Cardiac Remote Ischemic Preconditioning Before Elective Major Vascular Surgery
NCT01403337 · Status: COMPLETED · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 205
Last updated 2016-03-16
Summary
Vascular surgery is considered a high-risk operation with an anticipated risk of major cardiovascular complications in excess of 5%. The occurrence of a cardiovascular complication after surgery carries a long-term higher mortality risk. The main objective of this investigation is to reduce the proportion of patients having major cardiovascular complications during surgery through a clinical protocol of remote preconditioning that is safe, effective and reproducible.
Conditions
- Peripheral Arterial Disease
Interventions
- OTHER
-
Ischemic preconditioning
The RIPC protocol will consist of three cycles of the following: 5-minute inflation of a blood pressure cuff around the right upper arm to 200 mmHg (or 20 above the systolic blood pressure if baseline BP \> 200 mmHg) to allow for external compression of the brachial artery resulting in transient arm ischemia, followed by a 5-minute interval of cuff deflation to allow for reperfusion. The total duration of the protocol is 30 minutes equally divided between ischemia and reperfusion. The protocol is to be applied in the patient room the morning of the operation.
- OTHER
-
Control
A Blood Pressure cuff inflated to 40-50 mmHg
Sponsors & Collaborators
-
Center for Veterans Research and Education
lead OTHER
Principal Investigators
-
Santiago A Garcia, MD · Minneapolis VA Medical Center and The University of Minnesota
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-07-31
- Primary Completion
- 2015-09-30
- Completion
- 2015-09-30
Countries
- United States
Study Locations
More Related Trials
-
Preconditioning Shields Against Vascular Events in Surgery
NCT01691911 ·Status: COMPLETED ·Phase: NA
-
Feasibility Trial to Maintain Normal Cerebral Oxygen Saturation in High-Risk Cardiac Surgery
NCT01432184 ·Status: COMPLETED ·Phase: NA
-
The Effect of Remote Ischemic Preconditioning in the Cardiac Surgery
NCT00997217 ·Status: COMPLETED ·Phase: PHASE1
-
Transfusion Trigger After Operations in High Cardiac Risk Patients
NCT03229941 ·Status: COMPLETED ·Phase: NA
-
This Research Proposal Focuses on Evaluating the Effectiveness of a Nursing Care Protocol in Preventing Deep Vein Thrombosis (DVT) in Patients Undergoing On-pump Cardiac Surgery. The Study Will Include an Intervention Group That Receives the Nursing Protocol and a Control Group That Receives Routine
NCT07347652 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Cerebral Autoregulation Monitoring During Cardiac Surgery
NCT00981474 ·Status: COMPLETED ·Phase: NA
-
Extended Perioperative Administration of Fibrinolysis Inhibitors After Cardiac Surgery
NCT06493227 ·Status: RECRUITING ·Phase: NA
-
Study of Remote Ischemic Postconditioning
NCT01450475 ·Status: COMPLETED ·Phase: PHASE1
-
Remote Ischemic Conditioning in Abdominal Surgery
NCT03234543 ·Status: UNKNOWN ·Phase: NA
-
Ischemic Postconditioning in Cardiac Surgery
NCT01813968 ·Status: COMPLETED ·Phase: NA
-
Predictors of Perioperative Cardiac Morbidity
NCT00005197 ·Status: COMPLETED
-
BNP and Vascular Surgery
NCT03926104 ·Status: UNKNOWN
-
Do Arterial Catheters Reduce the Risk of Major Perioperative Complications
NCT02453815 ·Status: COMPLETED ·Phase: NA
-
The Effect of Perioperative Medications on the Outcomes of Patients Undergoing Cardiac Surgery
NCT01683448 ·Status: COMPLETED
-
Effects of Prophylactic Desmopressin on Blood Coagulation Parameters in Heart Valve Surgery
NCT03343418 ·Status: UNKNOWN ·Phase: PHASE4
-
Ischemic Preconditioning at a Distance in Liver Surgery
NCT04181502 ·Status: COMPLETED ·Phase: NA
-
Ischaemic PReconditioning In Non Cardiac surgEry
NCT02427867 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Closed-loop Control of Vasopressor Administration in Cardiac Surgery
NCT04232007 ·Status: COMPLETED ·Phase: NA
-
Factors Affect Outcomes in Cardiovascular Surgery
NCT01932411 ·Status: RECRUITING
-
ΔvapCO2 / Cav02 Ratio as a Prognostic Marker and Predictor of Complications After Cardiac Surgery
NCT02876406 ·Status: UNKNOWN
-
Non-invasive Blood Pressure Monitoring in Carotid Surgery
NCT06965257 ·Status: RECRUITING
-
Impact of Ascorbic Acid Treatment on the Development and Treatment of Vasodilation in Cardiac Surgery
NCT03744702 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Low Dose Corticosteroid Infusion in Vasoplegia After Cardiac Surgery (CORTIVAS-CS)
NCT04301479 ·Status: UNKNOWN ·Phase: PHASE3
-
Management of Antiplatelet Regimen During Surgical Procedures
NCT03981835 ·Status: COMPLETED
-
Evaluation of Different Priming Solutions Effects on Microcirculation, Oxidative Stress and Morbidity in Cardiovascular Surgery Patients
NCT02501681 ·Status: COMPLETED ·Phase: PHASE4