Coronary Artery Disease Clinical Trial
Official title:
Observational Study of Optical Coherence Tomography (OCT) in Patients Undergoing Fractional Flow Reserve (FFR) and Percutaneous Coronary Intervention Stage I (ILUMIEN I)
The purpose of this study is to define and evaluate optical coherence tomography (OCT) stent guidance parameters through prospective data collection in percutaneous coronary intervention (PCI) procedures of de novo lesions.
Optical coherence tomography (OCT) is an imaging modality that uses near-infrared light to
produce high resolution, real-time images that are clearer and more quickly produced than
those produced by intravascular ultrasound (IVUS). OCT imaging is performed utilizing an
imaging catheter with a single optical fiber core that both emits light and records its
reflection while simultaneously rotating 360° during continuous pullback within the coronary
artery. Fractional Flow Reserve (FFR) is a pressure-derived, lesion-specific, physiological
index determining the hemodynamic severity of intracoronary lesions. FFR is measured by
placing a pressure guidewire across the lesion of interest and pharmacologically inducing
hyperemia. The ratio of distal to proximal pressure allows the physician to physiologically
determine if the narrowing is the cause of ischemia. the goal of this study is to define new
parameters for stent optimization, benefitting from the unique Fourier-domain (FD-OCT)
capabilities.
This stage I study will identify the parameters which will be prospectively tested in a
second stage II protocol.
In hospital, 30 day, and 12 month outcomes data will be correlated with OCT baseline findings
in order to identify optimal stent implant parameters.
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