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NCT07165678Recruiting

CTCA Prior to Invasive Angiography in Post-Bypass Patients (BYPASS CTCA 2)

A Multi-Centre, Randomised Trial Assessing the Value of Computed Tomography Coronary Angiography Prior to Invasive Coronary Angiography in Patients With Previous Coronary Artery Bypass Grafts in Reducing Cardiac Events

Source: ClinicalTrials.gov · Last updated 5 Jun 2026

Brief summary (registry, in English)

The goal of this clinical trial is to evaluate whether a coronary computed tomography angiography (CTCA)-guided strategy can reduce the risk of death, heart attack, stroke, and hospital admissions in patients experiencing angina or myocardial infarction following coronary artery bypass graft (CABG) surgery. The main questions it aims to answer are: * Can CTCA reduce major adverse cardiovascular events compared to standard invasive coronary angiography? * Is CTCA a cost-effective and safer alternative that improves patient quality of life? Researchers will compare outcomes between patients receiving CTCA prior to angiography and those undergoing standard angiography alone to determine if CTCA improves clinical outcomes and procedural safety. Participants will: * Be randomly assigned to either CTCA-guided care or standard angiography * Undergo coronary imaging and follow-up assessments * Complete questionnaires on quality of life and healthcare resource use

Status (registry)
Recruiting
Study type
Interventional
Enrollment
1000 (estimated)
First submitted
15 Aug 2025
Start date
16 Apr 2026
Primary completion date
31 Jul 2029
Lead sponsor
Queen Mary University of London
NCT number
NCT07165678

What you commit to

  • Study type: Interventional
  • Planned participants: 1000
  • From 16 Apr 2026 to the primary completion date, 31 Jul 2029
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • Subjects presenting with ST segment myocardial infarction within window for primary PCI

Lab values

  • Patients considered unsuitable to participate by the research team (e.g. due to medical reasons, laboratory abnormalities, or subject's unwillingness to comply with all study related procedures)

Other

  • Life expectancy less than 1 year

Who the study is looking for

  • Aged ≥18
  • Previous coronary artery bypass grafting (CABG)
  • An indication for coronary angiography
    • Angina
    • Ischaemia on perfusion imaging
    • Acute coronary syndrome
  • Patients are able and willing to give their written informed consent

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
St. Bartholomew's Hospital
Coordinator of this site? Confirm its status
LondonUnited KingdomRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.