- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03667196
Evaluation of Effectiveness and Safety of Antegrade and Retrograde Approach of Percutaneous Coronary Intervention for Chronic Total Occlusions (STRIKE-CTO)
November 14, 2023 updated by: Seung-Whan Lee, M.D., Ph.D.
Evaluation of Effectiveness and Safety of Antegrade and Retrograde Approach of Percutaneous Coronary Intervention for Chronic Total Occlusions; Systemic Chronic Total Occlusion Revascularization Korea Research-Chronic Total Occlusion (STRIKE-CTO) Study
Objective of this study is to 1) analyze the clinical, anatomical and periprocedural differences of patients who underwent a procedure related to coronary CTO through the antergrade approach and retrograde approach; 2) analyze the success rate of the procedures and the incidence and patterns of complications; 3) compare and analyze long-term performances after the successful procedure; and 4) identify the independent factors that require a retrograde approach and the prognostic factor regarding long-term performances after use of each approach.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Observational
Enrollment (Estimated)
4000
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Seung-Whan Lee, MD
- Phone Number: 8210-7398-9897
- Email: seungwlee@amc.seoul.kr
Study Locations
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-
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Anyang, Korea, Republic of
- Recruiting
- Hallym University Sacred Heart Hospital
-
Contact:
- Hyun-Sook Kim, MD
- Phone Number: 8210-6678-1376
- Email: hearthsk@hotmail.com
-
Principal Investigator:
- Hyun-Sook Kim, MD
-
Bucheon, Korea, Republic of
- Recruiting
- SoonChunHyang University Hospital Bucheon
-
Contact:
- Nae Hee Lee, MD
- Phone Number: 8210-9016-9985
- Email: naeheelee@naver.com
-
Principal Investigator:
- Nae Hee Lee, MD
-
Changwon, Korea, Republic of
- Recruiting
- Gyeongsang National University Changwon Hospital
-
Contact:
- Jae Seok Bae, MD
- Phone Number: 8210-7199-2896
- Email: baefach@naver.com
-
Principal Investigator:
- Jae Seok Bae, MD
-
Cheongju-si, Korea, Republic of
- Recruiting
- Chungbuk National University Hospital
-
Contact:
- Sang-Min Kim, DM
- Phone Number: 821035518582
- Email: sangmin3410@gmail.com
-
Principal Investigator:
- Sang-Min Kim, DM
-
Chuncheon, Korea, Republic of
- Recruiting
- Gangwon National University Hospital
-
Contact:
- Bong-Ki Lee, MD
- Phone Number: 8210-6373-9290
- Email: mdbklee@kangwon.ac.kr
-
Principal Investigator:
- Bong-Ki Lee, MD
-
Daegu, Korea, Republic of
- Recruiting
- Keimyung University Dongsan Medical Center
-
Contact:
- Hyuck Jun Yoon, MD
- Phone Number: 8210-2094-6248
- Email: shur@dsmc.or.kr
-
Principal Investigator:
- Hyuck Jun Yoon, MD
-
Daegu, Korea, Republic of
- Recruiting
- Yeungnam University Medical Center
-
Contact:
- Ung Kim, MD
- Phone Number: 8210-4504-1507
- Email: woongwa@hanmail.net
-
Principal Investigator:
- Ung Kim, MD
-
Daejeon, Korea, Republic of
- Recruiting
- Chungnam National University Hospital
-
Principal Investigator:
- Jae-Hyeong Park, MD
-
Contact:
- Jae-Hyeong Park, MD
- Phone Number: 8210-9213-8237
- Email: jaehpark@cnuh.co.kr
-
Daejeon, Korea, Republic of
- Recruiting
- The Catholic University of Korea, Daejeon St. Mary's Hospital
-
Contact:
- Kyu-sup Lee, MD
- Phone Number: 8210-9059-0389
- Email: ajobi7121@gmail.com
-
Principal Investigator:
- Kyu-sup Lee
-
Daejeon, Korea, Republic of
- Recruiting
- The Catholic University of Korea, St. Vincent's Hospital
-
Principal Investigator:
- Sung-ho Her, MD
-
Contact:
- Sung-Ho Her, MD
- Phone Number: 8210-7731-0052
- Email: hhhsungho@hanmail.net
-
Gangneung, Korea, Republic of
- Recruiting
- Gangneung Asan Hospital
-
Contact:
- Han-bit Park, MD
- Phone Number: 8210-8666-6064
- Email: phb8012@gmail.com
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Principal Investigator:
- Han-bit LeePark, MD
-
Goyang-si, Korea, Republic of
- Recruiting
- Myongji Hospital
-
Contact:
- Ji-Hyun Lee, MD
- Phone Number: 8210-9120-5427
- Email: jihyun.cardio@gmail.com
-
Principal Investigator:
- Ji-Hyun Lee, MD
-
Guri-si, Korea, Republic of
- Recruiting
- Hanyang University Medical Center
-
Contact:
- Yong-gu Lee, MD
- Phone Number: 8210-3049-7751
- Email: hmedi97@naver.com
-
Principal Investigator:
- Yong-gu Lee, MD
-
Gyeonggi-do, Korea, Republic of
- Recruiting
- Seoul National University Bundang Hospital
-
Contact:
- Chang-Hwan Yoon, MD
- Phone Number: 8210-2336-9000
- Email: changhwanyoon@gmail.com
-
Principal Investigator:
- Chang-Hwan Yoon, MD
-
Incheon, Korea, Republic of
- Recruiting
- Inha University Hospital
-
Contact:
- Seong-Ill Woo, MD
- Phone Number: 8210-7240-9924
- Email: siwoo@inha.ac.kr
-
Contact:
- Seong-Ill Woo, MD
-
Principal Investigator:
- Seong-Ill Woo, MD
-
Incheon, Korea, Republic of
- Recruiting
- The Catholic University of Korea, Incheon St. Mary's Hospital
-
Contact:
- Doo Soo Jeon, MD
- Phone Number: 8210-5248-9397
- Email: mrfasthand@catholic.ac.kr
-
Principal Investigator:
- Doo Soo Jeon, MD
-
Pusan, Korea, Republic of
- Recruiting
- Inje University Haeundae Paik Hospital
-
Contact:
- Dong-Kie Kim, MD
- Phone Number: 8210-4595-9515
- Email: imnpymd@gmail.com
-
Principal Investigator:
- Dong-Kie Kim, MD
-
Pusan, Korea, Republic of
- Recruiting
- Inje University Pusan Paik Hospital
-
Contact:
- Tae Hyun Yang, MD
- Phone Number: 8210-4590-5067
- Email: yangthmd@naver.com
-
Principal Investigator:
- Tae Hyun Yang, MD
-
Pusan, Korea, Republic of
- Recruiting
- Dong-A University Hospital
-
Principal Investigator:
- Yong-rak Cho, MD
-
Contact:
- Yong-Rak Cho, MD
- Phone Number: 8210-8553-0723
- Email: erygentess@paran.com
-
Pusan, Korea, Republic of
- Recruiting
- Busan Veterans Hospital, Korea Veterans Health Service
-
Principal Investigator:
- Su-Hong Kim, MD
-
Contact:
- Su-Hong Kim, MD
- Phone Number: 8210-2571-2149
- Email: dhugie@naver.com
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Pusan, Korea, Republic of
- Recruiting
- Gosin University Gospel Hospital
-
Contact:
- Jeong Ho Heo, MD
- Phone Number: 8210-2501-2896
- Email: duggymdc@gmail.com
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Principal Investigator:
- Jeong Ho Heo, MD
-
Sejong, Korea, Republic of
- Recruiting
- Chungnam National University Sejong Hospital
-
Contact:
- Jae-Hwan LeeJae-Hwan, MD
- Phone Number: 8210-9213-8237
- Email: myheart@cnuh.co.kr
-
Principal Investigator:
- Jae-Hwan Jae-Hwan, MD
-
Seoul, Korea, Republic of
- Recruiting
- Asan Medical Center
-
Principal Investigator:
- Seung-Whan Lee, MD
-
Contact:
- Seung-Whan Lee, MD
- Phone Number: 8210-7398-9897
- Email: seungwlee@amc.seoul.kr
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Seoul, Korea, Republic of
- Recruiting
- Samsung Medical Center
-
Contact:
- Joo-Yong Hahn, MD
- Phone Number: 8210-9878-3931
- Email: jyhahn@skku.edu
-
Principal Investigator:
- Joo-Yong Hahn, MD
-
Seoul, Korea, Republic of
- Recruiting
- Kangbuk Samsung Hospital
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Principal Investigator:
- Jong-young Lee, MD
-
Contact:
- Jong-Young Lee, MD
- Phone Number: 8210-2507-4780
- Email: jyleeheart@naver.com
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Seoul, Korea, Republic of
- Recruiting
- Veterans Hospital Service Medical Center
-
Principal Investigator:
- Chang-Hoon Lee, MD
-
Contact:
- Chang-Hoon Lee, MD
- Phone Number: 8210-5551-7867
- Email: changhoon.lee121@gmail.com
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Seoul, Korea, Republic of
- Recruiting
- The Catholic University of Korea, Eunpyeong
-
Principal Investigator:
- Suk-min Seo, MD
-
Contact:
- Suk-Min Seo, MD
- Phone Number: 8210-7358-5252
- Email: ssm530@catholic.ac.kr
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Seoul, Korea, Republic of
- Recruiting
- The Catholic University of Seoul St. Mary's Hospital
-
Principal Investigator:
- Byung-hee Hwang, MD
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Contact:
- Byung-Hee Hwang, MD
- Phone Number: 8210-5358-2597
- Email: hbhmac@naver.com
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Ulsan, Korea, Republic of
- Recruiting
- Ulsan University Hospital
-
Contact:
- Gyung-Min Park, MD
- Phone Number: 8210-9995-8684
- Email: min8684@hanmail.net
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Principal Investigator:
- Gyung-Min Park, MD
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Yangsan, Korea, Republic of
- Recruiting
- Pusan National University Yangsan Hospital
-
Contact:
- Kook Jin Chun, MD
- Phone Number: 8210-6342-2299
- Email: ptca82@gmail.com
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Principal Investigator:
- Kook Jin Chun, MD
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
19 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
Subject selection will be determined after screening patients who undergo PCI for CTO lesions and completing the evaluation of all inclusion/exclusion criteria.
Description
Inclusion Criteria:
- Patients aged>=19
- Patients who have a CTO lesion in at least one or more epicardial coronary artery 2.5 mm in blood vessel diameter
- Patients who have symptoms of angina or objectively proven myocardial ischemia (asymptomatic myocardial ischemia, stable or unstable angina, non - -ST-segment elevation myocardial infarction)
- Patients who voluntarily agreed to the protocol and the clinical follow-up plan (or let their representative do this), and signed the informed consent form approved by the IRB of each study institute
Exclusion Criteria:
- Patients who are pregnant or lactating or have childbearing potential Patients in whom contrast medium and heparin are contraindicated or who are hypersensitive to them
- Patients in whom aspirin, clopidogrel, ticagrelor and prasugrel, cilostazol are contraindicated
- Patients scheduled to undergo a surgery, etc. that requires discontinuance of an antiplatelet drug within 12 months after participation in the study
- Acute ST elevation myocardial infarction at the time of hospitalization
- Terminally ill patients with their life expectancy < one year
- Patients who have serious diseases other than cardiac diseases that may affect limitation of residual life time or observation of the protocol (e.g. oxygen-independent chronic obstructive pulmonary disease, persisting hepatitis or serious hepatic insufficiency, severe renal disease, etc. Be left up to the discretion of the investigator.)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Observational
|
This study intends to identify and compare the clinical, anatomical and periprocedural factors of the patients who used only the antergrade approach and the patients who needed the retrograde approach among the patients with coronary CTO
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Death
Time Frame: 12-month after PCI
|
Death
|
12-month after PCI
|
myocardial infarction
Time Frame: 12-month after PCI
|
the periprocedural myocardial infarction under the SCAI definition or the non-lethal myocardial infarction during the follow-up observations
|
12-month after PCI
|
the complex endpoints of target vessel revascularization/reocclusion occurrence
Time Frame: 12-month after PCI
|
including chronic total occlusion and angiostenosis
|
12-month after PCI
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Procedure success rate
Time Frame: every 1-year up-to 5-year
|
A procedure success defined as the case where a final vessel diameter stenosis < 30% is achieved after the stent insertion
|
every 1-year up-to 5-year
|
Myocardial infarction
Time Frame: every 1-year up-to 5-year
|
Q-wave VS non-Q-wave, periprocedural myocardial infarction VS follow-up myocardial infarction (spontaneous myocardial infarction
|
every 1-year up-to 5-year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Seung-Whan Lee, MD, Asan Medical Center
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 11, 2018
Primary Completion (Estimated)
December 31, 2027
Study Completion (Estimated)
December 31, 2027
Study Registration Dates
First Submitted
September 10, 2018
First Submitted That Met QC Criteria
September 10, 2018
First Posted (Actual)
September 12, 2018
Study Record Updates
Last Update Posted (Estimated)
November 16, 2023
Last Update Submitted That Met QC Criteria
November 14, 2023
Last Verified
November 1, 2023
More Information
Terms related to this study
Other Study ID Numbers
- AMCCV 2017-07
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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