Acute Coronary Syndrome Clinical Trial
— PVCFDOfficial title:
Prediction of Vulnerable Plaque Using Coronary CT Angiography and Computational Fluid Dynamic in Acute Coronary Syndrome
The aim of the PVCFD trial is to predict vulnerable plaque confirmed by OCT using coronary CT angiography and computational fluid dynamics in patients with acute coronary syndrome.
Status | Not yet recruiting |
Enrollment | 200 |
Est. completion date | December 1, 2022 |
Est. primary completion date | September 1, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility |
Inclusion Criteria: 1)acute coronary syndrome was diagnosed according to universal definition of ACS; and 2) coronary CTA was completed before CAG; and 3) definitely culprit lesion can be recognized by CAG; 4) OCT was done to detect coronary atherosclerotic plaques confirmed by CAG. Exclusion Criteria: 1) Previous history stent implantation; 2) previous history of coronary artery bypass graft surgery; 3) ACS without clear culprit lesion; 4) poor image quality of coronary CTA for APC and CFD analysis; 5) myocardial infarction secondary to other reasons |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Shanghai 10th People's Hospital |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The difference of area under curve among the three prediction models | from 1 to 72 hours | ||
Primary | The difference of net reclassification index (NRI) and integrated discrimination improvement (IDI) among the three prediction models | from 1 to 72 hours | ||
Secondary | The percentage in APC (low-attenuation plaque, positive remodeling, napkin-ring sign, and spotty calcification) between the vulnerable plaque group and stable plaque group | from 1 to 72 hours | ||
Secondary | The difference in hemodynamic parameters (FFRCT,?FFRCT, WSS and PWS) between the vulnerable plaque group and stable plaque group | from 1 to 72 hours | ||
Secondary | The optimal cut-off values of hemodynamic parameters (FFRCT,?FFRCT, WSS and PWS) to identify vulnerable plaque | from 1 to 72 hours |
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