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Comparing Bypass Surgery and Stent Procedures for Heart Disease With Weak Heart Pumping

Compares bypass surgery with stenting in adults with blocked heart arteries and reduced heart function.

Plain-language title generated from the registry record
Registry title: Surgical Versus Percutaneous Revascularization in Patients With Reduced Left Ventricular Function (STICH 3.0-NL)

Key facts

Where
Groningen, NetherlandsSee the site

Where in Netherlands

  • University Medical Center GroningenGroningen, NetherlandsTaking people

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Trial details

Who runs it
University Medical Center Groningen
Trial code
NCT07269366
Record updated
12 May 2026
Original description
This randomized multicenter trial compares coronary artery bypass grafting (CABG) with percutaneous coronary intervention (PCI) in 358 patients with ischemic left ventricular dysfunction and multivessel coronary disease. The study evaluates differences in survival, major cardiovascular events, and quality of life over 4 years, and contributes to the international STICH 3.0 collaboration assessing long-term outcomes.Read full original descriptionShow less

Surgical Versus Percutaneous Revascularization in Patients With Reduced Left Ventricular Function

This randomized multicenter trial compares coronary artery bypass grafting (CABG) with percutaneous coronary intervention (PCI) in 358 patients with ischemic left ventricular dysfunction and multivessel coronary disease. The study evaluates differences in survival, major cardiovascular events, and quality of life over 4 years, and contributes to the international STICH 3.0 collaboration assessing long-term outcomes.

Inclusion: Age ≥ 18 years; LVEF≤ 40%; Angina pectoris, CCS≥2 and/or hospitalization for ACS or heart failure within 1 year prior to randomization; Multivessel CAD (2-3 vessel-disease with coronary lesions >70% and involvement of proximal LAD, and/or LM stenosis of >50%). Target vessels are determined by the local Heart Time; Clinical and angiographical characteristics suitable for isolated coronary revascularization both by CABG or PCI according to the judgment of the local Heart Team; Written informed consent.

Exclusion: Previous CABG; Valvular/structural heart disease requiring intervention; Non-cardiac condition with life expectancy < 1 year; ACS < 48 hours before randomization; Contra-indications to DAPT; Decompensated HF at the time of inclusion.

ClinicalTrials.gov NCT07269366