Status:

TERMINATED

Diagnostic Performance of Coronary CT Angiography With CT FFR in Kidney Transplantation Candidates

Lead Sponsor:

Stanford University

Collaborating Sponsors:

Siemens Medical Solutions

Conditions:

Coronary Artery Disease

Computed Tomography

Eligibility:

All Genders

21+ years

Brief Summary

Patients with chronic kidney disease (CKD) before kidney transplantation require that obstructive coronary artery disease (CAD) is excluded, as cardiovascular complications are the leading cause of mo...

Detailed Description

Transplantation is the therapy of choice for most patients with stage 5 chronic kidney disease (CKD) and end stage renal disease (ESRD). Kidney transplantation improves quality of life and overall sur...

Eligibility Criteria

Inclusion

  • Candidates for kidney transplantation on dialysis without any residual kidney function AND referred to invasive coronary angiography for cardiac evaluation
  • Referral to invasive coronary angiography is based on algorithm used at the Transplant Readiness Assessment Clinic (TRAC) at Stanford:
  • A. Diabetic Candidates older than 45 years.
  • B. Diabetic Candidates under 45 years old and any one of the following criteria is present:
  • a) 25 year History of Diabetes
  • b) 5 year Smoking History
  • c) Abnormal EKG (ST-T wave changes)

Exclusion

  • Hemodynamically and clinically unstable condition (angina at rest, malignant arrhythmias)
  • Known ischemic heart disease (prior, documented myocardial infarction, prior stenting or coronary artery bypass graft surgery)
  • BMI\>30 kg/m2, or weight \>120 kg.
  • Atrial fibrillation or other arrhythmia, \>6 ectopic beats per minute
  • Known or suspected allergy to iodinated contrast medium
  • Pregnancy cannot be excluded

Key Trial Info

Start Date :

August 28 2017

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

January 24 2020

Estimated Enrollment :

26 Patients enrolled

Trial Details

Trial ID

NCT03248674

Start Date

August 28 2017

End Date

January 24 2020

Last Update

January 6 2022

Active Locations (1)

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1

Stanford Healthcare

Stanford, California, United States, 94305