OSA as a Remote Ischemic Preconditioning in Vascular Surgery
NCT04630535 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 100
Last updated 2026-04-27
Summary
Ischemia and reperfusion (I/R) injury during abdominal aortic aneurysm (AAA) repair is inevitable and may lead to postoperative multi-organ failure. Remote ischemic preconditioning (short periods of ischemia in anticipation of longer period of ischemia) may act protectively against ischemia.
Studies of ischemic preconditioning in patients with AAA are conflicting. Obstructive sleep apnea (OSA) is a sleep disordered breathing syndrome which may have a protective effect against ischemia.
The investigators hypothesize that I/R injury will be less pronounced in patients who have OSA and that the extent of I/R injury will inversely correlate with OSA severity. Accordingly, the aim of this study is to compare postoperative complications and markers of I/R in patients undergoing elective AAA repair who do and do not have OSA.
Conditions
- Obstructive Sleep Apnea
- Vascular Aneurysm
- Ischemia Reperfusion Injury
Interventions
- PROCEDURE
-
aorto-bifemoral bypass surgery
aorto-bifemoral bypass surgery (Leriche syndrom, elective AAA repair)
Sponsors & Collaborators
-
Masaryk University
collaborator OTHER -
St. Anne's University Hospital Brno, Czech Republic
lead OTHER
Principal Investigators
-
Ivan Cundrle, M.D., Ph.D. · St. Anne's University Hospital in Brno
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-11-01
- Primary Completion
- 2028-12-31
- Completion
- 2029-01-31
Countries
- Czechia
Study Locations
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