Impact of non-fatal intraprocedural problems on long-term death after complex coronary interventions
Official title: The Impact of Procedural Complications on Long-Term Mortality in Complex Coronary Interventions: The Multicenter COMPLEX-ANATOLIA Study
Run by Istanbul Mehmet Akif Ersoy Educational and Training Hospital · NCT07202754 · Data updated 2026-11-12
This study looks at whether non-fatal complications during complex PCI are linked to higher risk of death later on.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 85 Years |
| Sex | All |
| Enrollment | 20000 (estimated) |
| Sponsor | Istanbul Mehmet Akif Ersoy Educational and Training Hospital Government |
| Locations | 1 site (Istanbul) |
| Status | Recruiting |
| Started | May 13, 2026 |
| Main results expected | July 7, 2026 |
| Study ends | July 7, 2026 |
| Registry record updated | July 9, 2026 |
| Trial ID | NCT07202754 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18-85 with complex coronary disease undergoing PCI.
✕Probably not a fit
Patients with straightforward coronary disease or those without intraprocedural complications may have little relevance to the study’s questions.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study examines complex coronary artery disease patients who undergo PCI to see if non-fatal intraprocedural complications are associated with increased long-term mortality. Complex lesion types include chronic total occlusions, ostial epicardial lesions, diffuse disease, severe calcification, true bifurcations, left main disease, high thrombus burden, and in-stent restenosis. Non-fatal complications of interest include abrupt vessel occlusion, reduced TIMI flow, major dissections, thrombus formation, vessel perforation, malignant arrhythmias, stroke or TIA, and major non-coronary bleeding. The goal is to describe relationships between these intraprocedural events and late mortality after complex PCI.
Why it matters
Potential benefit: If associations are found, clinicians may better identify patients at higher risk of late death and tailor follow-up accordingly.
How similar studies have gone: Previous work in complex PCI has explored intraprocedural events, with some evidence suggesting links to outcomes, though detailed associations with non-fatal events require further clarification.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with complex coronary disease * Aged 18-85 years Exclusion Criteria: * Patients diagnosed with cardiogenic shock * Coronary lesions with non-complex features * Percutaneous coronary intervention with a bare metal stent * Patient life expectancy \<1 year * Known relevant allergies * Absence of all medical records * Patients with early discontinuation of dual antiplatelet therapy
Where it's running
-
İstanbul Mehmet Akif Ersoy Thoracic And Cardiovascular Surgery Training and Research Hospital
Istanbul, Turkey (Türkiye) Recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.