PATIENTS UNDERGOING PRIMARY PERCUTANEOUS INTERVENTION FOR ACUTE ST-SEGEMENT MYOCARDIAL INFARCTION.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Acute myocardial infarction eligible for primary PCI: > 20 min of chest-pain and at least 1 mm ST-elevation in two contiguous leads or a new left bundle branch block; 2. Reperfusion expected to be feasible within 6 hours after onset of complaints; 3. Stent eligible (coronary at least 2.5 mm) infarct related coronary artery.
Exclusion criteria
Exclusion criteria: 1. Age > 18 and < 80 years; 2. Reperfusion not achievable with 6 hrs after onset of complaints; 3. Failed thrombolysis; 4. Infarct related artery unsuitable for stent implantation; 5. Sub-acute stent thrombosis; 6. STEMI caused by in-stent re-stenosis; 7. Infarct related vessel / target vessel bypass graft (SVG or LIMA); 8. Contraindication for aspirin and/or clopidogrel: intolerance, allergy; 9. Participation in another clinical study, interfering with this protocol; 10. Cardiogenic shock prior to randomization; 11. Uncertain neurological outcome e.g. resuscitation; 12. Intubation/ventilation; 13. Known intracranial disease; 14. Expected mortality from any cause within the next 6 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary end point is the composite clinical endpoint of death of all causes, recurrent MI, target vessel revascularization (TVR) or target lesion (within 5 mm of stent edges) revascularization (TLR) at one year. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary end points are: 1. The composite clinical endpoint of death of all causes, recurrent MI, target vessel revascularization (TVR) or target lesion (within 5 mm of stent edges) revascularization (TLR) at 6 months, 2 and 3 year; 2. Occurence of stent thrombosis; 3. Success rate of primary PCI. | — |
Contacts
Onze Lieve Vrouwe Gasthuis (OLVG) Oosterpark 9