Coronary Artery Study in Pediatric Heart Transplantation (CAS-POHT)
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Purpose
Transplant coronary artery disease (TCAD) is a significant cause of morbidity and mortality in pediatric heart transplantation (PHT). Understanding the pathophysiology and early detection along with attempted medical management are crucial in preventing advancement of the disease and retransplantation or mortality. Coronary angiogram, although routinely used is insensitive to detect early TCAD. Measurement of fractional flow reserve (FFR), coronary flow reserve (CFR) and index of microvascular resistance (IMR) using a doppler pressure and flow intracoronary wire may be more sensitive in evaluating the integrity of coronary vasculature and thus detect pre clinical TCAD. To the best of the investigators knowledge, measurement of these parameters has not been previously reported in PHT.
| Condition |
|---|
|
Transplant Coronary Artery Disease |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
- Clinical coronary artery disease [ Time Frame: 1 year ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 50 |
| Study Start Date: | April 2012 |
| Groups/Cohorts |
|---|
| pediatric heart transplant recipients |
Eligibility| Ages Eligible for Study: | 7 Years to 21 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Pediatric heart transplant recipients
Inclusion Criteria:
- less than 21 years and above 7 years of age
Exclusion Criteria:
- clinically significant coronary artery disease on angiography and inability to undergo IVUS
Contacts and Locations| Contact: Boban P Abraham, MD | 5013645125 | bpabraham@uams.edu |
| United States, Arkansas | |
| Arkansas Children's hospital | Not yet recruiting |
| Little Rock, Arkansas, United States, 72223 | |
| Contact: Boban P Abraham, MD 501-364-5125 bpabraham@uams.edu | |
More Information
Publications:
| Responsible Party: | Boban P. Abraham, Cardiologist, Arkansas Children's Hospital Research Institute |
| ClinicalTrials.gov Identifier: | NCT01546870 History of Changes |
| Other Study ID Numbers: | ArkansasChRI |
| Study First Received: | March 3, 2012 |
| Last Updated: | March 6, 2012 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Coronary Artery Disease Myocardial Ischemia Coronary Disease Heart Diseases |
Cardiovascular Diseases Arteriosclerosis Arterial Occlusive Diseases Vascular Diseases |
ClinicalTrials.gov processed this record on May 16, 2013