Comparing T-stenting And Minimal Protrusion With External Minicrush for Treatment of Complex Coronary Bifurcation: Insights From TREX Registry
Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Observational
SUMMARY
Nowadays, no studies compare the T-stenting And Minimal Protrusion (TAP) and External Minicrush techniques in treating complex coronary bifurcation, so eventually, procedural, clinical and safety differences remain unknown.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
View:
• Patients \>18 years of age
• Patients with an indication for PCI, including chronic coronary syndrome and acute coronary syndromes (STEMI, NSTEMI, unstable angina)
• Patients with at least one true coronary bifurcation according to the Medina classification 1.1.1, 0.1.1, 1.0.1, 0.0.1
Locations
Other Locations
Italy
Rivoli Hospital
RECRUITING
Rivoli
Contact Information
Primary
Giulio Piedimonte, MD
giulio.piedimonte@gmail.com
+393201764900
Backup
Enrico Cerrato, MD, PhD
enrico.cerrato@gmail.com
+393479317104
Time Frame
Start Date: 2024-06-01
Estimated Completion Date: 2024-10-01
Participants
Target number of participants: 382
Treatments
T-stenting And Minimal Protrusion
Percutaneous coronary intervention is performing according to current coronary Revascularization guidelines (ACC/ESC).~The vascular access is chosing according patients characteristics and operator preferences and require radial or femoral insertion of the sheath.~Antiplatelets strategy is a discretion of the operator and is depending on clinical presentation of the patients and respect the current guidelines (i.e Clopidogrel 600 mg load dose following 75 mg/daily, Ticagrelor 180 mg load dose following 180 mg/daily, Prasugrel 60 mg load dose following 10 mg/daily).~The procedural steps of the technique are described below:~* MV stenting~* Distal rewiring towards SB~* Kissing Balloon for opening distal struts towards SB~* SB stent implantation~* Final Kissing Balloon
External Minicrush
Percutaneous coronary intervention is performing according to current coronary Revascularization guidelines (ACC/ESC).~The vascular access is chosing according patients characteristics and operator preferences and require radial or femoral insertion of the sheath.~Antiplatelets strategy is a discretion of the operator and is depending on clinical presentation of the patients and respect the current guidelines (i.e Clopidogrel 600 mg load dose following 75 mg/daily, Ticagrelor 180 mg load dose following 180 mg/daily, Prasugrel 60 mg load dose following 10 mg/daily).~The procedural steps of the technique are described below:~* SB stent deployment with protrusion into MB~* Crush the SB stent with a balloon inflating into MB (\>0.5 mm of the SB stent)~* MB stent deployment~* Rewiring~ * POT~ * KBI~ * Final POT technique
Related Therapeutic Areas
Sponsors
Leads: San Luigi Gonzaga Hospital