ClinicalTrials.gg
CompletedNCT07362108Updated Jan 23, 2026

Cardiovascular Events Related to Treated Coronary Arteries in Stable Multivessel CAD

An observational study in Coronary Artery Disease, Stable Coronary Artery Disease and Multivessel Coronary Artery Disease, sponsored by Instituto do Coracao. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-23.

Sponsored by Instituto do Coracao · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
1,695
Ages
18 Years and older
Sex
All
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Study summary

This retrospective cohort study evaluates cardiovascular events directly related to treated coronary arteries in patients with stable multivessel coronary artery disease. Outcomes in patients undergoing coronary artery bypass grafting or percutaneous coronary intervention will be compared with those receiving optimized medical therapy alone. This study aims to improve understanding of how different treatment strategies impact long-term vessel-related outcomes in patients with stable multivessel coronary artery disease.

Read the detailed description

Previous studies evaluating coronary revascularization strategies have relied on broad composite endpoints, which may include events unrelated to the treated vessel. This study focuses on vessel-related outcomes, specifically non-fatal myocardial infarction and cardiac death attributable to the treated coronary artery. Patients were selected from the MASS (Medicine, Angioplasty, or Surgery Study) database at a single tertiary center. By analyzing vessel-specific events, this study aims to provide a more accurate assessment of the long-term impact of different treatment strategies in stable multivessel coronary artery disease.

02

Conditions studied

  • Coronary Artery Disease
  • Stable Coronary Artery Disease
  • Multivessel Coronary Artery Disease
  • Myocardial Ischemia

Keywords

  • Coronary artery bypass grafting
  • Percutaneous coronary intervention
  • Medical therapy
  • Stable coronary artery disease
  • Multivessel disease
  • Vessel-related outcomes
  • Myocardial infarction
  • Cardiac death
  • MASS study
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In context

Coronary Artery Disease

4,857 studies on the registry are indexed under Coronary Artery Disease; 890 are open to participants now.

This study's enrollment of 1,695 is above the median of 320 across 1,687 observational studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Instituto do Coracao is the lead sponsor of 17 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients with stable multivessel coronary artery disease and documented myocardial ischemia, selected from the MASS (Medicine, Angioplasty, or Surgery Study) database at a single tertiary academic center.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with stable multivessel coronary artery disease, defined as ≥70% stenosis in at least two major epicardial coronary arteries, with documented myocardial ischemia and clinical indication for surgical, percutaneous, or medical treatment.

Exclusion criteria

Exclusion Criteria:

  • Patients with limited , severe left ventricular dysfunction ( \<35%), recent acute coronary syndrome, recent revascularization procedures, significant valvular disease, chronic kidney disease (creatinine ≥2.0 mg/dL), active , or inability to complete long-term follow-up.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
1,695 participants (actual)
Patient registry
No

Groups and cohorts

  • Coronary Artery Bypass Grafting (CABG)

    Patients with stable multivessel coronary artery disease treated with surgical coronary artery bypass grafting.

    Procedure: Coronary Artery Bypass Grafting

  • Percutaneous Coronary Intervention (PCI)

    Patients with stable multivessel coronary artery disease treated with percutaneous coronary intervention.

    Procedure: Percutaneous Coronary Intervention

  • Medical Therapy

    Patients with stable multivessel coronary artery disease treated exclusively with optimized medical therapy.

    Other: Optimized Medical Therapy

Interventions

  • ProcedureCoronary Artery Bypass Grafting

    Surgical myocardial revascularization using coronary artery bypass grafting.

  • ProcedurePercutaneous Coronary Intervention

    Percutaneous coronary intervention performed according to standard clinical practice.

  • OtherOptimized Medical Therapy

    Guideline-directed medical therapy for stable coronary artery disease.

06

What researchers measure

Primary outcomes

  1. Non-fatal myocardial infarction related to the treated coronary artery

    Time frame: Up to 5 years of follow-up

  2. Cardiac death attributable to the treated coronary artery

    Time frame: Up to 5 years of follow-up

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Hueb T, Bocchi EA, Rezende PC, Scudeler TL, Lima EG, Soares PR, Venancio FA, Tairova MS, Outuki G, Martins IJ, De Martino Neto E, Serrano Junior CV, Ramires JAF, Kalil Filho R. Impact of revascularization strategies versus optimized medical treatment on coronary events related only to revascularized arteries: a target clinical trial emulation approach. J Cardiothorac Surg. 2026 Jul 16. doi: 10.1186/s13019-026-04544-5. Online ahead of print. PubMed 42464287 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared publicly because this study is based on a retrospective institutional database with data ownership governed by institutional policies and local data protection regulations. De-identified data may be made available upon reasonable request, subject to approval by the investigators and the institutional ethics committee.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07362108
Lead sponsor
Instituto do Coracao
Responsible party
Thiago Ovanessian Hueb (MD, PhD, Instituto do Coracao) — Principal investigator
First posted
Jan 23, 2026
Start date
Jan 1, 1995
Primary completion
Dec 31, 2025
Completion
Dec 31, 2025
Last update
Jan 23, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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