Coronary Artery Disease Clinical Trial
Official title:
A RandomisED StUdy Comparing Standard Systemic Anticoagulation ThErapy to Low Dose Intracoronary Anticoagulation Therapy for Elective Percutaneous Coronary Intervention
The hypothesis:
Low dose intracoronary unfractionated heparin is as effective and safe as standard dose
intravenous unfractionated heparin on patients with elective percutaneous coronary
intervention.
Aim:
Primary objective:To evaluate the efficiency and safety of low dose intracoronary
unfractioned heparin (UFH) on elective percutaneous coronary intervention (PCI).
Secondary objective:
- To evaluate the effect of low dose intracoronary UFH on myocardial ischemia after PCI.
- To evaluate the effect of low dose intracoronary UFH on bleeding complications after
PCI.
- To evaluate the cost-effectivity of low dose intracoronary UFH on elective PCI
Study central:
- Bursa Postgraduate Hospital, Cardiology Clinic
Study population:
- we planned to enrol 200 patients.
- Patients will randomise in two groups (control group:100 patients, study group:100
patients)
Study works:-Write case report form for all patients
- Control for inclusion criteria
- Demographic data (age, gender)
- Height, weight, BMI and glomerular filtration rate (GFR)
- Risk factors
- laboratory data (biochemical and hematologic)
- Medication history
- Echocardiographic data
- Angiographic data
- Procedure time
- PCI data(vessel diameter, stent diameter, lesion and stent length, performed
percutaneous transluminal coronary angioplasty (PTCA) or not, etc)
- Before and after procedure (activated clotting time) ACT value
- Before and after procedure troponin I (TnI) and Creatine kinase MB (CKMB) levels
- Note complication (MACE, bleeding, hematoma etc)
- Note femoral compression time.
4 weeks later note the first control data.
Six months later note the second control data.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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