Status:

UNKNOWN

Safety and Efficacy of Bivalirudin During Short-term Intervention of Non-infarction Related Artery After PPCI of STEMI

Lead Sponsor:

First Affiliated Hospital Xi'an Jiaotong University

Conditions:

STEMI With Multivessel Coronary Disease

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This is a randomized, open label, cohort study, in which a total of 100 patients will be enrolled and randomly assigned to receive bivalirudin or heparin in a 1:1 ratio during short-term intervention ...

Detailed Description

The 2017 guideline gives a class IIA recommendation ('should be considered') for complete revascularisation in patients presenting with STEMI and multivessel disease, which is approximately 50% of the...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years.
  • Acute STEMI (including patients within 12 h of symptom onset, or 24-48 h with recurrent or ongoing chest pain chest pain, persistent ST-segment elevation or new left bundle branch block.
  • Staged intervention of non-infarction related artery within 5 days after PPCI during Hospitalization.
  • Signed informed consent.

Exclusion

  • Cardiogenic shock.
  • Received thrombolytic therapy or used any anticoagulant drugs within 48 hours before randomized.
  • Active bleeding, recent bleeding events or bleeding tendency.
  • History of surgery in the last 1 month.
  • Suspicious symptoms of aortic dissection, pericarditis and endocarditis.
  • Blood pressure \> 180/110 mmHg.
  • Hemoglobin \< 100 g/L, Platelet count \<100×10(9)/L, Transaminase 3 times upper limit of normality or Creatinine clearance \<30ml/min.
  • History of Heparin-Induced Thrombocytopenia.
  • Allergic to any research drug or device.
  • Pregnancy or lactation.
  • Any condition that makes the patient unsuitable for PCI or may interfere with the study.
  • Patient disagrees or fails to sign the written informed consent.

Key Trial Info

Start Date :

January 12 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2022

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT04475835

Start Date

January 12 2021

End Date

December 1 2022

Last Update

May 2 2022

Active Locations (1)

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First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, Shaanxi, China, 710061