Complete Revascularization Versus Culprit Lesion Only PCI in Patients with
Non-ST-Elevation Myocardial Infarction and Multivessel Coronary Artery Disease
Led by Leipzig Heart Science gGmbH · Updated on 2025-01-16
3390
Participants Needed
58
Research Sites
196 weeks
Total Duration
On this page
AI-Summary
Official Title
Who Can Participate
AI-Screening
Trial Site Locations
Research Team
How is the study designed?
Frequently Asked Questions
Sponsors
L
Leipzig Heart Science gGmbH
Lead Sponsor
H
Heart Center Leipzig at University of Leipzig
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are studying whether performing percutaneous coronary intervention (PCI) on all significant blocked arteries (multivessel complete PCI) is better than treating only the artery causing the current heart attack (culprit-lesion only PCI) in patients with non-ST-segment elevation myocardial infarction (NSTEMI) who have blockages in multiple heart arteries. This trial is designed as a prospective, randomized, controlled, and open-label study conducted at multiple centers to compare these two treatment approaches for people with NSTEMI and multivessel coronary artery disease.
Participants will be assigned to one of two groups: one receiving PCI only on the artery responsible for the heart attack (culprit-lesion revascularization), and the other receiving PCI on all significant blockages in the heart arteries (complete PCI). The procedures involve opening blocked arteries using standard catheter-based techniques. The study will monitor participants over an estimated average of two years to evaluate outcomes.
During the study, researchers will track the combined rate of cardiovascular death or rehospitalization for a new heart attack as the primary outcome. Participants will be followed closely for up to two years, with regular assessments and medical monitoring to capture these events. This approach aims to determine which PCI strategy leads to better long-term heart health and fewer complications.
CONDITIONS
Official Title
Complete Revascularization Versus Culprit Lesion Only PCI in NSTEMI
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
NSTEMI as suggested by high-sensitivity troponin algorithms
Multivessel coronary artery disease
Identifiable culprit lesion
Informed consent
You will not qualify if you...
Age under 18 years
Cardiogenic shock
Sustained ventricular tachycardia or ventricular fibrillation
Contraindication for coronary revascularization
Prior coronary artery bypass graft
Indication for coronary artery bypass graft surgery
Non-culprit lesion located in the left main coronary artery
Co-morbidity with life expectancy less than 6 months
Type 2 myocardial infarction
Pregnancy and breast feeding period
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
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Trial Site Locations
Total: 58 locations
1
LKH Univ. Klinikum Graz, Clinical Department of Cardiology
Graz, Austria, 8036
Not Yet Recruiting
2
Medizinische Universität Innsbruck, Universitätsklinik für Innere Medizin III
Innsbruck, Austria, 6020
Not Yet Recruiting
3
Klinik Ottakring, 3. medizinische Abteilung
Vienna, Austria, 1160
Not Yet Recruiting
4
Zentralklinik Bad Berka, Klinik für Kardiologie
Bad Berka, Germany, 99437
Actively Recruiting
5
Universitäts-Herzzentrum Bad Krozingen, Klinik für Kardiologie und Angiologie
Bad Krozingen, Germany, 79189
Not Yet Recruiting
6
Kerckhoff Klinik
Bad Nauheim, Germany, 61231
Actively Recruiting
7
Herz- und Diabeteszentrum NRW, Universitätsklinikum der Ruhr-Universität Bochum, Klinik für Allgemeine und Interventionelle Kardiologie/Angiologie
Bad Oeynhausen, Germany, 32545
Actively Recruiting
8
BG Klinikum Unfallkrankenhaus Berlin gGmbH, Klinik für Innere Medizin/Kardiologie
Berlin, Germany, 12683
Actively Recruiting
9
Charité - University Medicine Berlin, Department of Internal Medicine and Cardiology, Campus Virchow Klinikum
Berlin, Germany, 13353
Not Yet Recruiting
10
Klinikum Bielefeld gem. GmbH, Klinik für Kardiologie und Internistische Intensivmedizin
Bielefeld, Germany, 33604
Actively Recruiting
11
Klinik für Kardiologie und Rhythmologie, St. Josef Hospital, Universitätsklinikmum der Ruhr-Universität Bochum
Bochum, Germany, 44791
Not Yet Recruiting
12
Klinikum Links der Weser, Innere Medizin II
Bremen, Germany, 28277
Actively Recruiting
13
Städtisches Klinikum Dessau; Klinik für Innere Medizin II (Kardiologie, Angiologie, Diabetologie, internistische Intensivmedizin)
Dessau, Germany, 06847
Not Yet Recruiting
14
St. Johannes Hospital, Klinik für Innere Medizin I
Dortmund, Germany, 44137
Actively Recruiting
15
Herzzentrum Dresden GmbH, Universitätsklinik an der Technischen Universität Dresden, Klinik für Innere Medizin und Kardiologie
Dresden, Germany, 01307
Actively Recruiting
16
Heinrich Heine Universitätsklinikum Düsseldorf Institut für Kardiologie, Pneumologie und Angiologie
Düsseldorf, Germany, 40225
Actively Recruiting
17
HELIOS Klinikum Erfurt, Medizinische Klinik III - Kardiologie
Elisabeth Krankenhaus Essen, Klinik für Kardiologie und Angiologie
Essen, Germany, 45138
Actively Recruiting
20
Universitätsklinikum Essen, Klinik für Kardiologie und Angiologie
Essen, Germany, 45147
Actively Recruiting
21
Universitätsklinikum Freiburg, Klinik für Kardiologie und Angiologie
Freiburg im Breisgau, Germany, 79106
Not Yet Recruiting
22
Klinikum Fulda, Medizinischen Klinik 1 - Kardiologie, Angiologie und Intensivmedizin
Fulda, Germany, 36043
Actively Recruiting
23
Universitätsklinikum Gießen und Marburg GmbH, Medizinische Klinik I, Kardiologie
Giessen, Germany, 35392
Actively Recruiting
24
University Medical Center Göttingen, Department of Cardiology and Pneumology, Georg-August University
Göttingen, Germany, 37075
Not Yet Recruiting
25
Universitätsmedizin Greifswald, Klinik und Poliklinik für Innere Medizin B
Greifswald, Germany, 17475
Not Yet Recruiting
26
Universitätsklinikum Halle (Saale), Klinik für Innere Medizin III
Halle, Germany, 06120
Actively Recruiting
27
Asklepios Klinik St. Georg, Kardiologie und Internistische Intensivmedizin
Hamburg, Germany, 20099
Actively Recruiting
28
Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH, Klinik für Kardiologie
Hamburg, Germany, 20246
Actively Recruiting
29
Asklepios Klinik Altona
Hamburg, Germany, 22763
Actively Recruiting
30
Klinik für Kardiologie, Angiologie und Pneumologie, Medizinische Klinik 3, Universitätsklinikum Heidelberg
Heidelberg, Germany, 69120
Actively Recruiting
31
Universitätsklinikum des Saarlandes, Klinik für Innere Medizin II
Homburg, Germany, 66421
Not Yet Recruiting
32
Universitätsklinikum Jena, Klinik für Innere Medizin I, Kardiologie, Angiologie, Internistische Intensivmedizin
Jena, Germany, 07747
Actively Recruiting
33
Vincentius-Diakonissen-Kliniken gAG Medizinische Klinik III, Kardiologie, Intensivmedizin, Angiologie
Karlsruhe, Germany, 76137
Actively Recruiting
34
Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Innere Medizin III mit den Schwerpunkten Kardiologie und internistische Intensivmedizin
Kiel, Germany, 24105
Not Yet Recruiting
35
Asklepios Klinik Langen, Abteilung Medizinische Klinik I
Langen, Germany, 63225
Actively Recruiting
36
Universitätsklinikum Leipzig, Klinik und Poliklinik für Kardiologie
Leipzig, Germany, 04103
Actively Recruiting
37
Klinikum St. Georg gGmbH Klinik für Kardiologie und Internistische Intensivmedizin
Leipzig, Germany, 04229
Not Yet Recruiting
38
Heart Center Leipzig at University of Leipzig, Department of Internal Medicine/Cardiology
Leipzig, Germany, 04289
Actively Recruiting
39
Klinikum der Stadt Ludwigshafen, Medizinische B Klinik
Ludwigshafen, Germany, 67063
Actively Recruiting
40
Universitätsklinikum Schleswig Holstein, Medizinische Klinik II, Campus Lübeck
Lübeck, Germany, 23538
Not Yet Recruiting
41
Universitätsklinikum Magdeburg, Klinik für Kardiologie und Angiologie
Magdeburg, Germany, 39120
Not Yet Recruiting
42
Brüderklinikum Julia Lanz, Theresienkrankenhaus
Mannheim, Germany, 68165
Not Yet Recruiting
43
Universitätsmedizin Mannheim, I. Medizinische Klinik, Kardiologie, Angiologie, Hämostaseologie und Internistische Intensivmedizin
Mannheim, Germany, 68167
Actively Recruiting
44
Universitätsklinikum Gießen und Marburg GmbH - Standort Marburg, Klinik für Innere Medizin - Kardiologie, Angiologie und Intensivmedizin
Marburg, Germany, 35043
Not Yet Recruiting
45
Klinikum der Universität München, Medizinische Klinik und Poliklinik I
München, Germany, 80336
Actively Recruiting
46
Deutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen
Complete revascularization versus culprit-lesion only PCI in patients with NSTEMI and multivessel disease - Design and rationale of the randomized COMPLETE-NSTEMI trial.
Hans-Josef Feistritzer, Alexander Jobs, Uwe Zeymer...
Complete Revascularization Versus Culprit Lesion Only PCI in Patients with
Non-ST-Elevation Myocardial Infarction and Multivessel Coronary Artery Disease | DecenTrialz