Heart attack prevention: could routine CT scans after stents save lives?
NCT ID NCT07009418
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looks at whether a follow-up CT scan of the heart's arteries (coronary CT angiography) one year after stent placement can reduce major heart problems like heart attacks or death compared to usual care. It will enroll 3,500 high-risk patients who have had stents placed for blocked arteries. The goal is to see if early detection of new blockages via CT leads to better outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Coronary CT angiography (CCTA) imaging test
- What this could lead to
- If successful, this could show that routine CT scans after stent placement help catch problems early and reduce heart attacks or deaths.
- What could go wrong
- This is an observational comparison, not a treatment test. The results may not change current practice if CCTA leads to unnecessary procedures or anxiety.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 3,500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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Dec 2032
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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19 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: ① Patients aged 19 years old ② Patients who underwent successful PCI with one or more contemporary drug-eluting stents (stent diameter ≥3mm) or drug-coated balloons. ③ Patients must have at least one of the following criteria of complex coronary artery lesions or high-risk clinical characteristics: A. Complex coronary artery lesions: i. True bifurcation lesion (Medina 1,1,1/1,0,1/0,1,1) with side branch ≥2.5mm size ii. Chronic total occlusion (≥3 months) as target lesion iii. PCI for unprotected left main (LM) disease (LM ostium, body, distal LM bifurcation including non-true bifurcation) iv. Long coronary lesions (used stents or drug-coated balloons ≥38 mm in length) v. Multi-vessel PCI (≥2 major epicardial coronary arteries treated at one PCI session) vi. Multiple devices needed (≥3 more stents or drug-coated balloons per patient) vii. In-stent restenosis lesion as target lesion viii. Severely calcified lesion (encircling calcium in angiography) ix. Left anterior descending (LAD), left circumflex artery (LCX), and right coronary artery (RCA) ostial lesion B. High-risk clinical characteristics: i. Acute myocardial infarction (ST-elevation myocardial infarction \[MI\] or non-ST-elevation MI) with or without cardiogenic shock (SCAI Classification ≥C) at presentation ii. Diabetes mellitus which requires medical treatment (oral hypoglycemic agents or insulin) iii. End-stage renal disease under dialysis iv. Combined vascular disease other than coronary artery disease 1. Peripheral artery occlusive disease which is defined as A. Previous aorto-femoral bypass surgery, limb bypass surgery, or percutaneous transluminal angioplasty revascularization of the iliac, or infra-inguinal arteries, or B. Previous limb or foot amputation for arterial vascular disease, or C. History of intermittent claudication and one or more of the following: 1) An ankle/arm blood pressure (BP) ratio \< 0.90, or 2) Significant peripheral artery stenosis (≥50%) documented by angiography, or by duplex ultrasound, or D. Previous carotid revascularization or asymptomatic carotid artery stenosis ≥50% as diagnosed by duplex ultrasound or angiography. 2. Thoracoabdominal aortic disease which is defined as A. Documented thoracoabdominal aortic aneurysm by duplex ultrasound, angiography, or computed tomography angiography B. Previous endovascular or surgical treatment for thoracoabdominal aortic aneurysm ④ Subject who can verbally confirm understandings of risks, benefits and surveillance strategy alternatives of receiving CCTA and he/she or his/her legally authorized representative provides written informed consent prior to any study related procedure. Exclusion Criteria: ① Advanced chronic kidney disease (Creatinine clearance \<30 ml/min/1.73 m2) not on dialysis * Known true anaphylaxis to contrast medium (not allergic reaction but anaphylactic shock) * Pregnancy or breast feeding ④ Non-cardiac co-morbid conditions are present with life expectancy \<1 year or that may result in protocol non-compliance (per site investigator's medical judgment) ⑤ Unwillingness or inability to comply with the procedures described in this protocol.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
22 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Ajou University Hospital
NOT_YET_RECRUITINGSuwon, South Korea
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Catholic University of Korea Uijeongbu St. Mary's Hospital
NOT_YET_RECRUITINGUijeongbu-si, South Korea
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Chonnam National University Hospital, Chonnam National University Medical School
NOT_YET_RECRUITINGGwangju, South Korea
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Chung-Ang University Gwangmyeong Hospital
NOT_YET_RECRUITINGGwangmyeong, South Korea
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Chung-Ang University Hospital, Chung-Ang University College of Medicine
NOT_YET_RECRUITINGSeoul, South Korea
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Ewha Womans University Seoul Hospital
NOT_YET_RECRUITINGSeoul, South Korea
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Gachon University Gil Medical Center
NOT_YET_RECRUITINGIncheon, South Korea
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Gyeongsang National University Hospital
NOT_YET_RECRUITINGJinju, South Korea
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Hanyang University Seoul Hospital, College of Medicine, Hanyang University
NOT_YET_RECRUITINGSeoul, South Korea
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Inje University College of Medicine, Ilsan Paik Hospital
NOT_YET_RECRUITINGIlsan, South Korea
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Jeonbuk National University Hospital
NOT_YET_RECRUITINGJeonju, South Korea
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Keimyung University Dongsan Medical Center
NOT_YET_RECRUITINGDaegu, South Korea
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Korea University Anam Hospital
NOT_YET_RECRUITINGSeoul, South Korea
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Korea University Kuro Hospital
NOT_YET_RECRUITINGSeoul, South Korea
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Kwandong University Intl. ST. Mary's Hospital
NOT_YET_RECRUITINGIncheon, South Korea
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Kyung Hee University Medical Center
NOT_YET_RECRUITINGSeoul, South Korea
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Kyungpook National University Hospital
RECRUITINGDaegu, South Korea
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Samsung Medical Center
RECRUITINGSeoul, 06351, South Korea
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Seoul National University Boramae Medical Center
NOT_YET_RECRUITINGSeoul, South Korea
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Seoul National University Bundang Hospital
NOT_YET_RECRUITINGSeongnam-si, South Korea
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SoonChunHyang University Hospital Bucheon
NOT_YET_RECRUITINGBucheon-si, South Korea
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Wonju Severance Christian Hospital
NOT_YET_RECRUITINGWŏnju, South Korea
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Other studies related to the condition(s) this trial covers.
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