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Evaluation of Non-invasive Endothelial Function in Children Sickle by Vascular Ultrasound

Not Applicable
Completed
Conditions
Sickle Cell Disease
Interventions
Procedure: Echocardiography
Registration Number
NCT02829580
Lead Sponsor
University Hospital, Toulouse
Brief Summary

Sickle cell disease (SCD) is an inherited disorder characterized by recurrent painful crises with ischemia resulting from vascular occlusion. Adults with SCD have increased arterial stiffness and reduced flow-mediated dilation (FMD), due to impaired release of substances such as nitric oxide.

The present study assess the vascular properties of carotid and brachial arteries in children with SCD compared with a control group without cardiovascular risk factors.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
31
Inclusion Criteria

Sickle cell group :

  • Children with sickle cell syndrome (SS or SC)
  • Children hospitalized in the hematology unit (day hospital)
  • The girls set must have had a negative pregnancy test.
  • One of the two holders of parental authority must have signed consent form
  • Children affiliated to a social security scheme or equivalent

Control group : Children recruited in a previous study :

  • Holders of parental authority affiliated to a social security scheme
  • Children recruited during the balance of a heart murmur or a vasovagal reaction
  • Children whose cardiological examination is normal
  • Children having no cardiovascular risk factor
Exclusion Criteria

Sickle cell group :

  • Children with intercurrent diseases such as obesity, intra uterine growth retardation (IUGR), hypertension, renal failure, infectious diseases (including HIV, Hepatitis C) or chronic inflammatory
  • Children who have sickle cell crisis there is less than 1 month.

Control group :

Children with intercurrent diseases: obesity, IUGR, hypertension, renal failure, infectious diseases (including HIV, Hepatitis C) or chronic inflammatory

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Control groupEchocardiographyChildren recruited in a previous study and who had an usual Echocardiography
Sickle groupEchocardiographyChildren with major sickle cell syndrome will have an usual Echocardiography
Primary Outcome Measures
NameTimeMethod
Evaluation of endothelial functionbaseline

Evaluation parameter of endothelial function (brachial artery): flow dependent dilatation (expressed in%)

Secondary Outcome Measures
NameTimeMethod
match the measurement systolic and diastolic diametersbaseline

systolic and diastolic diameters (sD, dD)

Match the measurement on the diastolic wall stressbaseline

diastolic wall stress (DWS)

match the measurement thickness of the intima mediabaseline

The thickness of the intima media (ITM) on the right common carotid

distensibility cross sectionalbaseline

match the measurement on the compliance and distensibility cross sectional (CCS, DCS)

Trial Locations

Locations (1)

University Hospital of Toulouse

🇫🇷

Toulouse, France

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