Coronary Bifurcation Lesions Clinical Trial
Official title:
Prevalence of Vulnerable Plaque Its Location and Clinical Significance in Bifurcation Lesions Detected by Optical Coherence Tomography.
To determine the clinical prevalence of vulnerable plaque using OCT in patients with coronary bifurcation lesion.
This is a prospective registry study in which patient with bifurcation lesion undergoing
baseline coronary angiography, baseline OCT and percutaneous coronary intervention will be
studied. OCT is used to assess the prevalence of vulnerable plaque, its location at
bifurcation lesions and compare vulnerable plaque related major adverse cardiovascular events
(MACE) during one-year follow-up in bifurcation lesions between patients with vulnerable
plaque and those without. Relationship between endothelial shear stress and vulnerable
plaque. Relationship between bifurcation angle and vulnerable plaque.
Group A: presence of vulnerable plaque at the bifurcation Group B: absence of vulnerable
plaque at the bifurcation Documentation of immediate post stent OCT and 12 months follow up
angiography with OCT will be performed. Immediate post stent OCT to assess successful stent
implantation and after 12 months follow up to document year major adverse cardiovascular
events (MACE) included myocardial infraction, cardiac death and clinically driven target
lesion revascularization, stent thrombosis.
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