Status:

NOT_YET_RECRUITING

Feasibility of a Cardiac Rehabilitation Program for CTO Patients Before PCI Treatment

Lead Sponsor:

Luiz Ybarra

Collaborating Sponsors:

Academic Medical Organization of Southwestern Ontario

University of Western Ontario, Canada

Conditions:

Chronic Total Occlusion (CTO)

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The goal of this clinical trial is to evaluate the feasibility of a cardiac pre-hab program for patients with blocked arteries (CTO) who are referred for PCI treatment. The main questions it aims to a...

Detailed Description

This is an investigator-initiated prospective single-arm single-center feasibility study of a cardiac pre-hab program for CTO patients referred for CTO PCI. All patients who undergo a coronary angiogr...

Eligibility Criteria

Inclusion

  • The presence of a chronic total occlusion in at least one major coronary artery (diameter ≥ 2.5mm).
  • Patients who have an indication for percutaneous coronary intervention of a CTO, which includes the presence of:
  • Angina or anginal-equivalent symptoms and
  • Ischemia or viability in the CTO territory
  • Patient aged ≥18 years of age.

Exclusion

  • Inability or refusal to participate in the study's cardiac rehabilitation program.
  • Participation in CR program in the last 1 year.
  • Life expectancy of \< 12 months due to non-cardiovascular comorbidities.
  • Anatomy deemed unsuitable for CTO PCI.
  • Severe left main disease (angiographic stenosis ≥50%; fractional flow reserve ≤0.80; minimal lumen area \<6mm2).
  • Severe valvular disease or valvular disease likely to require surgery or percutaneous valve replacement during the study period.
  • Pregnancy.
  • Acute coronary syndrome within two months.
  • Canadian Cardiovascular Society Class ≥III angina of recent onset.
  • Angina of any class with a rapidly accelerating pattern.
  • Cardiac transplant recipient.
  • Inability to understand the questionnaires used in the study.
  • Patients unable to provide consent for the study.

Key Trial Info

Start Date :

October 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2026

Estimated Enrollment :

70 Patients enrolled

Trial Details

Trial ID

NCT06610708

Start Date

October 1 2024

End Date

October 1 2026

Last Update

September 24 2024

Active Locations (1)

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1

University Hospital

London, Ontario, Canada, N6A 5A5