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Does Prophylactic Coronary Artery Revascularization for High Risk Patients Reduce Long-term Risk of Mortality (CARP)

This study has been completed.
Information provided by:
VA Office of Research and Development Identifier:
First received: March 19, 2002
Last updated: June 25, 2015
Last verified: June 2015
Although a number of sophisticated diagnostic tests have been shown to be helpful in identifying patients at high risk for perioperative cardiac complications, no study has addressed the most important question: Should prophylactic coronary revascularization be performed prior to elective vascular surgery? This study is designed to answer this question.

Condition Intervention
Cardiovascular Disease Procedure: Vascular surgery with best medical treatment Procedure: Coronary artery bypass grafting (CABG) Procedure: Percutaneous transluminal coronary angioplasty (PTCA)

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: CSP #411 - The Coronary Artery Revascularization Prophylaxis (CARP) Trial

Further study details as provided by VA Office of Research and Development:

Primary Outcome Measures:
  • Mortality [ Time Frame: 3 months and 3.5 years post-op ]

Enrollment: 510
Study Start Date: August 1997
Study Completion Date: May 2004
Primary Completion Date: February 2004 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Elective vascular surgery
Procedure: Vascular surgery with best medical treatment
Patients undergo scheduled vascular surgery
Cardiac revascularization prior to vascular surgery.
Procedure: Coronary artery bypass grafting (CABG)
Coronary artery bypass grafting prior to vascular surgery
Other Name: CABG
Procedure: Percutaneous transluminal coronary angioplasty (PTCA)
Cardiac revascularization via PTCA prior to vascular surgery
Other Name: PTCA

  Show Detailed Description


Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

High risk patients scheduled for elective vascular surgery

Exclusion Criteria:

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00032370

United States, Arizona
Southern Arizona VA Health Care System, Tucson
Tucson, Arizona, United States, 85723
United States, Arkansas
Central Arkansas VHS Eugene J. Towbin Healthcare Ctr, Little Rock
No. Little Rock, Arkansas, United States, 72114-1706
United States, California
VA Medical Center, San Francisco
San Francisco, California, United States, 94121
VA Greater Los Angeles Healthcare System, West LA
West Los Angeles, California, United States, 90073
United States, Colorado
VA Eastern Colorado Health Care System, Denver
Denver, Colorado, United States, 80220
United States, Florida
North Florida/South Georgia Veterans Health System
Gainesville, Florida, United States, 32608
James A. Haley Veterans Hospital, Tampa
Tampa, Florida, United States, 33612
United States, Georgia
Atlanta VA Medical and Rehab Center, Decatur
Decatur, Georgia, United States, 30033
United States, Indiana
Richard Roudebush VA Medical Center, Indianapolis
Indianapolis, Indiana, United States, 46202-2884
United States, Minnesota
VA Medical Center
Minneapolis, Minnesota, United States, 55417
United States, New Mexico
New Mexico VA Health Care System, Albuquerque
Albuquerque, New Mexico, United States, 87108-5153
United States, North Carolina
VA Medical Center, Durham
Durham, North Carolina, United States, 27705
United States, Ohio
VA Medical Center, Cleveland
Cleveland, Ohio, United States, 44106
United States, Oregon
VA Medical Center, Portland
Portland, Oregon, United States, 97201
United States, Pennsylvania
VA Pittsburgh Health Care System
Pittsburgh, Pennsylvania, United States, 15240
United States, Texas
VA North Texas Health Care System, Dallas
Dallas, Texas, United States, 75216
VA South Texas Health Care System, San Antonio
San Antonio, Texas, United States, 78229
United States, Washington
VA Puget Sound Health Care System, Seattle
Seattle, Washington, United States, 98108
Sponsors and Collaborators
VA Office of Research and Development
Study Chair: Edward O. McFalls, MD VA Office of Research and Development
  More Information


Responsible Party: McFalls, Edward - Study Chair, Department of Veterans Affairs Identifier: NCT00032370     History of Changes
Other Study ID Numbers: 411
Study First Received: March 19, 2002
Last Updated: June 25, 2015

Keywords provided by VA Office of Research and Development:
myocardial infarction
Prophylactic coronary artery revascularization

Additional relevant MeSH terms:
Cardiovascular Diseases processed this record on August 23, 2017