RIght VEntricle Response to Major Lung Resection in VATS and Robotic Surgery
NCT07362342 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 100
Last updated 2026-06-25
Summary
Major pulmonary resection is associated with high postoperative morbidity and mortality, mainly due to cardiorespiratory complications. Right ventricular (RV) function is closely related to pulmonary artery pressure and tone, and it is particularly sensitive to changes in afterload. An increase in RV flow resistance can lead to acute RV dilation and reduced left ventricular compliance, potentially progressing to cardiogenic shock. In a previous study (RIVER), it was observed that increased afterload following open thoracic surgery reduces RV function, although this impairment remains subclinical. The aim of this study is to investigate the same parameters in patients with severe cardiovascular comorbidities undergoing pulmonary resection via minimally invasive approaches (VATS and robotic surgery) compared to open thoracotomy.
Conditions
- Lung Surgery
- Right Ventricular Function
Sponsors & Collaborators
-
Istituto Clinico Humanitas
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-01-20
- Primary Completion
- 2027-12-01
- Completion
- 2027-12-01
Countries
- Italy
Study Locations
More Related Trials
-
Pressure-controlled vs Volume Controlled Ventilation on RV Function During OLV
NCT01763879 ·Status: COMPLETED ·Phase: PHASE3
-
Evaluation of the Alveolar Recruitment Obtained During Non-invasive Ventilation After Cardiac Surgery
NCT02804997 ·Status: TERMINATED
-
A Functional Test to Assess Fluid Status During Lung Protective Ventilation Strategies
NCT04118244 ·Status: COMPLETED
-
Impact of the Transpulmonary Pressure on Right Ventricle Function in Acute Respiratory Distress Syndrome
NCT04184674 ·Status: COMPLETED ·Phase: NA
-
Transpulmonary Pressure Under Stressing Conditions
NCT03746236 ·Status: UNKNOWN
-
Proportional Assist Ventilation (PAV) in Early Stage of Critically Ill Patients
NCT01204281 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Airway Pressure Release Ventilation on Right Ventricular Function Assessed by Transthoracic Echocardiography
NCT05414110 ·Status: UNKNOWN
-
Expiratory Flow Limitation and Mechanical Ventilation During Cardiopulmonary Bypass in Cardiac Surgery
NCT02633423 ·Status: UNKNOWN ·Phase: NA
-
Nondependent Lung Ventilation and Fluid Responsiveness
NCT02191410 ·Status: UNKNOWN ·Phase: PHASE3
-
Prevalence and Clinical Impact of Airway Opening Pressure in Post-Cardiac Surgery Patients
NCT07189026 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Use of Airway Pressure Release Ventilation in Morbidly Obese Patients Undergoing Open Heart Surgery
NCT05670483 ·Status: UNKNOWN ·Phase: NA
-
Mechanical Ventilation During Cardiac Surgery
NCT02090205 ·Status: UNKNOWN ·Phase: NA
-
Lung-protective Ventilation During Robot-assisted Laparoscopic Radical Cystectomy
NCT03868319 ·Status: COMPLETED ·Phase: NA
-
Fontan Physiology Ventilation Strategy
NCT04672538 ·Status: COMPLETED ·Phase: NA
-
Impact of Decreasing Respiratory Rate on Lung Injury Biomarkers in ARDS Patients
NCT04641897 ·Status: COMPLETED ·Phase: NA
-
Effects of TCAV and Volume Control Ventilation on the Distribution of Aerated Lung Parenchyma in ARDS Patients
NCT05874973 ·Status: RECRUITING ·Phase: NA
-
Protective Ventilation During Pulmonary Lobectomy
NCT03174743 ·Status: UNKNOWN ·Phase: NA
-
Positive Pressure Therapy to Optimize LUNG Function After Heart Surgery
NCT06611527 ·Status: RECRUITING ·Phase: NA
-
Stroke Volume Variations and Pulse Pressure Variations Undergoing Artificial Pneumothorax Surgery
NCT05644405 ·Status: COMPLETED ·Phase: NA
-
Effects of Negative Pressure Ventilation on Right Ventricular Function in Cardiological Patients
NCT06572072 ·Status: NOT_YET_RECRUITING
-
Ventilation Strategies Impact on Oxygenation and Postoperative Pulmonary Complications in Lung Surgery Patients
NCT06805760 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison Between CPAP and HFJV During One-lung Ventilation in VATS
NCT03296449 ·Status: COMPLETED ·Phase: NA
-
Comparison of Volume Controlled Ventilation With 1:1 Inspiratory to Expiratory Ratio and Autoflow-volume Controlled Ventilation in Robot-assisted Laparoscopic Radical Prostatectomy With Steep Trendelenburg Position and Pneumoperitoneum
NCT03202953 ·Status: COMPLETED ·Phase: NA
-
Respiratory Physiotherapy After Cardiac Surgery
NCT01513642 ·Status: COMPLETED ·Phase: NA
-
Accuracy of Non-invasive Effective Pulmonary Perfusion Measurement by CO2
NCT02382120 ·Status: COMPLETED