In-hospital Versus After-discharge Complete Revascularization (NCT04743154) | Clinical Trial Compass
CompletedNot Applicable
In-hospital Versus After-discharge Complete Revascularization
Spain250 participantsStarted 2018-01-20
Plain-language summary
Patients with STEMI and multivessel disease in whom the culprit lesion has been successfully revascularized during prmimary PCI, will be randomized to in-hospital or after-discharge complete revascularization.
The purpose of this study is to evaluate the impact of these two different strategies in terms of hospital stay.
Who can participate
Age range18 Years – 90 Years
SexALL
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Inclusion Criteria:
* Acute onset of chest pain \<12 hours duration.
* ST-segment elevation ≥ 0.1 millivolt in ≥ 2 contiguous leads, signs of a true posterior infarction or documented newly developed left bundle branch block.
* Culprit lesion in a major native vessel, with successful primary PCI.
* Presence of at least one non-culprit lesion more than or equal to 70% of stenosis in a vessel more than 2mm of diameter or more than or equal to 50% stenosis in proximal segments.
* The patient is able to give written consent for participation in the study.
Exclusion Criteria:
* Pregnancy.
* Significant left main stenosis.
* Stent thrombosis.
* Chronic total occlusion.
* Severe stenosis of non-culprit vessels with distal flow less than TIMI3.
* Significant non-culprit stenosis no candidate to revascularization.
* Presence of valvulopathy candidate for cardiac surgery.
* Cardiogenic shock status at admission.
* The patient is not able to give written consent for participation in the study.