Prospective Randomized Study of Brain Protection During Aortic Arch Replacement

NCT ID: NCT00606190

Last Updated: 2017-02-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

123 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-06-30

Study Completion Date

2010-04-30

Brief Summary

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The purpose of this research study is to evaluate two standard approaches of supplying blood and oxygen to your brain during open heart surgery.

Detailed Description

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The purpose of the clinical trial is to assess the best method of protecting the brain during long periods of circulatory arrest. The significance of this project will be to determine which method of brain protection (1) retrograde brain perfusion or (2) perfusion of the right subclavian artery with antegrade perfusion of the brain protects against brain injury after total arch replacement. Thus reducing the risk of stroke or neurocognitive deficits in patients undergoing this critical surgical procedure.

Conditions

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Aneurysm of Aortic Arch

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Retrograde brain perfusion

Pt may be randomized to retrograde brain perfusion when having a repair of the ascending aortic artery (aorta) including the aortic arch. This is one of the standard methods used while the body and the brain are cooled down to sub-normal levels (hypothermia). This will take place while on the heart-lung machine.

Group Type ACTIVE_COMPARATOR

Retrograde brain perfusion

Intervention Type PROCEDURE

observational

Antegrade brain perfusion

Pt may be randomized to antegrade brain perfusion when having a repair of the ascending aortic artery (aorta) including the aortic arch. This is one of the standard methods used while the body and the brain are cooled down to sub-normal levels (hypothermia). This will take place while on the heart-lung machine.

Group Type ACTIVE_COMPARATOR

Antegrade brain perfusion

Intervention Type PROCEDURE

observational

Interventions

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Retrograde brain perfusion

observational

Intervention Type PROCEDURE

Antegrade brain perfusion

observational

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Undergoing a total arch replacement
* Less than 75 years old

Exclusion Criteria

* EF less than 35%
* Pt shows evidence of major illness e.g. severe hepatic disease, severe renal failure, active cancer or major infection
* Pt unable to complete preop neuro assessment
* Pt is unwilling or able to complete followup requirements
* Pt is already enrolled in other new device or drug protocols that have not completed the primary endpoint or that clinically interferes with study endpoint
* Pt is a female who is pregnant or lactating
* Pt has history of stroke
Minimum Eligible Age

21 Years

Maximum Eligible Age

74 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The Cleveland Clinic

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lars Svensson, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Locations

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Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Countries

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United States

References

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Svensson LG, Blackstone EH, Apperson-Hansen C, Ruggieri PM, Ainkaran P, Naugle RI, Lima B, Roselli EE, Cooper M, Somogyi D, Tuzcu EM, Kapadia S, Clair DG, Sabik JF 3rd, Lytle BW. Implications from neurologic assessment of brain protection for total arch replacement from a randomized trial. J Thorac Cardiovasc Surg. 2015 Nov;150(5):1140-7.e11. doi: 10.1016/j.jtcvs.2015.07.054. Epub 2015 Jul 26.

Reference Type DERIVED
PMID: 26409997 (View on PubMed)

Other Identifiers

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5985 Aortic Arch

Identifier Type: -

Identifier Source: org_study_id

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