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Stroke Volume Analysis During Aortic Valve Replacement Trial (standart)

7 augusti 2014 uppdaterad av: 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.

Studieöversikt

Studietyp

Observationell

Inskrivning (Förväntat)

68

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

      • Berlin, Tyskland, 10117
        • Rekrytering
        • Charité Universitätsmedizin Berin
        • Underutredare:
          • Felix Balzer, MD
        • Kontakt:
        • Underutredare:
          • Sascha Treskatsch, MD
        • Underutredare:
          • Marit Habicher, MD
        • Underutredare:
          • Viktor Mezger, MD

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Testmetod

Icke-sannolikhetsprov

Studera befolkning

Cardiac surgery at a university hospital

Beskrivning

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

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

Kohorter och interventioner

Grupp / Kohort
Hemodynamic optimisation
No hemodynamic optimisation

Vad mäter studien?

Primära resultatmått

Resultatmått
Tidsram
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
Tidsram: 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
Tidsram: 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

Sekundära resultatmått

Resultatmått
Tidsram
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
Tidsram: 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
Tidsram: 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]
Tidsram: 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
Tidsram: 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

Andra resultatmått

Resultatmått
Tidsram
oxygen delivery (ml)
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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)
Tidsram: 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
Tidsram: 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
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Utredare

  • Huvudutredare: Michael Sander, MD, Charite University, Berlin, Germany

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart

1 maj 2014

Primärt slutförande (Förväntat)

1 maj 2015

Studieregistreringsdatum

Först inskickad

20 maj 2014

Först inskickad som uppfyllde QC-kriterierna

2 juni 2014

Första postat (Uppskatta)

5 juni 2014

Uppdateringar av studier

Senaste uppdatering publicerad (Uppskatta)

8 augusti 2014

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

7 augusti 2014

Senast verifierad

1 augusti 2014

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • EA1/060/13

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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