Clinical, Hematological, and Imagiologic Predictors of Postoperative Complications and Long Term Cardiovascular Events After Carotid Endarterectomy With Regional Anesthesia
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Carotid Stenosis
- Sponsor
- Universidade do Porto
- Enrollment
- 272
- Locations
- 1
- Primary Endpoint
- Stroke
- Last Updated
- 6 years ago
Overview
Brief Summary
Establish and validate biomarkers which improve the predictive value of current risk stratification models for patients benefiting from carotid revascularization, outperform existing biomarkers, and reach clinical application standards.
Detailed Description
The authors hypothesize FGF-23 and GDF-15 could predict cerebral ischemia, postoperative complications and long term major cardiovascular events, particularly in patients developing symptomatic neurologic ischemia after circulation shutdown. Establish and validate biomarkers which improve the predictive value of current risk stratification models for patients benefiting from carotid revascularization, outperform existing biomarkers, and reach clinical application standards. Clarify the pathophysiology of carotid endarterectomy-related stroke and the role of GDF-15, FGF-23, BNP and hs-troponin I and other biomarkers in the prognosis of symptomatic carotid stenosis. Imagiologic markers are to be included - intima-media; gray weale plaque classification, cerebral CT Peak wave velocity
Investigators
João Rocha Neves
MD, MSC; MPH, FEBVS
Universidade do Porto
Eligibility Criteria
Inclusion Criteria
- •consecutive patients from a tertiary referral center who undergo CEA for carotid artery stenosis (CS) under regional anesthesia
Exclusion Criteria
- •general anesthesia
- •carotid stenting
Outcomes
Primary Outcomes
Stroke
Time Frame: 30 days, long-term
Clavien dindo>3
Time Frame: 30 days, long-term
MACE
Time Frame: 30 days, long-term
AMI, stroke, Major adverse limb event, acute hear faillure hospitalization, all cause mortality