Coronary Artery Disease Clinical Trial
Official title:
Hybrid Coronary Revascularization Versus Coronary Artery Bypass Surgery for Treatment of Multivessel Coronary Disease
NCT number | NCT02892474 |
Other study ID # | IRB00089868 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | August 2016 |
Est. completion date | July 27, 2018 |
Verified date | October 2019 |
Source | Emory University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The purpose of the study is to find out if hybrid coronary revascularization (HCR) and coronary artery bypass grafting (CABG) procedure outcomes are similar. HCR is a combination of surgery and catheter procedures to open up clogged heart arteries. CABG is a surgical procedure to open up clogged heart arteries.
Status | Completed |
Enrollment | 75 |
Est. completion date | July 27, 2018 |
Est. primary completion date | July 27, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - Able to give informed consent - Have multi-vessel coronary artery disease (CAD) involving the Left Anterior Descending (LAD) artery - Have a clinical indication for revascularization - Are a candidate for either HCR or CABG or both - Anatomy suitable for HCR shall include 1. Multi-vessel CAD involving the LAD and/or 2. LAD disease and involvement of a major diagonal artery, both of which require revascularization Exclusion Criteria: - Prior cardiac operations - Severe left ventricular dysfunction with ejection fraction (EF) < 30% - Patients with chest radiation - Body mass index (BMI) > 35 - Severe peripheral vascular disease (PVD) - Acute ischemia requiring emergent traditional coronary artery bypass graft (CABG) |
Country | Name | City | State |
---|---|---|---|
United States | Emory University Hospital Midtown | Atlanta | Georgia |
Lead Sponsor | Collaborator |
---|---|
Emory University |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Comparison of major adverse cardiac and cerebrovascular events (MACCE) between groups | Major adverse cardiac and cerebrovascular events (MACCE) will be assessed at 30 days and at one year after the index procedure. For the purpose of this trial, the components of MACCE include (1) all-cause mortality, (2) repeat revascularization, (3) stroke, and (4) myocardial infarction. | Up to one year | |
Secondary | Comparison of all-cause mortality between groups | All-cause mortality will be assessed at 30 days and at one year after the index procedure. | Up to one year | |
Secondary | Comparison of repeat revascularization between groups | Repeat revascularization (all-cause) will be assessed at 30 days and at one year after the index procedure. | Up to one year | |
Secondary | Comparison of stroke between groups | The incidence and severity of strokes experienced between the groups will be assessed at 30 days and at one year after the index procedure, using the NIH Stroke Scale (NIHSS). The NIHSS is a 15-item neurologic examination stroke scale used to evaluate the effect of acute cerebral infarction on the levels of consciousness, language, neglect, visual-field loss, extraocular movement, motor strength, ataxia, dysarthria, and sensory loss. A trained observer rates the patent's ability to answer questions and perform activities. Ratings for each item are scored with 3 to 5 grades with 0 as normal, and there is an allowance for untestable items. The single patient assessment requires less than 10 minutes to complete. | Up to one year | |
Secondary | Comparison of ischemia-driven repeat revascularization between groups | The incidence of ischemia-driven revascularization experienced between the groups will be assessed at 30 days and at one year after the index procedure. | Up to one year | |
Secondary | Comparison of ventilator time between groups | The amount of time each patient spends on a ventilator during the index hospitalization will be collected. | During hospitalization (typically 3-8 days) | |
Secondary | Comparison of surgical re-exploration between groups | The incidence of re-exploration due to postoperative bleeding will be collected during the index hospitalization. | During hospitalization (typically 3-8 days) | |
Secondary | Comparison of chest tube drainage complications between groups | Chest tube drainage complications will be collected during the index hospitalization. | During hospitalization (typically 3-8 days) | |
Secondary | Comparison of hospital length of stay between groups | Hospital length of stay will be collected during the index hospitalization. | During hospitalization (typically 3-8 days) | |
Secondary | Comparison of wound infection between groups | The incidence of wound infection will be collected during the index hospitalization. | During hospitalization (typically 3-8 days) | |
Secondary | Comparison of atrial fibrillation between groups | The incidence of atrial fibrillation will be collected during the index hospitalization. | During hospitalization (typically 3-8 days) | |
Secondary | Comparison of blood transfusion between groups | The incidence of blood transfusions will be collected during the index hospitalization. | During hospitalization (typically 3-8 days) | |
Secondary | Comparison of hospital readmission between groups | Hospital readmission (all-cause and cardiac) will be assessed at 30 days and at one year after the index procedure. | Up to one year | |
Secondary | Comparison of Angina Score between groups | Angina will be assessed at Baseline (prior to surgery), 30 days after the procedure, and at one year after the index procedure. The Canadian Cardiovascular Society Angina Grading Scale will be used to categorize angina: Class I - Ordinary physical activity does not cause angina, such as walking and climbing stairs. Angina with strenuous or rapid or prolonged exertion at work or recreation Class II - Slight limitation of ordinary activity. Walking or climbing stairs rapidly, walking uphill, walking or stair climbing after meals, or in cold, or in wind, or under emotional stress or only during the few hours after awakening Class III - Marked limitation of ordinary physical activity. Walking one or two blocks on the level and climbing one flight of stairs in normal conditions and at normal pace Class IV - Inability to carry on a physical activity without discomfort - angina syndrome may be present at rest |
Up to one year | |
Secondary | Comparison of Duke Activity Scale Index (DASI) scores between groups | The Duke Activity Scale Index (DASI) will be administered at Baseline (prior to surgery), 30 days after the procedure, and at one year after the index procedure. The DASI is a 12 item survey that asks about a patient's functional capacity in order to estimate peak oxygen uptake. Respondents answer "yes" or "no" to questions about their ability to do activities of different intensity levels. | Up to one year | |
Secondary | Comparison of EuroQol EQ-5D scores between groups | The EuroQol EQ-5D will be administered at Baseline (prior to surgery), 30 days after the procedure, and at one year after the index procedure. The EuroQol EQ-5D is a 6 item survey that asks about how a patient is feeling on the day of the survey in terms of mobility, self-care, usual activities, pain/discomfort, anxiety/depression, and how they rate their health on a scale of 0 to 100 (where 0 is the worst health imaginable and 100 is the best health imaginable). | Up to one year |
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