Coronary CT Angiography for PCI Planning

This study is looking at whether using a special type of CT scan, called Coronary Computed Tomography Angiography (CCTA), to plan a heart procedure called Percutaneous Coronary Intervention (PCI) can make the procedure more efficient. PCI is a common procedure to open blocked heart arteries. You would be randomly assigned to either have your CCTA analyzed with special software to guide your PCI (CT-guided PCI) or have routine PCI without this extra CCTA analysis. Researchers will compare the procedural time between these two groups. This study is for people aged 22 and older who have moderate to severe blockages in their heart arteries and are scheduled for a non-emergency PCI. The study aims to enroll 200 participants, but its current recruitment status is unclear.

Study design
This is an interventional study that will randomly assign 200 participants to one of two groups: CT-guided PCI or Routine PCI.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The primary endpoint, procedural time, is measured during the procedure. Other outcomes like periprocedural myocardial injury are also measured.

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NCT07691502

Coronary Computed Tomography Angiography (CCTA) for the Pre-procedural Planning of Percutaneous Coronary Intervention

Not Yet Recruiting
NAAges 22+InterventionalTreatment
Minneapolis Heart Institute Foundation
~200 participants
Updated 2026-07-10 on ClinicalTrials.gov
What's tested:CT-guided PCIRoutine PCI

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Procedural time
Measured over intra-procedural
Coronary Artery Disease
CT
1 sites across 1 states
Minnesota1

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Eligibility criteria

Inclusion

At least one moderate-severe coronary stenosis on CCTA with an FFRCT ≤0.80 involving no more than two vessels (i.e. target lesion(s) must be FFRCT eligible)
Referral for non-emergent PCI of at least one de novo stenosis in a native coronary artery with a reference diameter ≥2 mm on CCTA.

Exclusion

Multivessel CAD involving ≥3 vessels.
Severe left main disease \>50%
Prior CABG
Prior PCI in target vessel
Planned CABG
Chronic coronary total occlusion in the target vessel
ST-elevation myocardial infarction
Emergent PCI
Cardiac arrest
Cardiogenic shock
Scenarios where FFRCT is not possible: inadequate CCTA quality for FFRCT, small vessels \<2 mm, with stents at the target vessel.
Unstable high-risk NSTE-ACS (hemodynamic instability, refractory angina, unstable arrhythmias, persistent ischemia).
Patients who are pregnant or nursing or plan to be pregnant in the period up to 2 years following the index procedure will not be approached due to exposure to fluoroscopy.
  • Procedural timeintra-procedural

    procedural time, defined as the time between the first to the final angiographic image acquisition