Clinical trial Recruiting at 1 site Interventional Ages 18 and up

IVUS-based ultrasound method to measure blood flow through narrowed coronary arteries

Official title: Diagnostic Accuracy of Intravascular Ultrasound-Derived Fractional Flow Reserve for Online Assessment of Functionally Significant Coronary Stenosis: A Multicenter Prospective Study

Run by China National Center for Cardiovascular Diseases · NCT07446023 · Data updated 2026-11-12

This study tests whether an IVUS-derived software can quickly tell if a narrowed coronary artery is reducing blood flow in adults having coronary angiography, without using pressure wires or vasodilator drugs.

More Percutaneous Coronary Intervention trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment292 (estimated)
SponsorChina National Center for Cardiovascular Diseases
Government
Locations1 site (Beijing, Beijing Municipality)
StatusRecruiting
StartedJuly 1, 2025
Main results expectedDecember 31, 2026
Study endsDecember 31, 2026
Registry record updatedMarch 3, 2026
Trial IDNCT07446023 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18 years) undergoing coronary angiography with a single epicardial target lesion of 30%–90% stenosis and reference vessel diameter ≥2.0 mm who can give informed consent are ideal candidates.

Probably not a fit

Patients with recent myocardial infarction within 72 hours, cardiogenic shock or severe heart failure, severe renal dysfunction, heavy vessel calcification or tortuosity that prevents safe IVUS, small target vessels (<2.0 mm), or contraindications to invasive angiography are unlikely to benefit from this approach.

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

What this trial studies

Adults undergoing coronary angiography with a 30%–90% visual stenosis will have intravascular ultrasound (IVUS) pulled through the target artery to acquire images that are analyzed in real time by an IVUS-FFR computational system. The IVUS-FFR result will be compared against standard pressure-wire fractional flow reserve (FFR) measurements to determine diagnostic accuracy. Secondary goals include testing feasibility in the cath lab and establishing standardized acquisition and analysis protocols. Standard angiographic and clinical exclusion criteria (recent MI <72 hours, severe renal dysfunction, cardiogenic shock, severe vessel calcification or tortuosity, contrast or adenosine allergy) are applied to ensure patient safety.

Why it matters

Potential benefit: If successful, IVUS-FFR could provide similarly accurate blood-flow information faster, more comfortably, and at lower cost by avoiding pressure wires and vasodilator drugs.

How similar studies have gone: Image-derived FFR methods (from angiography or intravascular imaging) have shown promising results in prior work, but IVUS-FFR remains an emerging technique that requires further validation against pressure-wire FFR.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria General Requirements

* 18 years of age Diagnosed with stable/unstable angina or post-acute phase myocardial infarction (\>72 hours after onset) Able to comprehend study design and provide written informed consent Angiographic \& IVUS-Specific Requirements
* 1 epicardial coronary artery with 30%-90% visual diameter stenosis Reference vessel diameter ≥2.0 mm at target stenosis site Exclusion Criteria General Exclusions Contraindications to invasive procedures/FFR per operator judgment Acute myocardial infarction within 72 hours Cardiogenic shock or severe heart failure (NYHA class ≥III or LVEF \<30%) Severe renal dysfunction (Creatinine \>150 μmol/L or eGFR \<45 mL/min/1.73m²) Allergy to iodinated contrast media or adenosine Pregnancy/lactation Life expectancy \<1 year Concurrent participation in other interventional trials Angiographic \& IVUS-Specific Exclusions Myocardial bridging at target lesion Severely calcified or tortuous vessels precluding safe IVUS Isolated \>90% stenosis with TIMI flow grade \<3 in major epicardial artery Other conditions deemed unsuitable for IVUS/FFR by investigators

Where it's running

  • Fuwai hospital
    Beijing, Beijing Municipality, China
    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.
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.