Resting Full-cycle Flow Ratio (RFR) Versus Angiography to Guide Revascularization Strategy in Patients Undergoing Coronary Artery By-pass Grafting (CABG): RFR-CABG Trial

Status: Recruiting
Location: See all (4) locations...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Different trials have shown that fractional flow reserve (FFR) could successfully guide revascularization in patients undergoing percutaneous coronary intervention (PCI). It is conceivable that a similar revascularization guidance could be useful also for surgical revascularization i.e. coronary by-pass graft (CABG). Experience learns that grafts placed on vessels with hemodynamically non-significant stenosis often occlude due to competitive antegrade flow. Resting full-cycle Flow Ratio (RFR) is a measurement performed to evaluate the hemodynamic severity of coronary stenosis. Differently from FFR which is a measurement performed in maximal hyperemia, the RFR is a measurement that is performed in rest and therefore may predict better than FFR the baseline equilibriums that could lead to graft failure, while it has similar capacity to identify hemodynamically significant stenosis as FFR. It is unknown whether RFR guided CABG revascularization is superior as compared to angiography alone.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• All patients between 18 or older undergoing CABG

• Patients willing and capable to provide written informed consent

Locations
Other Locations
Belgium
Imelda ziekenhuis
RECRUITING
Bonheiden
AZ Sint-Jan Brugge
ACTIVE_NOT_RECRUITING
Bruges
Poland
Medical University of Silesia
RECRUITING
Katowice
Slovakia
SUSCCH
RECRUITING
Banská Bystrica
Contact Information
Primary
Prof. E. Kedhi, MD, PhD
ekedhi@me.com
+31 384262999
Backup
S. Postma, PhD
rfrcabg.trial@diagram-zwolle.nl
+31 384262999
Time Frame
Start Date: 2020-02-03
Estimated Completion Date: 2027-06-30
Participants
Target number of participants: 500
Treatments
Active_comparator: angiography guided CABG
angiography guided CABG
Experimental: RFR guided CABG
RFR guided CABG
Sponsors
Leads: Diagram B.V.

This content was sourced from clinicaltrials.gov