Health Condition 1: I210- ST elevation (STEMI) myocardial infarction of anterior wall Health Condition 2: I211- ST elevation (STEMI) myocardial infarction of inferior wall Health Condition 3: I212- ST elevation (STEMI) myocardial infarction of other sites Health Condition 4: I214- Non-ST elevation (NSTEMI) myocardial infarction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients diagnosed with triple vessel coronary artery disease, with and without LMCA involvement. 2.All lesions treated within the same hospital admission 3.Patients undergoing PCI with ultrathin strut stent with biodegradable polymer and polymer free stents. 4.Use of intravascular imaging for Left Main lesions. 5.Patient with high STS or EuroSCORE 2 scores 6.Patienst with low/intermediate SYNTAX score 7.Patient admitted with ACS or CCS 8.Written informed consent for study participation and follow-up.
Exclusion criteria
Exclusion criteria: 1.Patients with high SYNTAX score more than32 2.Intermediate to Low to Intermediate STS or EuroSCORE 2 3.Significantly reduced life expectancy due to non-cardiac comorbidities 4.Patients in cardiogenic shock or severe hemodynamic compromise precluding imaging-guided PCI. 5.Patients with prior CABG. 6.PCI performed for in-stent restenosis or stent thrombosis from a previous procedure 7.Known hypersensitivity to contrast agents, stent materials, or dual antiplatelet therapy 8.Patients unwilling to provide consent or adhere to follow-up protocols
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of stent thrombosis and in-stent restenosis within 6 monthsTimepoint: Incidence of stent thrombosis and in-stent restenosis within 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 3 point MACE at 6 Months which is Composite of CV death, non-fatal MI, non-fatal StrokeTimepoint: 6 months;Procedural Success which is TIMI grade 3Timepoint: 6 months;Complications such as Stent thrombosis, CIN, & vascular access site issuesTimepoint: 1 month,3 month,6 months | — |
Countries
India
Contacts
AIIMS Bhubaneswar