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UnknownNCT04179487

The OPTICA Study - The Optimised Computed Tomography Pulmonary Angiography (CTPA) in Pregnancy, Quality and Safety Study

The OPTICA Study - A Prospective Study Assessing the Quality and Safety of an Optimised CTPA Protocol in Pregnancy

Status
Unknown
Phase
Study type
Observational
Enrollment
464 (estimated)
Sponsor
University College Dublin · Academic / Other
Sex
Female
Age
18 Years
Healthy volunteers
Not accepted

Summary

A prospective multicentre study aiming to validate the clinical utility and safety of an optimised low-dose computed-tomography pulmonary angiogram (CTPA) protocol for suspected pulmonary embolism in pregnancy

Detailed description

The OPTICA study is the first prospective study of a low-dose CTPA protocol for the pregnant population. It will define the achievable dose, image quality and safety of this protocol and provide an evidence base upon which modern CTPA protocols can be appropriately compared to scintigraphy for this population. Pregnant women undergoing the specified low-dose CTPA protocol for suspected pulmonary embolism (PE), agreed across study sites with equivalent computed-tomography (CT) capabilities, will be included. Independent review of CTPAs by two radiology consultants, image data analysis and 3-month patient follow up will be performed. The diagnostic algorithm employs chest-x-ray and lower limb Doppler if lower limb symptoms are present, followed by CTPA in cases where advanced imaging is required. D-dimer is permitted within the diagnostic algorithm for patients recruited after implementation of the updated 2019 "European Society of Cardiology guidelines for diagnosis and management of acute pulmonary embolism".

Conditions

Interventions

TypeNameDescription
DIAGNOSTIC_TESTOPTICA CTPA ProtocolLow dose CT pulmonary angiogram protocol

Timeline

Start date
2018-05-29
Primary completion
2023-12-01
Completion
2024-04-01
First posted
2019-11-27
Last updated
2019-12-02

Locations

1 site across 1 country: Ireland

Source: ClinicalTrials.gov record NCT04179487. Inclusion in this directory is not an endorsement.