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Coronary Artery Bypass Grafts or Percutaneous Coronary Intervention for High Risk Patients
Sponsor: Danish Study Group
Summary
Most patients with Left Ventricular Systolic Dysfunction (LVSD) or heart failure (HF) have coronary artery disease (CAD) while some patients also have renal disease. Life-saving revascularization is underperformed in patients with LVSD or HF due to CAD, and especially if there is concomitant renal disease. We hypothesize that PCI will be non-inferior to CABG for all-cause mortality and recurrent myocardial infarction (MI), stroke or hospitalization for HF. To compare revascularization by PCI versus by CABG, we will perform a multicentre, open-label, parallel, randomized, controlled trial in patients with severe CAD who belong to defined categories of moderate-to-high risk characteristics, where guidelines acknowledge that both PCI and CABG are relevant treatment options.
Official title: Coronary Artery Bypass Grafts or Percutaneous Coronary Intervention for Revascularization in Moderate to Highs Risk Patients With Ischemic Heart Disease and Reduced Left Ventricular Ejection Fraction
Key Details
Gender
All
Age Range
18 Years - 100 Years
Study Type
INTERVENTIONAL
Enrollment
1550
Start Date
2022-10
Completion Date
2033-02
Last Updated
2022-09-15
Healthy Volunteers
No
Conditions
Interventions
PCI
Revascularization by PCI
CABG
Revascularization by CABG
Locations (1)
Rigshospitalet, University of Copenhagen
Copenhagen, Denmark