CT Coronary Angiography After Arterial Switch Operation (SCANTGV)
Recruitment status was Recruiting
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Purpose
The purpose of this study is to find a non-invasive alternative (with using ECG gated 64-slice CT angiography) to invasive coronary angiography for detecting coronary lesions in patients who had undergone arterial switch operation for transposition of the great arteries
| Condition | Intervention |
|---|---|
|
Angiography, |
Procedure: 64-slice CT angiography |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Diagnostic |
| Official Title: | CT Coronary Angiography for the Detection of Reimplanted Coronary Lesions in Patients Who Had Undergone Arterial Switch Operation for Transposition of the Great Arteries |
- Sensitivity and specificity of 64-slice CT angiography for the detection of lesions at the ostia and proximal segments of the reimplanted coronary arteries [ Time Frame: 30 MINUTES ] [ Designated as safety issue: No ]
Sensitivity and specificity of 64-slice CT angiography for the detection of lesions at the ostia and proximal segments of the reimplanted coronary arteries
Expected sensitivity > 95% Expected specificity > 95%
| Estimated Enrollment: | 135 |
| Study Start Date: | September 2008 |
| Estimated Study Completion Date: | April 2012 |
| Estimated Primary Completion Date: | April 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 64-slice CT angiography
64-slice CT angiography
|
Procedure: 64-slice CT angiography
the sensitivity and specificity of 64-slice CT angiography for the detection of lesions at the ostia and proximal segments of the reimplanted coronary arteries
Other Name: 64-slice CT angiography
|
Detailed Description:
Objectives To find a non-invasive alternative (with using ECG-gated 64-slice CT angiography) to invasive coronary angiography for detecting coronary lesions in children who had undergone arterial switch operation for transposition of the great arteries.
Background Assessment of the integrity of reimplanted coronary arteries is crucial for long-term outcome after arterial switch operation for transposition of the great arteries. Non-invasive tests have limited accuracy for detecting coronary lesions, and invasive coronary angiography is usually required in this setting.
Materials and methods Patients (age 4 to 30 years old) who undergone arterial switch operation in neonate period are potentially eligible. They will be prospectively included in the study. They will have both examinations, their routine invasive coronary angiography and ECG-gated 64-slice CT angiography. The ability of CT to detect lesions of the ostia and proximal segments of the reimplanted coronary arteries was analyzed by blinded comparison to invasive coronary angiogram.
Expected results and clinical implications We expect to demonstrate that ECG-gated 64-slice CT angiography is safe and accurate for the detection of coronary lesions with a high sensitivity (expected sensitivity>95%) as compared to invasive angiography. In that condition, ECG-gated 64-slice CT angiography could replace the invasive coronary angiography for the follow-up of patients with reimplanted coronary arteries after arterial switch operation for transposition of the great arteries.
Eligibility| Ages Eligible for Study: | 4 Years to 30 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion criteria :
- patients, age 4 to 30 years old, who had undergone arterial switch operation for transposition of the great arteries, are eligible.
Exclusion criteria :
- No consent
- Allergy to contrast agent (iodine contrast)
- Severe renal failure (clearance < 80ml/min/1.73m²)
- Severe arrhythmias
- Absence of medical care insurance
- Pregnancy
- Contre-indication to beta-blockers
Contacts and Locations| Contact: KIM-HANH LE QUAN SANG, MCU PH | (0)1 44 49 51 71 ext +33 | kh.lequansang@nck.aphp.fr |
| Contact: DAMIEN BONNET | damien.bonnet@nck.aphp.fr |
| France | |
| Hôpital Necker-Enfants Malades | Recruiting |
| Paris, France, 75015 | |
| Contact: Phalla OU, MCU PH (0)1 44 49 51 71 ext +33 phalla.ou@nck.aphp.fr | |
| Contact: Kim-Hanh Lequansang, MCU PH (0)1 44 49 51 71 ext +33 kh.lequansang@nck.aphp.fr | |
| Principal Investigator: Phalla OU, MCU PH | |
| Principal Investigator: | Ou Phalla, MCU Ph | Assistance Publique - Hôpitaux de Paris |
More Information
No publications provided
| Responsible Party: | Mathieu Quintin, Department Clinical Research of Developpement |
| ClinicalTrials.gov Identifier: | NCT01153776 History of Changes |
| Other Study ID Numbers: | P070118, 2007-A00833-50 |
| Study First Received: | June 29, 2010 |
| Last Updated: | February 23, 2011 |
| Health Authority: | France: Ministry of Health |
Keywords provided by Assistance Publique - Hôpitaux de Paris:
|
Arterial switch operation, Transposition of the great arteries, Congenital heart diseases CT coronary angiography, |
Additional relevant MeSH terms:
|
Transposition of Great Vessels Heart Defects, Congenital Cardiovascular Abnormalities |
Cardiovascular Diseases Heart Diseases Congenital Abnormalities |
ClinicalTrials.gov processed this record on May 23, 2013