OCT Versus Angiography for Culprit Lesion Revascularization in Acute Myocardial Infarction PatiEnts

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age19+
SponsorChonnam National University Hospital

About this trial

The aim of the study is to compare clinical outcomes between optical coherence tomography-guided versus angiography-guided percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI).

Eligibility criteria

Qualifiers

Subject must be at least 19 years of age

Acute ST-segment elevation myocardial infarction (STEMI)

Primary percutaneous coronary intervention (PCI) in < 12 h after the onset of symptoms for STEMI patients

Subject is able to verbally confirm understandings of risks, benefits and treatment alternatives of receiving invasive physiologic evaluation and PCI and he/she or his/her legally authorized representative provides written informed consent prior to any study related procedure.

Disqualifiers

Target lesions not amenable for PCI by operators' decision

Ostial lesions located in left main vessel or right coronary artery (left main body or distal bifurcation lesions can be enrolled by operator's discretion)

Creatinine clearance ≤30 ml/min/1.73 m2 and not on dialysis (chronic dialysis dependent patients are eligible for enrolment regardless of creatinine clearance)

Cardiogenic shock (Killip class IV) at presentation

Trial design

Treatments tested in this trial

  • Angiography-guided PCI group
  • Optical coherence tomography-guided PCI group

Treatment groups

1,500 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Chonnam National University Hospital

Lead sponsor

Samsung Medical Center

Collaborator