INVEST CTO

  • Research type

    Research Study

  • Full title

    Invest-CTO: Effectiveness and Safety of a Planned Investment Procedure in High-Risk CTO PCI

  • IRAS ID

    295564

  • Contact name

    Margaret B McEntegart

  • Contact email

    margaret.mcentegart@gmail.com

  • Sponsor organisation

    Haukeland University Hospital

  • Clinicaltrials.gov Identifier

    NCT04774913

  • Duration of Study in the UK

    3 years, 0 months, 0 days

  • Research summary

    Anginal chest pain is caused by narrowing or blockages in the blood supply to the heart (coronary arteries). A chronic total occlusion (CTO) is a blockage in a coronary artery that has been present for at least three months. Only 1 in 10 patients with a CTO get this treated by stents, mainly because the procedures are difficult and often associated with complications.
    When treating more complex blockages, procedure success rates are ~70%, with complication rates 5-10%, and 1 in 3 patients need to return for a second procedure to complete treatment. It appears that if the artery is partially unblocked during a first procedure, it is easier and less risky to complete the unblocking and stent implantation with a second procedure.
    We are investigating whether planning to treat the blockage across 2 procedures may result in higher success and lower complication rates.

  • REC name

    West of Scotland REC 5

  • REC reference

    22/WS/0006

  • Date of REC Opinion

    16 Feb 2022

  • REC opinion

    Further Information Favourable Opinion