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Adequate support is required for challenging percutaneous coronary interventions (PCI). The "TransRadial Ultra Support Technique" (TRUST technique) is a new support technique that provides active support by deep pass of the coronary wire into the heart cavities (left ventricle-LV, right ventricle-RV) or aorta.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TRUST technique + Coronary Stenting | Experimental | PCI with coronary stenting using TransRadial Ultra Support technique for support improvement |
|
| Anchoring technique + Coronary Stenting | Active Comparator | PCI with coronary stenting using Wire Anchoring Pass technique for support improvement |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TRUST technique | Procedure | A soft hydrophilic wire easily pass through the invisible small vessels in the distal parts of a coronary artery into a heart cavity. It is necessary to pass a wire softly and forward as deep as possible. Quite often the wire goes through the left ventricle to aorta arch, and sometimes distal soft tip can be visible in a descending aorta. Thus the stiffest part of the wire become staying on all length of artery, straightening bends and giving the maximum support. After that balloons and stents can be delivered more easily |
| Measure | Description | Time Frame |
|---|---|---|
| Procedural success | Device success without the occurrence of in-hospital MACCE | 1 week after PCI |
| Device success | Achievement of a final residual diameter stenosis <20% and a TIMI 3 flow in the target vessel | Intraoperative |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| State Research Institute of CIrculation Pathology | Novosibirsk | 630055 | Russia |
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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|
| Anchoring Technique | Procedure | A standard endovascular technique of coronary wire support improvement |
|
| Coronary stenting | Procedure | A standard endovascular procedure of percutaneous coronary intervention with coronary stenting |
|
| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |