DIPLOMAT: Distal Protection Combined With PTCA in AMI Patients
Study Details
Study Description
Brief Summary
The primary objective is to evaluate if use of the AngioGuard™ XP improves myocardial reperfusion after PTCA as assessed by ST segment resolution at the end of PTCA.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
This is a prospective, randomized, multicenter trial. Patients will be randomized either to be treated by PTCA only or in combination with the An-gioGuard™ XP device. The patients will be followed for six-months post-procedure.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Other: 1 PTCA |
Other: PTCA
PTCA
|
Other: 2 PTCA with angioguard |
Device: Angioguard distal protection device
PTCA with the Angioguard distal protection device.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Absolute ST segment resolution. [post-PTCA]
Secondary Outcome Measures
- ST segment resolution (> 50% decrease). [pre- and post-PTCA]
- TIMI Frame Count [post PTCA]
- Composite endpoint of slow flow, no reflow or distal embolization. [at anytime]
- Regional wall motion index by echocardiography. [discharge and 6 month follow-up]
- Clinical success evaluation; qualitative evaluation of device and delivery system characteristics. [post-procedure]
- Cardiac function assessed by echocardiography. [before discharge and at 6 month follow-up]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Acute myocardial infarction < 12 hours with ST segment elevation > 2 mm in at least 2 contiguous leads;
-
Clinical indication of primary PTCA;
-
De novo or restenotic lesions in native coronary vessel, single vessel treatment only;
-
Target lesion stenosis is > 80% (by visual estimation).
Exclusion Criteria:
-
Patient has unprotected left main coronary disease with > 50% stenosis in case left coronary artery is treated;
-
Patient has an ostial target lesion;
-
Killip class > 3.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Institut Cardiovasculaire Paris Sud | Massy | France | F - 91300 |
Sponsors and Collaborators
- Cordis Corporation
Investigators
- Principal Investigator: Thierry LEFEVRE, MD, Hopital Tarnier-Cochin
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- EC00-02