Evaluation of the Diagnostic Performance of Dynamic Myocardial Perfusion Scintigraphy in Comparison With Invasive Intracoronary FFR Measurement, in the Assessment of Significant Residual Coronary Stenosis After Acute Coronary Syndrome: Dyna-MI Pilot Study.

Nantes University Hospital60 enrolled

Overview

Dynamic 99mTc-Tetrofosmin CZT-SPECT myocardial perfusion imaging (MPI) is an advanced functional imaging technique giving important myocardial flow quantification added data in comparison with conventional MPI, especially in coronary multi vessel disease. A large-scale validation of diagnostic performances of myocardial flow reserve (MFR) estimated with Dynamic 99mTc-Tetrofosmin CZT-SPECT MPI would allow a non-invasive approach instead of invasive intra-coronary fractional flow reserve (FFR) measurement. The aim of this prospective study is to assess diagnostic performances of MFR calculated with dynamic 99mTc-Tetrofosmin CZT-SPECT MPI in comparison with invasive intra-coronary FFR measurement in patients with significant residual coronary arteries stenosis after acute coronary syndrome .

Study Type

INTERVENTIONAL

Allocation

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

Conditions

Myocardial Infarction

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adult patient. * Multi vessel coronary arteries disease (at least one non-culprit coronary stenosis \>= 50%) diagnosis during * primary percutaneous coronary intervention \< 12h after ST-elevation myocardial infarction opercutaneous revascularisation of the culprit lesion within 24 to 48 hours of an acute non-ST-segment elevation coronary syndrome. * Written consent. * Social security affiliation Exclusion Criteria: * Non adult patient. * Adult patient under tutelage. * Reproductive age women. * Medical history of myocardial infarction or coronary artery bypass surgery. * Cardiogenic shock. * Cardiomyopathy. * Regadenoson/adenosine/FFR contraindication. * 99mTc-Tetrofosmin hypersensibility. * Small non-culprit coronary arteries. * Participation to another interventional study.

Outcomes

Primary Outcomes

Sensitivity, specificity, predictive positive value, negative predictive value, accuracy of MFR in comparison with FFR

To determine MFR diagnostic performances in comparison with FFR