Intravascular Lithotripsy With or Without Rotational Atherectomy for Coronary Calcified Nodule Treatment

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorAnnapoorna Kini

About this trial

The NODULE-SHOCK trial is a prospective, investigator-initiated, single-center, randomized controlled trial designed to compare the efficacy of intravascular lithotripsy (IVL) with or without rotational atherectomy (RA) in patients with coronary calcified nodules (Cohort A), and operator-determined vs maximum IVL pulses in patients with non-nodular severe coronary calcium (Cohort B).

Eligibility criteria

Qualifiers

Age ≥18 years who signed written informed consent

Presence of a clinical indication for coronary intervention

Patients undergoing PCI for a de novo calcified lesion with planned drug-eluting stent (DES) implantation

≥70% and <100% stenosis on angiography, or

Disqualifiers

Cardiogenic shock at the time of procedure

Primary PCI for ST-segment elevation myocardial infarction (STEMI)

Pregnant, nursing, or childbearing potential without adequate contraception

Known allergy or contraindication to DAPT (aspirin, clopidogrel, prasugrel, ticagrelor)

Trial design

Treatments tested in this trial

  • Intravascular lithotripsy
  • Rotational atherectomy

Treatment groups

120 Participants
are divided into 4 treatment groups

Locations

1
Mount Sinai Hospital10029, New YorkNew York, United States

Sponsors and collaborators

Annapoorna Kini

Lead sponsor

Icahn School of Medicine at Mount Sinai

Sponsor institution