Actively Recruiting

Age: 18Years +
All Genders
ID06255678

Angio-based Final Functional Effect of PCI (AFFE PCI): a Prospective Multi-center Study of Post-PCI vFFR Impact on Clinical Outcomes and Residual Angina

Led by Medical University of Warsaw · Updated on 2024-02-13

2005

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying patients with coronary artery disease undergoing percutaneous coronary intervention (PCI) to better understand the value of angiography-based vessel fractional flow reserve (vFFR) and its change (\u0394vFFR) after PCI. This study focuses on how these measures relate to major adverse cardiovascular events (MACE), residual angina, and quality of life in people with chronic coronary syndromes, non-ST-segment elevation acute coronary syndromes, or ST-segment elevation myocardial infarction. It is a prospective multicenter observational study led by the Medical University of Warsaw. The study uses angiography images taken during PCI to calculate vFFR with specialized software. Patients undergoing PCI will be followed over time, with assessments at 6, 12, and 24 months after the procedure. The research will analyze the association of post-PCI vFFR and \u0394vFFR values with clinical outcomes, angina symptoms, and quality of life scores from the Seattle Angina Questionnaire (SAQ) and EuroQol 5-level 5-dimensional questionnaire (EQ-5D-5L). Various patient subgroups will also be evaluated. Participants will have their coronary angiograms analyzed using a CAAS workstation. Researchers will collect data on adverse cardiovascular events such as death, myocardial infarction, and repeat vessel revascularization, along with patients' angina symptoms and quality of life at several time points during the 2-year follow-up. The study aims to improve understanding of how post-PCI functional measures relate to patient health and outcomes over time.

CONDITIONS

Brief Title

Angio-based Final Functional Effect of PCI

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Undergoing percutaneous coronary intervention (PCI) for chronic or acute coronary syndromes
  • Adequate quality angiogram allowing vessel fractional flow reserve (vFFR) analysis
  • Age over 18 years
  • Provided written informed consent before the procedure
Not Eligible

You will not qualify if you...

  • Cardiogenic shock or pulmonary oedema
  • Severe hemodynamic instability
  • Prior coronary artery bypass grafting (CABG)
  • Active bleeding
  • Acute or chronic inflammatory conditions
  • Acute mechanical complications of myocardial infarction
  • Congenital heart disease
  • Heart transplantation
  • Non-cardiac illnesses with life expectancy less than 1 year

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person) prior to PCI

Diagnostic Evaluation

Duration - Day of PCI

Participants undergo PCI during which angiography images are routinely taken to calculate vessel fractional flow reserve (vFFR) using a CAAS workstation.

1 visit (in-person) during PCI procedure

Long-term Monitoring

Duration - 24 months

Participants are followed for clinical outcomes, residual angina symptoms, and quality of life assessed at multiple timepoints after PCI.

Follow-up visits at 6 months, 12 months, and 24 months

Trial Site Locations

Total: 1 location

1

Medical University of Warsaw

Warsaw, Poland, 02-097

Actively Recruiting

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Research Team

M

Mariusz Tomaniak, MD PhD

K

Karol Sadowski

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Published Research Related To This Trial

Study design and rationale of the angio-based final functional effect of PCI (AFFE PCI) study: a prospective multi-center study of post-PCI vFFR impact on clinical outcomes and residual angina.

Mariusz Tomaniak, Karol Sadowski, Adrian Bednarek...

https://pubmed.ncbi.nlm.nih.gov/38695286