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Association of Carotid Arterial Circumferential Strain With Left Ventricular Function and Hemodynamic Compromise During Off-pump Coronary Artery Bypass Surgery

Completed
Conditions
Three Vessel Coronary Artery Disease
Registration Number
NCT01840969
Lead Sponsor
Yonsei University
Brief Summary

This study is aimed to evaluate the association of common carotid artery circumferential strain with the echocardiographic parameters of left ventricular function and the degree of actual hemodynamic deterioration in patients undergoing multi-vessel off-pump coronary artery bypass with preserved left ventricular ejection fraction.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
96
Inclusion Criteria
  1. three vessel coronary artery disease
  2. sinus rhythm
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Exclusion Criteria
  1. New York Heart Association functional class ≥3
  2. known pulmonary hypertension
  3. known valvular heart disease
  4. serum creatinine ≥2.0 mg/dL
  5. myocardial infarction within 1 week before the surgery
  6. history of cerebral or peripheral arterial occlusive disease
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
TTE parameters1 day before the surgery

TTE parameters: left ventricular ejection fraction, left atrial volume index, left ventricular mass, Sm, Em, E/Em

Secondary Outcome Measures
NameTimeMethod
change of intraoperative hemodynamic variablesfrom after induction of anesthesia, left circumflex artery grafting, and to sternum closure

TTE parameters: left ventricular ejection fraction, left atrial volume index, left ventricular mass, Sm, Em, E/Em Carotid circumferential strain : Storage of transverse image of the right CCA at approximately 1cm proximal to the bifurcation, manual trace of luminal-intimal border and automatic tracking by frame-to-frame movement of ultrasound reflections (speckles) Hemodynamic variables: cardiac index and mixed venous oxygen saturation obtained from the pulmonary artery catheter and cardiac output monitoring devices

Trial Locations

Locations (1)

Yonsei University College of Medicine

🇰🇷

Seoul, Korea, Republic of

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