Routine Angiography Follow-Up After Percutaneous Coronary Intervention in High-Risk Patients
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Routine Angiography Follow-up, Routine Clinical Follow-up.
- Who it may be relevant to
- Registry conditions: Coronary Artery Disease. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Routine Angiography Follow-Up After Percutaneous Coronary Intervention in High-Risk Patients (The REVISE Trial)
Overview
Comparison of clinical outcomes between routine angiography follow-up and routine clinical follow-up after percutaneous coronary intervention in high-risk patients.
Interventions
- Diagnostic test Routine Angiography Follow-up
Patients in the RAF group will have routine angiography follow-up at 12 months after revascularization. - Diagnostic test Routine Clinical Follow-up
Patients in the RCF group will have routine clinical follow-up at 12 months after revascularization, and the physician will decide whether further invasive testing is needed.
Primary outcome measures
- Composite endpoint of all-cause death, myocardial infarction, or hospitalization for unstable angina [Time frame: 24 months]
Secondary outcome measures (10)
- Composite endpoint of all-cause death, myocardial infarction, or hospitalization for unstable angina [Time frame: 60 months]
- All-cause death [Time frame: 24 and 60 months]
- Myocardial infarction [Time frame: 24 and 60 months]
- Hospitalization for unstable angina [Time frame: 24 and 60 months]
- Cardiac death [Time frame: 24 and 60 months]
- Invasive angiography during follow-up [Time frame: 24 and 60 months]
- Any revascularization [Time frame: 24 and 60 months]
- Revascularization of any target vessel/lesion [Time frame: 24 and 60 months]
- Revascularization of any non-target vessel/lesion [Time frame: 24 and 60 months]
- Health Economics Analysis (cost-effectiveness) [Time frame: 24 and 60 months]
Eligibility criteria
Inclusion criteria
- Age ≥ 18 years.
- Successful PCI with at least two of the following high-risk factors:
A. Left main lesion; B. Bifurcation lesion (true bifurcation); C. Ostial lesion of main vessels (left anterior descending, left circumflex artery, right coronary artery); D. Chronic total occlusion; E. Multivessel revascularization (≥ 2 vessels); F. In-stent restenosis; G. Diffuse long lesion (lesion length ≥ 30 mm or stent length ≥ 38 mm); H. Severe calcified lesion (Significant severe calcification on angiography); I. Bypass graft lesion; J. Diabetes mellitus; K. Chronic kidney disease (defined as an estimated glomerular filtration rate of <30 ml per minute per 1.73 m2 of body-surface area or the receipt of dialysis); L. Myocardial infarction;
\- He/she or his/her legally authorized representative provides written informed
Exclusion criteria
- Revascularization with bare metal stents and/or balloon angioplasty with non-drug-coated balloons.
- Pregnant and/or lactating women.
- Life expectancy of less than 2 years.
- Repeat interventional therapy is planned.
- Subject was unable to provide written informed consent.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Prevention
Study locations
China · 1 center
- The Second Affiliated Hospital of Zhejiang University School of Medicine — Hangzhou
Identifiers
NCT: NCT05923489 · 2023-0332