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Stroke Volume Analysis During Aortic Valve Replacement Trial (standart)

7 de agosto de 2014 actualizado por: Michael Sander, Charite University, Berlin, Germany
Compromised peripheral tissue oxygenation during surgery may lead to worse patient outcome, mainly due to post-operative infections or heart failure. Insufficient stroke volume and/or cardiac output due to hypovolemia or cardiac defects play a central role in causing poor peripheral tissue oxygenation. In order to assess stroke volume, there are numerous invasive and non-invasive methods available. Up to the present date it is unknown, if these methods may by used interchangeably in patients with severe cardiac defects like aortic stenosis.

Descripción general del estudio

Tipo de estudio

De observación

Inscripción (Anticipado)

68

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Berlin, Alemania, 10117
        • Reclutamiento
        • Charité Universitätsmedizin Berin
        • Sub-Investigador:
          • Felix Balzer, MD
        • Contacto:
        • Sub-Investigador:
          • Sascha Treskatsch, MD
        • Sub-Investigador:
          • Marit Habicher, MD
        • Sub-Investigador:
          • Viktor Mezger, MD

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años y mayores (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Método de muestreo

Muestra no probabilística

Población de estudio

Cardiac surgery at a university hospital

Descripción

Inclusion Criteria:

  • scheduled transcatheter aortic valve implantation
  • signed patient consent form
  • aged 18 or older by time of surgery
  • no participation in other clinical trials

Exclusion Criteria:

  • pregnant or breast-feeding women
  • emergency surgery

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

Cohortes e Intervenciones

Grupo / Cohorte
Hemodynamic optimisation
No hemodynamic optimisation

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Periodo de tiempo
Measurement of stroke volume (ml) before TAVI (transcatheter aortic valve implantation) by means of (1) FloTrac, (2) transesophageal doppler echocardiography, (3) pulmonary thermodilution via pulmonary artery catheter
Periodo de tiempo: Before Surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
Before Surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
Measurement of cardiac output (l/min) before TAVI (transcatheter aortic valve implantation) by means of (1) FloTrac, (2) transesophageal doppler echocardiography, (3) pulmonary thermodilution via pulmonary artery catheter
Periodo de tiempo: Before Surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
Before Surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks

Medidas de resultado secundarias

Medida de resultado
Periodo de tiempo
Measurement of stroke volume (ml) after TAVI (transcatheter aortic valve implantation) by means of (1) FloTrac, (2) transesophageal doppler echocardiography and (3) pulmonary thermodilution via pulmonary artery catheter
Periodo de tiempo: After surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
After surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
Accordance of stroke volume and cardiac output measurements assessed by (1) FloTrac, (2) transesophageal doppler echocardiography and (3) pulmonary thermodilution via pulmonary artery catheter AFTER ADMINISTRATION OF FLUID BOLUS
Periodo de tiempo: Before and after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
Before and after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
Accordance of stroke volume and cardiac output measurements assessed by two of the mentioned methods [i.e. (1) FloTrac, (2) transesophageal doppler echocardiography and (3) pulmonary thermodilution via pulmonary artery catheter]
Periodo de tiempo: Before and after Surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
Before and after Surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
Measurement of cardiac output (l/min) after TAVI (transcatheter aortic valve implantation) by means of (1) FloTrac, (2) transesophageal doppler echocardiography and (3) pulmonary thermodilution via pulmonary artery catheter
Periodo de tiempo: After Surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
After Surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks

Otras medidas de resultado

Medida de resultado
Periodo de tiempo
oxygen delivery (ml)
Periodo de tiempo: Before and after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
Before and after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
image quality of echocardiography
Periodo de tiempo: Before and after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
Before and after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
Length of stay on ICU
Periodo de tiempo: participants will be followed for the duration of hospital stay, an expected average of 2 weeks
participants will be followed for the duration of hospital stay, an expected average of 2 weeks
Cumulative rate of infections
Periodo de tiempo: after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
incidence of delirium after surgery
Periodo de tiempo: after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
dosage of inotropic medication (mg/d)
Periodo de tiempo: after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
length of hospital stay
Periodo de tiempo: after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
incidence of stroke
Periodo de tiempo: after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks
after surgery; participants will be followed for the duration of hospital stay, an expected average of 2 weeks

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Investigadores

  • Investigador principal: Michael Sander, MD, Charite University, Berlin, Germany

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de mayo de 2014

Finalización primaria (Anticipado)

1 de mayo de 2015

Fechas de registro del estudio

Enviado por primera vez

20 de mayo de 2014

Primero enviado que cumplió con los criterios de control de calidad

2 de junio de 2014

Publicado por primera vez (Estimar)

5 de junio de 2014

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

8 de agosto de 2014

Última actualización enviada que cumplió con los criterios de control de calidad

7 de agosto de 2014

Última verificación

1 de agosto de 2014

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • EA1/060/13

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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