Status:
COMPLETED
In-hospital Versus After-discharge Complete Revascularization
Lead Sponsor:
Hospital General Universitario de Valencia
Conditions:
STEMI - ST Elevation Myocardial Infarction
Multivessel Coronary Artery Disease
Eligibility:
All Genders
18-90 years
Phase:
NA
Brief Summary
Patients with STEMI and multivessel disease in whom the culprit lesion has been successfully revascularized during prmimary PCI, will be randomized to in-hospital or after-discharge complete revascula...
Detailed Description
STEMI patients with mutivessel disease are, after successful primary angioplasty, randomized 1:1 ratio to either in-hospital complete revascularization or after-discharge complete revascularization st...
Eligibility Criteria
Inclusion
- Acute onset of chest pain \<12 hours duration.
- ST-segment elevation ≥ 0.1 millivolt in ≥ 2 contiguous leads, signs of a true posterior infarction or documented newly developed left bundle branch block.
- Culprit lesion in a major native vessel, with successful primary PCI.
- Presence of at least one non-culprit lesion more than or equal to 70% of stenosis in a vessel more than 2mm of diameter or more than or equal to 50% stenosis in proximal segments.
- The patient is able to give written consent for participation in the study.
Exclusion
- Pregnancy.
- Significant left main stenosis.
- Stent thrombosis.
- Chronic total occlusion.
- Severe stenosis of non-culprit vessels with distal flow less than TIMI3.
- Significant non-culprit stenosis no candidate to revascularization.
- Presence of valvulopathy candidate for cardiac surgery.
- Cardiogenic shock status at admission.
- The patient is not able to give written consent for participation in the study.
Key Trial Info
Start Date :
January 20 2018
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 21 2022
Estimated Enrollment :
250 Patients enrolled
Trial Details
Trial ID
NCT04743154
Start Date
January 20 2018
End Date
December 21 2022
Last Update
April 24 2023
Active Locations (1)
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1
Hospital General Universitario de Valencia
Valencia, Spain