Coronary Arterioscleroses, Coronary Artery Disease
Conditions
Keywords
Percutaneous Coronary Intervention, Coronary Artery Disease, Wire, Coronary stenting
Brief summary
Adequate support is required for challenging percutaneous coronary interventions (PCI). The TransRadial Ultra Support Technique (TRUST technique) is a new support technique that provides active support by deep pass of the coronary wire into the heart cavities (left ventricle-LV, right ventricle-RV) or aorta.
Interventions
A soft hydrophilic wire easily pass through the invisible small vessels in the distal parts of a coronary artery into a heart cavity. It is necessary to pass a wire softly and forward as deep as possible. Quite often the wire goes through the left ventricle to aorta arch, and sometimes distal soft tip can be visible in a descending aorta. Thus the stiffest part of the wire become staying on all length of artery, straightening bends and giving the maximum support. After that balloons and stents can be delivered more easily
A standard endovascular technique of coronary wire support improvement
A standard endovascular procedure of percutaneous coronary intervention with coronary stenting
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects singed informed consent form * Subjects eligible for percutaneous coronary intervention
Exclusion criteria
* Age \<18 years or \>75 years * Subject has a platelet count \< 100,000 cells/mm3 or \> 700,000 cells/mm3. * Known non-adherence to double anti-platelet therapy (DAPT) * LVEF \<30% * Continuing bleeding * Acute coronary syndrome (ST-elevation Myocardial infarction) * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Procedural success | 1 week after PCI | Device success without the occurrence of in-hospital MACCE |
| Device success | Intraoperative | Achievement of a final residual diameter stenosis \<20% and a TIMI 3 flow in the target vessel |
Countries
Russia