Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Evaluating heart procedure results using advanced imaging techniques

Official title: Use of Physiology to Evaluate Procedural Result After PCI CTO

Run by Isala · NCT04780971 · Data updated 2026-11-12

This study is testing if new heart imaging techniques can help doctors better understand how well a stent works after a procedure for blocked arteries in people with chronic total occlusion.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment200 (estimated)
SponsorIsala
Academic / other
Locations2 sites (Nijmegen and 1 other locations)
StatusRecruiting
StartedJuly 21, 2021
Main results expectedMay 2026
Study endsJune 2026
Registry record updatedFebruary 19, 2025
Trial IDNCT04780971 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older who have undergone successful PCI for CTO without significant remaining lesions.

Probably not a fit

Patients who have contraindications for adenosine or cannot undergo the necessary physiological measurements will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The ULTRA-CTO trial is a prospective multicentre trial aimed at enrolling 200 patients who require percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) of coronary arteries. The study focuses on assessing the effectiveness of post-PCI physiological measurements, specifically resting full-cycle ratio (RFR) and fractional flow reserve (FFR), in predicting suboptimal stent results. Participants will undergo intra-coronary physiological assessments and optical coherence tomography (OCT) to evaluate the success of their procedures. Follow-up assessments will track cardiovascular events and clinical outcomes over a period of 4 ± 2 weeks.

Why it matters

Potential benefit: If successful, this study could improve the accuracy of assessing the success of PCI procedures, leading to better patient outcomes.

How similar studies have gone: Previous studies have shown promise in using physiological assessments and imaging techniques in similar contexts, suggesting potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age 18 years and older.
2. Angiographically successful PCI CTO without any remaining lesion at least 30% proximal to the stented segment.
3. Possibility to perform physiologic measurements and OCT of sufficient quality.
4. Patients willing and capable to provide written informed consent.

Exclusion Criteria:

1\) Contra-indication for adenosine.

Where it's running

  • Isala
    Zwolle, Netherlands
    Recruiting
  • Radboud UMC
    Nijmegen, Netherlands
    Not yet recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.