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Trial registered on ANZCTR
Registration number
ACTRN12607000052437
Ethics application status
Approved
Date submitted
21/12/2006
Date registered
16/01/2007
Date last updated
6/08/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Coronary Angiography, Transcranial Doppler and Cognitive Health (CATCH) Study
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Scientific title
The prospective observational CATCH study will test whether the microembolic count during Left Heart Catheterisation (LHC) for either Coronary Angiography (CA) or Percutaneous Coronary Intervention (PCI) is associated with cognitive change following the procedure and assess the time course of these changes over a 3 month period.
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Secondary ID [1]
282984
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
The CATCH Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Patients scheduled to undergo Left Heart Catheterisation (LHC) for either Coronary Angiography (CA) or Percutaneous Coronary Intervention (PCI).
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Condition category
Condition code
Cardiovascular
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0
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Other surgery
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
To test whether microembolic count during left heart catheterisation (LHC) for coronary angiography (CA) or Percutaneous Coronary Intervention (PCI) is associated with cognitive change following the procedure. Patients will complete a battery of conventional and computerised neuropsychological tests preoperatively. The tests take about 1 hour to complete. The computerised battery of tests will then be administered one week, six weeks and 3 months post procedure to identify changes in cognitive function. Quality of Life (QoL), mood, Acitivities of Daily Living (ADL) and Clinical Dementia Rating (CDR) will be assessed preoperatively and 3 months post procedure. Trans Cranial Doppler (TCD) monitoring will be performed for a 15 minute epoch immediately before angiography. The signal will be recorded on audio tape for later review. Monitoring will be continuous during the angiogram. The total number of microemboli for the whole angiogram will be used for the analysis.
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Intervention code [1]
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Not applicable
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Comparator / control treatment
No comparator.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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PPCD (Post Procedural Cognitive Dysfunction)
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Assessment method [1]
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Timepoint [1]
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6 days, 6 weeks and 3 months
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Secondary outcome [1]
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Clinical risk factors associated with cognitive change after LHC
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Assessment method [1]
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Timepoint [1]
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6 days, 6 weeks and 3 months
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Secondary outcome [2]
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Circulatory biomarkers associated with cognitive change after LHC
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Assessment method [2]
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Timepoint [2]
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6 days, 6 weeks and 3 months
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Secondary outcome [3]
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Volume of contrast and association with cognitive change after LHC
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Assessment method [3]
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Timepoint [3]
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6 days, 6 weeks and 3 months
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Secondary outcome [4]
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Duration of procedure and associations with cognitive change after LHC
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Assessment method [4]
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Timepoint [4]
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6 days, 6 weeks and 3 months
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Eligibility
Key inclusion criteria
Scheduled for elective LHC, who do not have neurological deficit or any contraindication to undergoing neuropsychological testing, and have given informed consent. The patients must reside in accessible proximity to the hospital to enable investigators to administer follow-up neuropsychological testing at home.
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Minimum age
50
Years
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Maximum age
Not stated
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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
1.Pre-existing neurological or neurovascular disease (e.g. stroke);2.A score of less than 26 on the Mini Mental State Examination 3.Anticipated difficulty with neuropsychological assessment such as: English not being the prime language; blindness; deafness;4.Geographical remoteness or medical co-morbidity that may lead to complications and loss to follow-up.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/03/2007
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Actual
31/10/2007
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Date of last participant enrolment
Anticipated
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Actual
5/06/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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National Heart Foundation Research Grant-In-Aid
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Address [1]
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Level 12/500 Collins Street
Melbourne VIC 3000
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
A/Prof David Scott
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Address
St. Vincent's Hospital
PO Box 2900
Fitzroy 3065
Victoria
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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A/Prof Brendan Silbert
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Address [1]
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St. Vincent's Hospital
PO Box 2900
Fitzroy 3065
Victoria
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Country [1]
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Australia
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Secondary sponsor category [2]
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Individual
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Name [2]
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A/Prof Andrew Macisaac
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Address [2]
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St. Vincent's Hospital
PO Box 2900
Fitzroy 3065
Victoria
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Country [2]
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Australia
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Secondary sponsor category [3]
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Individual
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Name [3]
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Dr Richard Gerraty
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Address [3]
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St. Vincent's Hospital
PO Box 2900
Fitzroy 3065
Victoria
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Country [3]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St. Vincent's Hospital Human Research Ethics Committee
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Ethics committee address [1]
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PO Box 2900 Fitzroy 3065 Victoria
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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17/01/2007
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Ethics approval number [1]
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172/06
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Summary
Brief summary
Injecting dye into the heart is a common investigation that helps diagnose coronary artery disease. Although it is known that small bubbles of air are often injected during this procedure and may enter the brain, they have been generally thought to be harmless. We plan to measure cognitive function before and after the heart is studied to see if these small bubbles alter brain function.
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Trial website
www.cognition.org.au
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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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A/Prof David Scott
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Address
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Centre for Anaesthesia and Cognitive Function
Department of Anaesthesia
St Vincent's Hospital
PO Box 2900
Fitzroy 3065
Victoria
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Country
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Australia
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Phone
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+61 3 9288 4253
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr Lis Evered
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Address
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Department of Anaesthesia
St. Vincent’s Hospital
P.O. Box 2900
Fitzroy, Melbourne VIC 3065
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Country
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Australia
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Phone
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+61 3 92882251
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Fax
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+61 3 92884255
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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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Associate Professor David Scott
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Address
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Department of Anaesthesia
St. Vincent’s Hospital
P.O. Box 2900
Fitzroy, Melbourne VIC 3065
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Country
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Australia
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Phone
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+61 3 92884253
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Fax
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+61 3 92884255
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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
No additional documents have been identified.
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