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Trial registered on ANZCTR
Registration number
ACTRN12611000368932
Ethics application status
Not yet submitted
Date submitted
5/04/2011
Date registered
11/04/2011
Date last updated
11/04/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Revascularization of chronic total occlusion under the guidance of mobile CT workstation
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Scientific title
Revascularization of chronic total occlusion under the guidance of mobile CT workstation
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Secondary ID [1]
259918
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Nil
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Universal Trial Number (UTN)
U1111-1120-5329
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
chronic total occlusion (CTO)
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Computed tomography angiography
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Condition category
Condition code
Cardiovascular
265682
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Coronary heart disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Design: The patients with CTO by computed tomography angiography (CCTA ) are randomly divided into 2 groups. The group 1 consists of patients who are examined by CCTA and our dedicated mobile work station. The station has the capability of reconstruction of acquired CT image and manipulate the images so as to allow the interventional cardiologist better interpret findings. The following indices are calculated: the length of the occlusion, the degree of the calcification and the characteristics of the occlusion. The most important step is to puncture the occluded artery with various guide wire. Always keep the wire at the center of the occlude artery. The procedure usually takes 2 hours. The patients can be discharged within 7 days. The follow-up is routine but not mandatory.
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Intervention code [1]
264341
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Treatment: Devices
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Intervention code [2]
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Treatment: Surgery
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Comparator / control treatment
The group 2 consists of patients who are examined by CCTA only. The operators know the basic knowledge of CCTA but have no idea how to operate the mobile work station. They use conventional method to recanalize the occluded artery. The group 3 consists of patients who are diagnosed by CAG as CTO. They usThe procedure usually takes 2 hours. The patients can be discharged within 7 days. The follow-up is routine but not mandatory. e conventional method to recanalize the occluded artery.
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Control group
Active
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Outcomes
Primary outcome [1]
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Recannalization of CTO is documented by CAG
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Assessment method [1]
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Timepoint [1]
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7 days
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Primary outcome [2]
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Any adverse events during the hospital stay, including AMI, death, cardiac tamponade and pulmonary edema.
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Assessment method [2]
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Timepoint [2]
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7 days
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Secondary outcome [1]
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procedure time (minutes)
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Assessment method [1]
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Timepoint [1]
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7 days
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Secondary outcome [2]
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fluoroscopy time (minutes)
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Assessment method [2]
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Timepoint [2]
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7 days
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Secondary outcome [3]
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contras (ml)
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Assessment method [3]
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Timepoint [3]
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7 days
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Secondary outcome [4]
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number of guidewire
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Assessment method [4]
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Timepoint [4]
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7 days
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Secondary outcome [5]
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number of balloons
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Assessment method [5]
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Timepoint [5]
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7 days
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Eligibility
Key inclusion criteria
1. CTO is arbitrarily defined as a > 3 month old, total obstruction of a coronary artery.
2. The patients have undergone both CAG and CCTA.
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Minimum age
25
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Heart falure, NYHA>3, AMI, severe renal dysfuction, stroke with hemiplegia, left main disease >75%, EF <35%
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
coin-tossing and dice-rolling
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
4/05/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
150
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
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Beijing
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Ministry of Science and Technology of the Peoples Republic of China
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Address [1]
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15B, Fuxing Road, Beijing, 100862
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Country [1]
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China
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Primary sponsor type
University
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Name
Peaking University Health Science Center
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Address
Xueyuan Road, Haidian district, Beijing, 100083
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Country
China
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Chinese PLA General Hospital
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Address [1]
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Fuxing road, No.28, Beijing, 100853
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Country [1]
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China
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Chinese PLA General Hospital of Ethics Committee
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Ethics committee address [1]
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Fuxing road, No.28, Beijing, 100853
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Ethics committee country [1]
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China
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Date submitted for ethics approval [1]
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05/05/2011
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
This is an interventional study. The study is investigating the possibility of using a mobile CT work station technique to increase the CTO recanalization rate. Conventional CAG is used as a control. Visual estimate by CCTA is used as a second control. We hypothesize that the mobile CT work station might improve the recanalization rate.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Luyue Gai
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Address
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Fuxing road, No.28, Beijing, 100853
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Country
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China
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Phone
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861088628671
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Luyue Gai
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Address
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Fuxing road, No.28, Beijing, 100853
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Country
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China
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Phone
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861088628671
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
Comparison of coronary angiography-assisted and computed coronary tomography angiography-assisted recanalisation of coronary chronic total occlusion
2013
https://doi.org/10.1136/heartasia-2013-010302
N.B. These documents automatically identified may not have been verified by the study sponsor.
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