Status:

TERMINATED

Functional Assessment of Coronary Artery Disease by CTA Flow Encoding

Lead Sponsor:

Johns Hopkins University

Conditions:

Coronary Artery Disease

Eligibility:

All Genders

40+ years

Brief Summary

The purpose of this pilot study proposal is to test the ability of Transluminal Flow Encoding (TAFE) to evaluate vessel specific ischemia in patients with a clinical indication for invasive coronary a...

Detailed Description

The purpose of this pilot study is to test the ability of Transluminal Flow Encoding (TAFE) to evaluate vessel specific ischemia in patients with a clinical indication for invasive coronary angiograph...

Eligibility Criteria

Inclusion

  • Inclusion Criteria A. Male or female patients, age 40 years and older. Women of child bearing potential must demonstrate a negative pregnancy test within 24 hours of the study CT.
  • B. Referral for invasive coronary angiography for a suspicion of coronary artery disease with possible percutaneous intervention planned.
  • C. Able to understand and willing to sign the Informed Consent Form.

Exclusion

  • A. Patients with a known history of coronary artery bypass surgery. B. Current or previous ST elevation myocardial infarction (MI), prior MI (confirmed by persistent pathologic Q waves on ECG, clinical reports of CPK-MB or Troponin \> three times the upper limit of normal or a fixed perfusion defect on nuclear imaging) C. Current evidence of acute myocardial ischemia, unstable angina, or cardiovascular instability including troponin \> than the limit of detection (≥0.06 ng/ml), new ST depression \> 1 mm, hypotension with a systolic pressure \<90 mm Hg.
  • D. Known allergy to iodinated contrast media
  • E. Known or suspected intolerance or contraindication to beta-blockers including:
  • Known allergy to beta-blockers
  • History of moderate to severe bronchospastic lung disease (including moderate to severe asthma) F. Known allergy to regadenoson or aminophylline. G. Any patient not deemed medically stable by a physician. F. Known or suspected severe symptomatic aortic stenosis. G. Severe hypertrophic obstructive cardiomyopathy. H. Evidence of severe symptomatic heart failure (NYHA Class III or IV) at the time of the scan.
  • I. Inability to lie flat. J. Atrial fibrillation or uncontrolled tachyarrhythmia, or advanced atrioventricular block (second or third degree heart block) K. Elevated serum creatinine (\> 1.5mg/dl) OR calculated creatinine clearance of \< 60 ml/min (using the Cockcroft-Gault formula) L. History of contrast-induced nephropathy M. Severe pulmonary disease or other disorder that does not allow patient to hold breath for 10 seconds or more.
  • N. History of organ transplantation O. Acute myocarditis or pericarditis. P. Recent history of illicit drug use (past 3 months) Q. Recent use of dipyridamole containing medications. R. Current pregnancy.

Key Trial Info

Start Date :

October 1 2014

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

December 31 2016

Estimated Enrollment :

19 Patients enrolled

Trial Details

Trial ID

NCT02286401

Start Date

October 1 2014

End Date

December 31 2016

Last Update

December 6 2017

Active Locations (1)

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Johns Hopkins University

Baltimore, Maryland, United States, 21287