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Helium and organ protection during bypass surgery

Conditions
The aim of this clinical study is to investigate whether the non-anaesthetic noble gas helium induces preconditioning (PreC) and postconditioning (PostC) in patients undergoing coronary artery bypass graft (CABG) surgery.
Registration Number
NL-OMON25552
Lead Sponsor
Academic Medical Centre AmsterdamMeibergdreef 91100 DD Amsterdam
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
125
Inclusion Criteria

1. Age > 18 Years

2. Patients who have to undergo elective cardiac surgery (CABG without valve surgery)

Exclusion Criteria

1. Age < 18 years

2.Emergency operations

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main study parameters are detection of signalling pathway molecules involved in anaesthetic preconditioning (PKC-e, p38MAPK, ERK and HSP27). This will be done by molecular analysis of myocardial tissue samples in our laboratory.
Secondary Outcome Measures
NameTimeMethod
Secondary parameters are cardiac enzyme release after surgery (troponine T, CPK, CK-MB) and haemodynamics during surgery measured by transoesophageal echocardiography (TEE). Furthermore, several biomarkers will be investigated to see whether helium has a protective effect from surgery induced tissue on other organs; urine N-acetyl-glucosaminase (NAG) to estimate kidney damage, Intestinal-type fatty acid binding protein (I-FABP)/liver-type fatty acid binding protein (L-FABP)/ heart-type fatty acid binding protein (H-FABP) to estimate intestinal injury, and ¨¢-glutathione S-transferase (¨¢-GST) to estimate liver damage
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