STunning After Balloon Occlusion (STABO)
STunning After Balloon Occlusion, A Single-center, Single-arm, Prospective Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Primary objectives:
To determine the time-course for the resolution of regional myocardial function after short-term coronary artery occlusion in patients with stable CAD who undergo PCI.
Secondary objectives:
- To confirm by cardiac magnetic resonance imaging that no myocardial injury occurs after short-term coronary occlusion in patients who undergo PCI due to stable CAD.
- To establish a clinical model for studying myocardial stunning.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Björn Redfors, AssocProf
- Phone Number: +46 31 342 7543
- Email: Bjoern.Redfors@wlab.gu.se
Study Locations
-
-
-
Gothenburg, Sweden, 41345
- Kardiologen
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age >18 years.
Stable CAD with indication for PCI of a lesion in either of the following coronary segments:
- 6 or 7 (proximal or mid left anterior descending coronary artery)
- 11 (Proximal left circumflex coronary artery)
- 1 or 2 (proximal right coronary artery)
- Normal cardiac function in the myocardial segments subtended by the target vessel, as assessed by echocardiography at the time of coronary angiography.
- Written informed consent obtained.
Exclusion Criteria:
- Pre-existing heart failure
- Known pre-existing irreversible regional or global wall motion abnormalities affecting the myocardial segments subtended by the target vessel.
- Severe valvulopathy
- Thrombolysis In Myocardial Infarction (TIMI) flow <3 in the target vessel.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Patients with a significant coronary artery lesion
Balloon inflation for 90s
|
Patients with a significant coronary artery lesion in a proximal coronary segment will undergo intracoronary balloon inflation for 90s prior to PCI.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Precent Akinesia
Time Frame: 30 minutes post balloon occlusion
|
Time until recovery of percent akinesia (percent Akinesia; defined as more than 80 percent recovery compared to percent Akinesia at 30 minutes post balloon occlusion).
|
30 minutes post balloon occlusion
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Difference in percent Akinesia
Time Frame: 30 minutes
|
Difference in percent Akinesia at 30 minutes compared to baseline (before balloon occlusion).
|
30 minutes
|
|
Difference in radial myocardial Strain
Time Frame: 30 minutes
|
Difference in radial myocardial Strain (in percent) in the myocardial segments subtended by the target vessel at 30 minutes compared to baseline measured with speckle tracking.
|
30 minutes
|
|
Time until recovery of radial Strain
Time Frame: 30 minutes
|
Time until recovery of radial Strain in the myocardial segments subtended by the target vessel (defined more than 80 percent recovery compared to 30 minutes post balloon occlusion)
|
30 minutes
|
|
Percent Akinesia
Time Frame: 1, 10, 30, 60, 120, 180 and 300 minutes and 24, 48 and 72 hours
|
Percent Akinesia in the myocardial segments
|
1, 10, 30, 60, 120, 180 and 300 minutes and 24, 48 and 72 hours
|
|
Radial myocardial Strain
Time Frame: 1, 10, 30, 60, 120, 180 and 300 minutes and 24, 48 and 72 hours
|
Radial myocardial Strain (in percent) in the myocardial segments subtended by the target vessel measured with speckle tracking.
|
1, 10, 30, 60, 120, 180 and 300 minutes and 24, 48 and 72 hours
|
|
Global longitudinal Strain
Time Frame: 1, 10, 30, 60, 120, 180 and 300 minutes and 24, 48 and 72 hours
|
Global longitudinal Strain (in percent) in the heart measured with speckle tracking.
|
1, 10, 30, 60, 120, 180 and 300 minutes and 24, 48 and 72 hours
|
|
Myocardial wall motion index
Time Frame: 1, 10, 30, 60, 120, 180 and 300 minutes and 24, 48 and 72 hours
|
Myocardial wall motion index
|
1, 10, 30, 60, 120, 180 and 300 minutes and 24, 48 and 72 hours
|
|
Left ventricular ejection fraction
Time Frame: 1, 10, 30, 60, 120, 180 and 300 minutes and 24, 48 and 72 hours
|
Left ventricular ejection fraction
|
1, 10, 30, 60, 120, 180 and 300 minutes and 24, 48 and 72 hours
|
|
Left ventricular stroke volume index
Time Frame: 1, 10, 30, 60, 120, 180 and 300 minutes and 24, 48 and 72 hours
|
Left ventricular stroke volume index
|
1, 10, 30, 60, 120, 180 and 300 minutes and 24, 48 and 72 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Björn Redfors, Sahlgrenska Universitetssjukhus
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- v.2.0
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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