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临床试验/NCT03718312
NCT03718312已完成不适用

Evaluation of the Effectiveness of Ischemic Pre-conditioning on the Morbidity and Mortality of Open Surgery of Thoracoabdominal Aortic Aneurysms.

University Hospital, Rouen2 个研究点 分布在 1 个国家目标入组 65 人开始时间: 2019年7月29日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
65
试验地点
2
主要终点
occurrence of a kidney complication

研究概览

简要总结

Patients having a planned open surgery of thoracoabdominal aortic aneurysms and enrolled in the study will be randomized the day of the surgery in 2 groups:

  • Arm 1 : Patients with aortic clamping with pre-conditioning
  • Arm 2 : Patients with aortic clamping without pre-conditioning Patients will be then followed, during 60 days after surgery.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
None

入排标准

年龄范围
18 Years 至 85 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patient > 18 and <85 years old
  • Patient having a planned surgery for a thoracoabdominal aortic aneurysm by direct approach,
  • Patient with aortic aneurysm requiring supra-visceral aortic clamping and visceral artery reconstruction,
  • Aortic aneurysmal patient with or without distal femoral circulatory assistance,
  • Patient with aortic aneurysm of atheromatous or dissecting etiology,
  • Woman of childbearing potential with effective contraception (estrogen-progestin or intrauterine device or tubal ligation), postmenopausal woman (≥ 12 months of amenorrhea not induced by therapy)
  • Patient who read and understood the newsletter and signed the consent form
  • Patient affiliated with a social security scheme

排除标准

  • Patient with aortic aneurysms requiring supra-visceral aortic clamping but not requiring visceral artery reconstruction (supra-visceral aortic clamping for renal aortic juxtaposition aorta),
  • Patient with thoraco abdominal aortic aneurysms requiring a circulatory arrest (aortic aneurysms affecting the descending thoracic aorta or the aortic arch)
  • Patient requiring emergency aortic surgery
  • Patient under treatment known as interfering with PCI (Nicorandil or oral antidiabetic agents),
  • Pregnant or lactating woman (negative result of baseline blood test)
  • Participation in another interventional study within 28 days before randomization or during this study
  • Person deprived of liberty by an administrative or judicial decision or person subject to a legal measure for the protection of adults,
  • Patient under the protection of justice, patient under guardianship or curatorship.

结局指标

主要结局

occurrence of a kidney complication

时间窗: During the 8 days after surgery

According to RIFLE criteria

occurrence of a pulmonary complication

时间窗: During the 48 hours after initial extubation

Need for a new ventilation (invasive or not)

次要结局

  • Pulmonary Morbidity(During the 21 days after surgery)
  • Kidney Morbidity(During the 21 days after surgery)
  • Cardiac Morbidity(During the 48 hours after surgery)
  • cell and tissue damage(During the 8 days after surgery)
  • Death(During 60 days after surgery)

研究者

发起方
University Hospital, Rouen
申办方类型
Other
责任方
Sponsor

研究点 (2)

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