Evaluation of Local Capillary Blood Lactate in Chronic Critical Ischemia of Lower Limb Before and After Revascularization
- Conditions
- Chronic Critical Ischemia
- Interventions
- Procedure: The Edge
- Registration Number
- NCT01634815
- Lead Sponsor
- University Hospital, Strasbourg, France
- Brief Summary
Evaluation of a new biological criterion, the local capillary blood lactates to optimize the management of patients with chronic critical ischemia requiring revascularization fast. Potential use in terms of capillary blood lactate as a diagnostic indicator of recurrent ischemia in a limb revascularized.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 12
- Ischemia Chronic critical lower limb revascularization procedure requiring fast.
- Written consent informed patient age greater than or equal to 18
-
Presence of an inflammatory or infectious (erysipelas) in the ischemic member.
-
Patients at risk for diabetic foot ie, as defined by the HAS (preventing diabetic foot, 2007)
- presence of sensory neuropathy, and / or
- foot deformities (hallux valgus, hammer toes or claw, prominence of the metatarsal heads), and / or
- history of foot ulceration, and / or
- antecedent of one of these factors (ie antécedant diabetic foot).
-
Necrosis of the toes.
-
Participation in another clinical research protocol.
-
Presence of peripheral arterial disease in the bilateral upper limbs.
-
Patient in shock whatever the cause.
-
Presence of hepatic failure.
-
Too impaired general condition (bedridden, dementia, ...)
-
Refusal of the patient to participate in the study
-
Protected patients
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description lactate group The Edge -
- Primary Outcome Measures
Name Time Method Report Capillary blood lactate To Finger Capillary blood lactate (LCO / LCD) 48 hours Report Capillary blood lactate To Finger Capillary blood lactate (LCO / LCD) before revascularization of the lower limb in chronic critical limb ischemia (considered positive if\> 2).
- Secondary Outcome Measures
Name Time Method The decrease in the ratio LCO/LCD 48 hours The decrease in the ratio LCO / LCD in the immediate aftermath of revascularization
Trial Locations
- Locations (2)
Clinique de l'Orangerie
🇫🇷Strasbourg, France
Hôpitaux Universitaires de Strasbourg, Service d' Anesthésie Réanimation Chirurgicale
🇫🇷Strasbourg, France