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Respirophasic Carotid Artery Peak Velocity Variation as a Predictor of Fluid Responsiveness in Patients With Coronary Disease

Not Applicable
Completed
Conditions
Coronary Artery Occlusive Disease
Interventions
Other: Volume expansion
Registration Number
NCT01836081
Lead Sponsor
Yonsei University
Brief Summary

The aim of this study is to investigate usefulness of the respirophasic variation in carotid artery peak flow velocity measured by Doppler ultrasound, which is noninvasive and easily accessible, as a predictor of fluid responsiveness in patients with coronary artery disease.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  1. patients scheduled for elective isolated off-pump coronary artery bypass graft surgery
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Exclusion Criteria
  1. cardiac rhythm other than sinus
  2. congestive heart failure
  3. left ventricular ejection fraction <35%
  4. history of transient ischemic attack
  5. pre-existing cerebrovascular disease and peripheral arterial occlusive disease
  6. presence of carotid artery stenosis >50%
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
fluid responsivenessVolume expansion-
Primary Outcome Measures
NameTimeMethod
Predictive power of the respirophasic carotid flow peak velocity variation for the fluid responsivenessMeasurement of respirophasic carotid flow peak velocity variation before the volume expansion

After induction of anesthesia, peak velocity of carotid artery blood flow is measured by the pulsed wave Doppler signal obtained from the left common carotid artery. Respirophasic variation of the peak velocity is defined as the difference between the maximum and the minimum values of peak velocity divided by the mean of the two values during one respiratory cycle. Fluid responder is defined as a patient whose stroke volume index is increased ≥15% after volume expansion. The receiver operating characteristic curve analysis to descriminiate fluid responder is performed.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Yonsei University College of Medicine

🇰🇷

Seoul, Korea, Republic of

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