About this trial
COMPLETE-2 is a prospective, multi-centre, randomized controlled trial comparing a strategy of physiology-guided complete revascularization to angiography-guided complete revascularization in patients with acute ST-segment elevation myocardial infarction (STEMI) or non-ST-segment elevation myocardial infarction (NSTEMI) and multivessel coronary artery disease (CAD) who have undergone successful culprit lesion Percutaneous Coronary Intervention (PCI).
COMPLETE-2 OCT is a large scale, prospective, multi-centre, observational, imaging study of patients with STEMI or NSTEMI and multivessel CAD in a subset of eligible COMPLETE-2 patients.
Eligibility criteria
Qualifiers
Patients presenting with STEMI or type 1 NSTEMI and within 72 hours of successful culprit-lesion PCI
Amenable to successful treatment with PCI
At least 50% diameter stenosis by visual estimation
At least 2.5 mm in diameter
Disqualifiers
Planned or prior coronary artery bypass graft (CABG) surgery
Inability to clearly identify a culprit lesion for STEMI or NSTEMI based on angiographic appearance and/or ECG changes and/or regional wall motion abnormalities
Prior PCI of a non-culprit lesion in a different vessel from the culprit lesion within 45 days of randomization
Planned medical treatment of all qualifying non-culprit lesions (i.e., no PCI)
Trial design
Treatments tested in this trial
- Physiology-guided NCL PCI
- Angiography-guided NCL PCI