An Imaging Study of Polyvascular Disease
Study Details
Study Description
Brief Summary
-
Establish a multimodality imaging database for PVD, improve the one-stop screening process for early PVD based on artificial intelligence, build a full-cycle control information platform, and promote the construction and standardization of a multidisciplinary co-morbidity and co-management diagnosis and treatment model.
-
Based on non-invasive, zero-contrast ocular OCTA combined with one-stop CTA imaging of the heart and brain, construct an integrated "eye-heart-brain" early warning model for PVD, and explore a potential non-invasive and convenient early warning system for PVD.
-
Based on the multi-omics, investigate EVs-mediated intercellular communication network, elucidate the roles and regulatory mechanisms of EVs in the development of PVD, search for potential targets for intervention, and construct an artificial intelligence-based "pan-vascular score" risk assessment system based on the combination of multi-modality imaging and multi-omics biomarkers.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Polyvascular disease
|
Diagnostic Test: Magnetic Resonance Angiography, Ocular OCTA, CT Angiography
Magnetic Resonance Angiography of intracranial artery, carotid artery, renal artery and lower extremity artery, CT angiography of coronary artery or intracranial artery
|
Outcome Measures
Primary Outcome Measures
- Task1: MACE [1 year]
All cause death, stroke, myocardial reinfarction, unplanned revascularization, lower extremity artery disease
- Task2: Plaque characteristics [1 year]
Plaque morphology on OCT
Eligibility Criteria
Criteria
Inclusion Criteria:
Task 1:
-
Patients with coronary artery disease (≥50% stenosis in any coronary artery on coronary angiography)
-
Age ≥18 years old
-
Proposed OCT-IVUS integrated imaging system
-
able to provide written informed consent prior to the start of any procedures related to the study.
Task 2:
-
patients with coronary artery disease (coronary angiography reveals ≥50% degree of stenosis in any coronary artery) and patients with stroke or TIA (confirmed by a neurologist)
-
Age ≥ 18 years
-
able to provide written informed consent prior to the start of any procedures related to the study.
Exclusion Criteria:
Task 1:
-
severely tortuous/calcified coronary arteries with anticipated difficulty in completing the OCT-IVUS integrated imaging system
-
uncontrolled congestive heart failure or acute left heart failure;plan
-
claustrophobia;
-
left main stem occlusion;
-
proposed coronary artery bypass grafting (CABG);
-
uncontrolled severe ventricular arrhythmia;
-
active bleeding or severe bleeding tendency;
-
acute stroke;
-
patients with hemodynamic instability or unstable cardiac electrical activity (including shock) ;
-
severe renal insufficiency and/or anuria, except in cases where dialysis treatment has been planned;
-
contraindications to the application of contrast media;
-
patients who are severely uncooperative due to psychiatric or serious systemic illness;
-
Patients who, in the opinion of the investigator, are unsuitable for participation in the study.
Task 2:
-
patients who are unable to comply with the follow-up schedule;
-
uncontrolled congestive heart failure or acute left heart failure;
-
patients with a life expectancy of less than 6 months;
-
left main stem occlusion;
-
proposed coronary artery bypass grafting (CABG);
-
uncontrolled severe ventricular arrhythmia;
-
active bleeding or severe bleeding tendency;
-
patients with hemodynamic instability or unstable cardiac electrical activity (including shock) ;
-
severe renal insufficiency and/or anuria, except in cases where dialysis treatment has been planned;
-
contraindications to the application of contrast media;
-
patients who are severely uncooperative due to psychiatric or serious systemic illness;
-
patients who, in the opinion of the investigator, are not suitable for participation in the study.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | The Second Affiliated Hospital of Harbin Medical University | Harbin | Heilongjiang | China | 150000 |
Sponsors and Collaborators
- Harbin Medical University
Investigators
- Principal Investigator: Haibo Jia, MD. Ph.D, The Second Affiliated Hospital of Harbin Medical University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ChiCTR2300074638