Physiologic Evaluation of Anomalous Right Coronary Artery Stenosis
Study Details
Study Description
Brief Summary
The anomalous origin of right coronary artery (RCA) is a rare coronary anomaly. Recently, the detection of this anomaly has been more frequent as the use of cardiac multidetector computed tomography has become more popular. It can cause myocardial ischemia, syncope and sudden cardiac death. Surgical repair is generally recommended for symptomatic patients. However, there is controversy concerning the proper evaluation and treatment strategy for patients without documented myocardial ischemia.
The stenotic lesion of anomalous origin of RCA will be assessed by fractional flow reserve (FFR).
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: low FFR FFR<0.75 |
Procedure: revascularization
surgery or stenting
Other Names:
|
No Intervention: high FFR FFR > 0.75 |
Outcome Measures
Primary Outcome Measures
- cardiac death [12 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
- patients diagnosed as anomalous origin of right coronary artery from left coronary cusp
Exclusion Criteria:
-
poor compliance
-
need for percutaneous coronary intervention to significant coronary lesion
-
failure of FFR for anomalous origin of right coronary artery
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Seoul National University Hospital | Seoul | Korea, Republic of | 110-744 |
Sponsors and Collaborators
- Seoul National University Hospital
Investigators
- Study Chair: Bon-Kwon KOO, M.D., Seoul National University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- D-0908-010-060