Single Catheter Primary Percutaneous Coronary Intervention Method in Patients With ST Elevation Myocardial Infarction (SPEEDYPCI)
ST Elevation Myocardial Infarction
About this trial
This is an interventional treatment trial for ST Elevation Myocardial Infarction focused on measuring Primary percutaneous coronary intervention, Door-to-balloon time, guiding catheter
Eligibility Criteria
Inclusion Criteria: Age of 21 years or older Acute ST-segment elevation myocardial infarction Patients indicated for Primary PCI within 12 hours after onset Exclusion Criteria: Patients with shock requiring insertion of Impella, ECMO or IABP before PCI Patients requiring cardiopulmonary resuscitation due to cardiac arrest Patients requiring temporary pacemaker due to bradycardia Patients undergoing dialysis Patients judged by the attending physician to be inappropriate for registration
Sites / Locations
- Tokai University Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
SC-PCI
Conventional
Primary PCI is initiated with a universal guiding catheter (Ikari left). The guiding catheter is used to contrast the left and right coronary arteries and PCI is started directly. This method does not require a catheter exchange. It is Single Catheter PCI (SC-PCI) method.
Primary PCI is initiated with a diagnostic catheter. The catheter is used to contrast one of the coronary arteries. Then, the catheter is replaced with a contralateral side diagnostic catheter. Then, the catheter is replaced with a guiding catheter and PCI is started.