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Sound waves vs X-Rays: which guides heart stents better?
NCT ID NCT07616024
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares two ways to guide stent placement during emergency treatment for a severe type of heart attack (STEMI). About 2,500 patients will be randomly assigned to receive either standard X-ray guidance or ultrasound guidance (IVUS) during the procedure. The goal is to see if ultrasound guidance leads to fewer future heart-related events like death, repeat procedures, or another heart attack.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Intravascular ultrasound (IVUS) procedure
- What this could lead to
- If successful, this could show that using ultrasound during emergency heart attack stenting reduces the risk of future heart problems or death.
- What could go wrong
- This is a large trial but still early in testing. The ultrasound guidance may not provide a clear benefit over standard care, and the procedure carries typical risks of catheter use.
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 2,488 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- 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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18 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 diagnosed with acute ST-segment elevation myocardial infarction (STEMI) who have an indication for emergency interventional therapy; 2. Subjects who are eligible to undergo primary percutaneous coronary intervention (PCI); 3. Subjects or their authorized family members voluntarily agree to participate in the clinical trial and sign the written informed consent form; 4. The IVUS catheter is expected to pass through the target lesion to complete the examination. Exclusion Criteria 1. Patients with cardiogenic shock or severe heart failure (Killip class IV); 2. Patients who have previously undergone coronary artery bypass grafting (CABG); 3. Patients with coma or disturbance of consciousness; 4. Patients who are expected to be intolerant to long-term antiplatelet therapy; 5. Pregnant women; 6. Life expectancy \< 1 year; 7. Currently participating in another drug/device clinical trial and not having reached the primary endpoint; 8. Poor compliance, expected to be unable to complete follow-up.
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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
1 site. 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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Zhongshan Hospital
Shanghai, Shanghai Municipality, 200032, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can immune cells predict how well the heart heals after an attack?
- Can balloon timing make or break heart artery success?
- Drinking water may shield kidneys during emergency heart procedures
- When is the best time to fix other blocked arteries after a heart attack?