Status:

COMPLETED

Coronary CTO PCI Using Antegrade Wiring Strategy With a First-choice Gladius Guidewire (Gladius First)

Lead Sponsor:

National Institute of Cardiology, Warsaw, Poland

Conditions:

Coronary Artery Disease

Coronary Occlusion

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The Gladius First trial is designed as a single-centre, open, prospective, randomized clinical trial aimed to assess the efficiency and safety of coronary chronic total occlusion (CTO) percutaneous co...

Eligibility Criteria

Inclusion

  • delivery of an informed consent and compliance with study protocol
  • CTO of a major coronary artery with at least intermediate difficulty score (J-CTO ≥1) as assessed by invasive angiography
  • referral to clinically indicated CTO PCI with intended primary antegrade wiring strategy

Exclusion

  • in-stent CTO
  • unstable angina and/or myocardial infarction
  • prior myocardial infarction within 4 weeks before study enrolment
  • CTO of a major coronary artery with an easy difficulty score (J-CTO 0) as assessed by invasive coronary angiography
  • lack of valid antegrade wire escalation strategy as assessed by 2 independent CTO PCI operators
  • chronic kidney disease (defined as eGFR ≤30 ml/min/m2)
  • contraindication to antiplatelet therapy and/or heparin
  • severe inflammatory disease
  • positive pregnancy test or breast-feeding

Key Trial Info

Start Date :

January 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 30 2024

Estimated Enrollment :

69 Patients enrolled

Trial Details

Trial ID

NCT04691778

Start Date

January 1 2021

End Date

January 30 2024

Last Update

October 8 2024

Active Locations (1)

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1

National Institute of Cardiology

Warsaw, Poland, 04-628