No abstract available.

Reference Type BACKGROUND
PMID: 15687141 (View on PubMed)

Klein LW, Miller DL, Balter S, Laskey W, Haines D, Norbash A, Mauro MA, Goldstein JA; Joint Inter-Society Task Force on Occupational Hazards in the Interventional Laboratory. Occupational health hazards in the interventional laboratory: time for a safer environment. Catheter Cardiovasc Interv. 2009 Feb 15;73(3):432-8. doi: 10.1002/ccd.21801.

Reference Type BACKGROUND
PMID: 19214981 (View on PubMed)

Miller DL, Schueler BA, Balter S; National Council on Radiation Protection and Measurements; International Commission on Radiological Protection. New recommendations for occupational radiation protection. J Am Coll Radiol. 2012 May;9(5):366-8. doi: 10.1016/j.jacr.2012.02.006. No abstract available.

Reference Type BACKGROUND
PMID: 22554637 (View on PubMed)

Ciraj-Bjelac O, Rehani MM, Sim KH, Liew HB, Vano E, Kleiman NJ. Risk for radiation-induced cataract for staff in interventional cardiology: is there reason for concern? Catheter Cardiovasc Interv. 2010 Nov 15;76(6):826-34. doi: 10.1002/ccd.22670.

Reference Type BACKGROUND
PMID: 20549683 (View on PubMed)

Vano E, Kleiman NJ, Duran A, Romano-Miller M, Rehani MM. Radiation-associated lens opacities in catheterization personnel: results of a survey and direct assessments. J Vasc Interv Radiol. 2013 Feb;24(2):197-204. doi: 10.1016/j.jvir.2012.10.016. Epub 2013 Jan 28.

Reference Type BACKGROUND
PMID: 23369556 (View on PubMed)

Mahmud E, Naghi J, Ang L, Harrison J, Behnamfar O, Pourdjabbar A, Reeves R, Patel M. Demonstration of the Safety and Feasibility of Robotically Assisted Percutaneous Coronary Intervention in Complex Coronary Lesions: Results of the CORA-PCI Study (Complex Robotically Assisted Percutaneous Coronary Intervention). JACC Cardiovasc Interv. 2017 Jul 10;10(13):1320-1327. doi: 10.1016/j.jcin.2017.03.050.

Reference Type BACKGROUND
PMID: 28683937 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Other Identifiers

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104-08553

Identifier Type: -

Identifier Source: org_study_id

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