Vasodilator Free Measure of Fractional Flow Reserve (ADVISE)
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Purpose
Narrowing of coronary arteries interferes with blood flow and can cause chest pain. Cardiologists sometimes quantify the extent of the narrowing by measuring the fractional flow reserve (the ratio of the pressure in the aorta to the pressure downstream of the narrowing under conditions of maximal flow). We propose a new technique based on principles of wave intensity analysis (WIA) to better assess coronary stenosis and the significance of the narrowing without the need for administration of vasodilator agents such as adenosine. This would simplify assessment and improve our ability to advise patients whether stent treatment will help their symptoms.
| Condition |
|---|
|
Coronary Stenosis |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
| Official Title: | ADenosine Vasodilator Independent Stenosis Evaluation Study (ADVISE) |
- Correlation and descriptive characteristics between adenosine free measure of stenosis severity and FFR [ Time Frame: Study end ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 150 |
| Study Start Date: | January 2010 |
| Groups/Cohorts |
|---|
| Pressure and flow velocity |
| Pressure only |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients with coronary stenosis without exclusion criteria
Inclusion Criteria:
- Patients with coronary stenosis
Exclusion Criteria:
- Patient's with cardiac pacemakers, valvular heart disease, and chronic renal failure
- Unable to consent
- Contraindications to adenosine
- Contraindications to cardiac MRI
Contacts and Locations| Contact: Justin E Davies, BSC, MBBS, MRCP, PhD | 020 7594 1024 | justin.davies@imperial.ac.uk |
| Contact: Sayan Sen | 020 7594 33 86 | sayan.sen@imperial.ac.uk |
| United Kingdom | |
| Imperial College NHS Trust | Recruiting |
| London, United Kingdom | |
| Contact: Justin E Davies, BSc, MBBS, MRCP, PhD +44 (0)207 594 1024 justin.davies@imperial.ac.uk | |
| Contact: Sayan Sen, MRCP 020 7594 33 86 sayan.sen@imperial.ac.uk | |
| Principal Investigator: Justin E Davies, BSc, MBBS, MRCP, PhD | |
| Sub-Investigator: Sayan Sen, MRCP | |
| Principal Investigator: | Justin E Davies, BSc, MBBS, MRCP, PhD | Imperial College London |
More Information
Additional Information:
No publications provided by Imperial College London
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Imperial College London |
| ClinicalTrials.gov Identifier: | NCT01118481 History of Changes |
| Other Study ID Numbers: | 1428 |
| Study First Received: | May 5, 2010 |
| Last Updated: | September 5, 2011 |
| Health Authority: | United Kingdom: Research Ethics Committee |
Keywords provided by Imperial College London:
|
Coronary stenosis Wave intensity analysis Instantaneous Flow Reserve iFR Fractional Flow Reserve |
Additional relevant MeSH terms:
|
Constriction, Pathologic Coronary Stenosis Pathological Conditions, Anatomical Coronary Disease Myocardial Ischemia Heart Diseases |
Cardiovascular Diseases Vascular Diseases Vasodilator Agents Cardiovascular Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 21, 2013