Investigation of the Role of Hemodynamics in Re-stenosis of CABG Patients
NCT02791087 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 54
Last updated 2019-06-07
Summary
CFD simulations in this study provide detailed hemodynamics information, which cannot be obtained from cardiac images alone. The investigators hypothesize that our proposed simulations will provide strong correlation between hemodynamic parameters, such as WSSG and SPA, and clinically identified graft stenosis. These correlations will allow the investigators to identify the future patients at high risk of graft stenosis and lead to future researches on optimizing and refining surgical plans, such as finding optimal proximal and distal anastomoses locations, optimal graft length and diameter, which could lead to improved longevity of the graft. Once CFD coupled shape optimizer is validated, it could be part of the surgical simulator to help in training the next generation physicians. It could provide new viewpoints for assessing whether some modified surgical techniques are better or not. It could also aid in designing and evaluating the vascular medical devices, including stent, artificial graft, and etc., which would lead to better surgical outcome.
Conditions
- Coronary Artery Disease
- Stable Angina
- Unstable Angina
Interventions
- OTHER
-
Computed Tomography Angiography
The CTA is non-invasive and is used commonly for patients who have chest pain to assess the coronary artery disease, prior to the more invasive coronary angiogram.
- OTHER
-
Intra-operative graft flow rate measurement
This procedure involves the insertion of a Medistim Ultrasound Transit Time Flow Probe into the graft vessel to measure its flow rate. This technique is commonly used for evaluating graft opening during CABG surgery.
Sponsors & Collaborators
-
National Heart Centre Singapore
lead OTHER
Principal Investigators
-
Junmei Zhang · National Heart Centre Singapore
Eligibility
- Min Age
- 21 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-06-30
- Primary Completion
- 2018-10-31
- Completion
- 2018-10-31
Countries
- Singapore
Study Locations
More Related Trials
-
Valvular Aortic Stenosis Prognosis Study
NCT03628313 ·Status: UNKNOWN
-
Validation of a Novel, Non-Dimensional Approach for Estimation of Pressure Gradients in Aortic Stenosis
NCT04600739 ·Status: UNKNOWN
-
Interest of Pulse Wave Velocity Measurement as a Predictor of Severity of Aortic Stenosis
NCT03140735 ·Status: WITHDRAWN ·Phase: NA
-
Evaluation of Systemic Microcirculation of Patients Undergoing Heart Valve Surgery
NCT05728047 ·Status: COMPLETED
-
Feasibility Study of the DragonFly-T System for Severe Tricuspid Regurgitation
NCT05671640 ·Status: UNKNOWN ·Phase: NA
-
Preoperative Assessment of Aortic Valve Stenosis and Coronary Artery Disease
NCT00767013 ·Status: UNKNOWN ·Phase: NA
-
Prognostic Impact of Myocardial Longitudinal Strain in Asymptomatic Aortic Stenosis: a Meta-Analysis
NCT02608567 ·Status: UNKNOWN
-
Novel Echocardiographic and Invasive Haemodynamic Measurements in the Assessment of Patients Low Flow Low Gradient Aortic Stenosis Undergoing TAVI
NCT05196815 ·Status: COMPLETED ·Phase: NA
-
Low Flow Low Gradient Aortic Stenosis Relevance of the (re)Search for a Contractile Reserve
NCT02727504 ·Status: COMPLETED
-
Safety and Effectiveness Study of DragonFly-T System for Severe Tricuspid Regurgitation
NCT05556460 ·Status: RECRUITING ·Phase: NA
-
Cerebral Embolic Load in Patients Undergoing Surgical Aortic Valve Replacement: A Comparison of the Conventional With the Minimized Extracorporeal Circulation Technique Using Transcranial Doppler Ultrasound
NCT02308566 ·Status: COMPLETED ·Phase: PHASE4
-
Detection of Proximal Coronary Artery Disease in the Work-up for Transcatheter Aortic Valve Implantation Using CTA (From the DEPICT CTA Database)
NCT04491513 ·Status: COMPLETED
-
Detecting Changes in Arterial Blood Volume and Cardiac Efficiency
NCT07205341 ·Status: RECRUITING
-
Late Function After Surgery for Transposition of the Great Arteries
NCT03078413 ·Status: COMPLETED
-
Safety and Efficacy Study of Intramyocardial Stem Cell Therapy in Patients With Dilated Cardiomyopathy
NCT01350310 ·Status: COMPLETED ·Phase: PHASE2
-
Concomitant Tricuspid Repair in Patients With Left Heart Surgery
NCT05595187 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison of Blood and Crystalloid Cardioplegia
NCT01941420 ·Status: COMPLETED
-
Comparison of Different Vascular Closure Device in TAVI
NCT05491070 ·Status: COMPLETED ·Phase: NA
-
Non-Invasive MOnitoring in Transcathether Aortic Valve Implantation
NCT05840757 ·Status: COMPLETED ·Phase: NA
-
Cohort Observing Mechanisms, Progression and Sequelae of Valvular Heart Disease
NCT07267117 ·Status: RECRUITING
-
Post-surgical Aortic Hemodynamics After Aortic Valve Replacement
NCT03347851 ·Status: COMPLETED
-
Surgical Treatment of Aortic Stenosis With a Next Generation, Rapid Deployment Surgical Aortic Valve
NCT01700439 ·Status: COMPLETED ·Phase: NA
-
Automated Algorithm Detecting Physiologic Major Stenosis and Its Relationship With Post-PCI Clinical Outcomes
NCT04304677 ·Status: COMPLETED
-
Optical Coherence Tomography (OCT) to Evaluate Cardiac Allograft Vasculopathy (CAV) in Patient's Post Heart Transplant
NCT01403142 ·Status: COMPLETED
-
Fast Track Concept for Transfemoral TAVI
NCT04792827 ·Status: COMPLETED