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Clinical Trials/NCT01128751
NCT01128751
Unknown
Not Applicable

ELMAR - Elimination of Microemboli During Aortic Valve Replacement. A Randomized Controlled Trial

University of Giessen3 sites in 1 country150 target enrollmentMarch 2010

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Neurocognitive Outcome After Aortic Valve Replacement
Sponsor
University of Giessen
Enrollment
150
Locations
3
Primary Endpoint
Neuropsychological assessment 1
Last Updated
15 years ago

Overview

Brief Summary

In a randomized controlled trial patients undergoing aortic valve replacement are recruited into 3 groups. Patients receive either an intra-aortic filter (Embol-X), designed to reduce solid microemboli during mechanical surgical intervention, a dynamic bubble-trap (DBT), designed to reduce gaseous microemboli from cardiopulmonary bypass (CPB), or no additional device (control-group). Cognitive functioning is assessed 3 weeks to 1 day before and 3 months (+/- 1 week) after valve replacement. Furthermore, cerebral magnetic resonance imaging (MRI) is carried 2-6 days after surgery. Primary endpoint is the cognitive outcome of the filter groups compared to the controls. Secondary endpoint is the number of acute ischemic lesions after CABG.

Registry
clinicaltrials.gov
Start Date
March 2010
End Date
December 2011
Last Updated
15 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Eligibility Criteria

Inclusion Criteria

  • Age \> 18
  • Elective aortic valve replacement
  • Informed consent
  • German language

Exclusion Criteria

  • Neurological and psychiatric diseases that would conflict with neuropsychological testing (e.g. stroke, TBI, schizophrenia, etc.); further major surgeries on CPB planned for within 3 months after valve replacement
  • Contraindication against MRI assessment

Outcomes

Primary Outcomes

Neuropsychological assessment 1

Time Frame: 3 weeks to 1 day before intervention

Patients are assessed by an extensive neuropsychological test battery to test cognitive functions and psychological measures

Neuropsychological assessment 2

Time Frame: 3 months (+/- 1 week) post intervention

Patients are assessed by an extensive neuropsychological test battery to test cognitive functions and psychological measures

Secondary Outcomes

  • MRI lesions detected after surgery(2-6 days postoperative)

Study Sites (3)

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