NAVIGATE-PCI-registret: En ny tilgang til at se CT-afledt vejledning før stentplacering for at planlægge effektiv PCI (NAVIGATE-PCI)
NAVIGATE-PCI-registret: En ny tilgang til CT-afledt vejledning før stentning for at planlægge effektiv PCI
The objective of Heartflow's NAVIGATE-PCI Registry is to collect observational data about the management of patients before and after deployment of Heartflow's PCI Navigator.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Heartflow's NAVIGATE-PCI Registry is a post-market, multi-center, data collection registry assessing confidence in procedure planning, time of procedure, contrast usage during procedure, radiation usage during procedure, invasive imaging (angiographic or other), and resource utilization. Sites will provide retrospective data from patients receiving an elective PCI prior to the deployment of PCI Navigator vs. after deployment and operator training on how to use the information provided by PCI Navigator. Baseline demographic, medical history, procedural, and in-hospital outcome information will be collected following the procedure. No post discharge follow-up data will be collected.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Abby Doctolero
- Telefonnummer: 650-241-1221
- E-mail: adoctolero@heartflow.com
Undersøgelse Kontakt Backup
- Navn: Sarah Mullen
- Telefonnummer: 650-241-1221
- E-mail: smullen@heartflow.com
Studiesteder
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California
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Palo Alto, California, Forenede Stater, 94304
- Rekruttering
- Stanford Medical Center
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Kontakt:
- Juyong Brian Kim, MD
- Telefonnummer: 650-721-7119
- E-mail: kimjb@stanford.edu
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Florida
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Miami, Florida, Forenede Stater, 33136
- Rekruttering
- University of Miami
-
Kontakt:
- Yiannis Chatzizisis, MD
- Telefonnummer: 305-243-4950
- E-mail: ychatzizisis@med.miami.edu
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Naples, Florida, Forenede Stater, 34102
- Rekruttering
- Naples Comprehensive Health
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Kontakt:
- Adam Frank, MD
- Telefonnummer: 2396248395
- E-mail: Adam.Frank@nchmd.org
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Tampa, Florida, Forenede Stater, 33606
- Rekruttering
- University of South Florida
-
Kontakt:
- Hiram Bezerra, MD
- Telefonnummer: 813-395-2194
- E-mail: hbezerra@tgh.org
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Georgia
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Marietta, Georgia, Forenede Stater, 30060
- Rekruttering
- Wellstar Health System
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Kontakt:
- Frank Corrigan, MD
- Telefonnummer: 470-793-4034
- E-mail: Frank.Corrigan@wellstar.org
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Illinois
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Chicago, Illinois, Forenede Stater, 60657
- Rekruttering
- Advocate Illinois Masonic Medical Center
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Kontakt:
- Joaquin Gonzalez, MD
- Telefonnummer: 630.730.6343
- E-mail: joaquin.gonzalez@aah.org
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Chicago, Illinois, Forenede Stater, 60611
- Rekruttering
- Northwestern Memorial Hospital
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Kontakt:
- Daniel Schimmel, MD
- Telefonnummer: 312.695.4067
- E-mail: dschimme@nm.org
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Glenview, Illinois, Forenede Stater, 60026
- Rekruttering
- Endeavor Health
-
Kontakt:
- Amit Pursnani, MD
- Telefonnummer: 847-503-6444
- E-mail: amit.pursnani@endeavorhealth.org
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Urbana, Illinois, Forenede Stater, 61801
- Rekruttering
- Carle Foundation Hospital
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Kontakt:
- Issam Moussa, MD
- Telefonnummer: 217-326-0102
- E-mail: Issam.Moussa@carle.com
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Kentucky
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Louisville, Kentucky, Forenede Stater, 40202
- Rekruttering
- Norton Hospital
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Kontakt:
- Daniel Stewart, MD
- Telefonnummer: 502-891-8631
- E-mail: daniel.stewart@nortonhealthcare.org
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Michigan
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Royal Oak, Michigan, Forenede Stater, 48073
- Rekruttering
- Corewell Health William Beaumont University Hospital
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Kontakt:
- Ryan Madder, MD
- Telefonnummer: 248.551.6679
- E-mail: Ryan.Madder@corewellhealth.org
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Minnesota
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Minneapolis, Minnesota, Forenede Stater, 55407
- Rekruttering
- Allina Health Minneapolis Heart Institute
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Kontakt:
- Yader Sandoval, MD
- Telefonnummer: 612.863.4768
- E-mail: Yader.Sandoval@allina.com
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Saint Cloud, Minnesota, Forenede Stater, 56303
- Rekruttering
- CentraCare - St. Cloud Hospital
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Kontakt:
- Juliette Power, MD
- Telefonnummer: 320-251-2700
- E-mail: Juliette.Power@centracare.com
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New Jersey
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Camden, New Jersey, Forenede Stater, 08103
- Rekruttering
- Virtua Our Lady of Lourdes Hospital
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Kontakt:
- Luai Tabaza, MD
- Telefonnummer: 856-355-1225
- E-mail: LTABAZA@virtua.org
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New York
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Roslyn, New York, Forenede Stater, 11576
- Rekruttering
- St. Francis Hospital and Heart Center
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Kontakt:
- Evan Shlofmitz, DO
- Telefonnummer: 516-629-2052
- E-mail: Evan.Shlofmitz@chsli.org
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North Carolina
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Greensboro, North Carolina, Forenede Stater, 27401
- Rekruttering
- Cone Health Moses Cone Hospital
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Kontakt:
- Muhammad Arida, MD
- Telefonnummer: 336-832-3795
- E-mail: Muhammad.Arida@conehealth.com
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Oregon
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Portland, Oregon, Forenede Stater, 97239
- Rekruttering
- Oregon Health & Science University
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Kontakt:
- Maros Ferencik, MD
- Telefonnummer: 503-418-2696
- E-mail: ferencik@ohsu.edu
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Pennsylvania
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Pittsburgh, Pennsylvania, Forenede Stater, 15212
- Rekruttering
- Allegheny General Hospital
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Kontakt:
- Ramzi Khalil, MD
- Telefonnummer: (412) 359-6908
- E-mail: ramzi.khalil@ahn.org
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Wynnewood, Pennsylvania, Forenede Stater, 19096
- Rekruttering
- Lankenau Medical Center
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Kontakt:
- Mara Caroline, MD
- Telefonnummer: 484.476.8579
- E-mail: CarolineM@mlhs.org
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York, Pennsylvania, Forenede Stater, 17403
- Rekruttering
- WellSpan York Hospital
-
Kontakt:
- Paul Tolerico, MD
- Telefonnummer: 717-356-5159
- E-mail: ptolerico@wellspan.org
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South Carolina
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Columbia, South Carolina, Forenede Stater, 29203
- Rekruttering
- Prisma Health Richland Hospital
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Kontakt:
- Gopi Shah, MD
- Telefonnummer: 803-434-3800
- E-mail: gopi.shah@prismahealth.org
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Virginia
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Charlottesville, Virginia, Forenede Stater, 22908
- Rekruttering
- UVA Health University Medical Center
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Kontakt:
- Rajan Patel, MD
- Telefonnummer: 434-982-1058
- E-mail: RAP8B@uvahealth.org
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Deidentified data will be collected for all patients included in the registry who had a CCTA with acceptable image quality prior to elective PCI and are included by the site in the registry. Patients with prior CABG or patients with intervention planned in a previously stented vessel territory are excluded.
Beskrivelse
Inclusion Criteria (all must be present):
- CCTA completed ≤90 days prior to elective PCI with acceptable image quality according to Heartflow's image quality requirements
- Referred for elective PCI
- Clinically stable without symptoms suggestive of acute coronary syndrome (ACS) at the time of the intervention
Exclusion Criteria (all must be present):
- ED presentation (at the time of the referral for PCI)
- Previous coronary artery bypass graft (CABG)
- Planned intervention in a previously stented vessel territory
- Acute chest pain (in patients who have not been ruled out for ACS)
- Participating in a conflicting study being undertaken during the PCI
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Observationsmodeller: COHORT
- Tidsperspektiver: CROSS_SECTIONAL
Antal grupper/kohorter
Kohorter og interventioner
Gruppe / kohorteGruppe / kohorte |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Group 1: No PCI Navigator
This group includes consecutive patients who have undergone a CCTA a maximum of 90 days prior to an elective PCI at the study site; the CCTA is not required to have been used in procedural planning but must have acceptable image quality according to Heartflow's image quality requirements |
|
|
Group 2: Intraprocedural PCI Planning
This group includes patients who had a CCTA and a referral for elective PCI following the introduction of the PCI Navigator at the study site. The PCI should be performed no more than 90 days following the CCTA. Interventionalists will document their procedural plan after initial invasive angiographic images are reviewed but before reviewing the information provided by the PCI Navigator, and then again after reviewing the information provided by the PCI Navigator. Usage of invasive imaging following review of the PCI Navigator is at the discretion of the interventionalist. |
Heartflow PCI Navigator is the only integrated, AI-driven PCI planning tool that gives interventional cardiologists a patient-specific 3D model, detailing anatomy, plaque composition, and lesion-specific physiology, all aligned to optimize potential stent placement. PCI Navigator delivers a streamlined view of essential information for cath lab decision-making by integrating all relevant measurements, including IVUS-like and FFR-like pullback visualizations, into one seamless experience, which typically requires significant time and effort to obtain in the cath lab. |
|
Group 3: Preprocedural Planning
This group includes patients who had a CCTA and a referral for elective PCI following the introduction of the PCI Navigator at the study site. The PCI should be performed no more than 90 days following the CCTA. Interventionalists will document their procedural plan before reviewing the information provided by the PCI Navigator and prior to initial invasive angiographic imaging, and then again after reviewing the information provided by the PCI Navigator. Usage of angiographic and other invasive imaging following review of the PCI Navigator is at the discretion of the interventionalist. |
Heartflow PCI Navigator is the only integrated, AI-driven PCI planning tool that gives interventional cardiologists a patient-specific 3D model, detailing anatomy, plaque composition, and lesion-specific physiology, all aligned to optimize potential stent placement. PCI Navigator delivers a streamlined view of essential information for cath lab decision-making by integrating all relevant measurements, including IVUS-like and FFR-like pullback visualizations, into one seamless experience, which typically requires significant time and effort to obtain in the cath lab. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Primary Endpoint
Tidsramme: 90 Days
|
The primary endpoint will be assessed only in Group 2 and is a change in procedural plan following review of the information provided by PCI Navigator compared to procedural plan with angiographic imaging alone. The primary endpoint will be measured by calculating the percentage of patients in whom a change of plan was documented following review of the PCI Navigator tool compared to the plan documented prior to using the tool. |
90 Days
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Ændringer i tillid med og uden PCI Navigator (vurderet i Gruppe 2 og 3 som to separate analyser)
Tidsramme: 90 dage for Gruppe 2, 18 måneder for Gruppe 3
|
90 dage for Gruppe 2, 18 måneder for Gruppe 3
|
|
Ændring i proceduretid med og uden PCI Navigator
Tidsramme: 90 dage
|
90 dage
|
|
Ændring i kontrastforbrug med og uden PCI Navigator
Tidsramme: 90 dage
|
90 dage
|
|
Ændring i strålebrugen under PCI med og uden PCI Navigator
Tidsramme: 90 dage
|
90 dage
|
|
Ændring i invasiv billeddannelse (angiografisk eller anden) med og uden PCI Navigator
Tidsramme: 90 dage
|
90 dage
|
|
Ændring i ressourceforbrug med og uden PCI Navigator
Tidsramme: 90 dage
|
90 dage
|
Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Exploratory and Safety Endpoint
Tidsramme: 5 years
|
Perform all endpoint analyses with a comparison of male vs. female as an added variable |
5 years
|
|
Exploratory and Safety Endpoint
Tidsramme: 5 years
|
Procedural complications and in-hospital outcomes |
5 years
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Ziad Ali, MD, DPhil, St. Francis Hospital & Heart Center Columbia University
- Ledende efterforsker: Todd C. Villines, MD, University of Virginia
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- CP-911-001
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