The Protective Effects Of Treatment With Hyperbaric Oxygen Prior To Bypass Heart Surgery

NCT ID: NCT00623142

Last Updated: 2019-07-15

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

PHASE1/PHASE2

Total Enrollment

81 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-01-31

Study Completion Date

2008-01-31

Brief Summary

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The purpose of this study was to determine if treating patients who have coronary heart disease with hyperbaric oxygen (HBO) prior to coronary artery bypass graft (CABG) surgery reduces injury to the heart and vascular system during and after surgery. Furthermore, this study also aims to identify some of the post CABG clinical effects of HBO treatment prior to CABG.

Detailed Description

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Conditions

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Myocardial Reperfusion Injury Cytoprotection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Caregivers

Study Groups

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A

Patients in this arm were not treated with HBO prior to CABG

Group Type NO_INTERVENTION

No interventions assigned to this group

B

Patients in this arm were treated with HBO prior to CABG

Group Type EXPERIMENTAL

Hyperbaric Oxygen

Intervention Type DRUG

100% Oxygen at 2.4 ATA for 30 minutes followed by 5 minutes break followed by 100% Oxygen at 2.4 ATA for another 30 minutes. This intervention was given about 4 to 5 hours prior to CABG

Interventions

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Hyperbaric Oxygen

100% Oxygen at 2.4 ATA for 30 minutes followed by 5 minutes break followed by 100% Oxygen at 2.4 ATA for another 30 minutes. This intervention was given about 4 to 5 hours prior to CABG

Intervention Type DRUG

Other Intervention Names

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Hyperbaric Oxygen Preconditioning

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing elective first time CABG
* Patients with at least 1 vessel coronary artery disease undergoing on- pump CABG

Exclusion Criteria

* Age ≤ 20 years or ≥ 85 years
* Ejection fraction \< 30%
* Unstable angina
* Recent myocardial infarction (\< 1 month)
* Any additional cardiac disease (e.g. arrythmia, aneurysm, valvular/septal disease, dissection or elevated pulmonary artery pressure)
* Any end stage organ failure (e.g. renal and respiratory failure)
* History of chronic obstructive pulmonary disease (COPD)
* Pneumothorax
* Pulmonary bullae
* Convulsions
* Current history of malignancy
* Severe myopia or intraocular lens
* Patients on K+(ATP) Channel Openers e.g. Nicorandil, Oral Hypoglycemics, Opioid Analgesics, Catecholamines.
Minimum Eligible Age

20 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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North of England Medical & Hyperbaric Services

UNKNOWN

Sponsor Role collaborator

Hull University Teaching Hospitals NHS Trust

OTHER_GOV

Sponsor Role lead

Responsible Party

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Hull & East Yorkshire NHS Trust

Principal Investigators

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Jeysen Z Yogaratnam, MB.BCh, BAO, MRCS

Role: PRINCIPAL_INVESTIGATOR

Hull & East Yorkshire NHS Trust (Castle Hill Hospital), United Kingdom

Locations

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Hull & East Yorkshire NHS Trust (Castle Hill Hospital)

Hull, East Riding Of Yorkshire, United Kingdom

Site Status

Countries

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United Kingdom

References

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Yogaratnam JZ, Laden G, Guvendik L, Cowen M, Cale A, Griffin S. Pharmacological preconditioning with hyperbaric oxygen: can this therapy attenuate myocardial ischemic reperfusion injury and induce myocardial protection via nitric oxide? J Surg Res. 2008 Sep;149(1):155-64. doi: 10.1016/j.jss.2007.09.003. Epub 2007 Oct 11.

Reference Type BACKGROUND
PMID: 17996900 (View on PubMed)

Yogaratnam JZ, Laden G, Guvendik L, Cowen M, Cale A, Griffin S. Can hyperbaric oxygen be used as adjunctive heart failure therapy through the induction of endogenous heat shock proteins? Adv Ther. 2007 Jan-Feb;24(1):106-18. doi: 10.1007/BF02849998.

Reference Type BACKGROUND
PMID: 17526467 (View on PubMed)

Yogaratnam JZ, Laden G, Madden LA, Seymour AM, Guvendik L, Cowen M, Greenman J, Cale A, Griffin S. Hyperbaric oxygen: a new drug in myocardial revascularization and protection? Cardiovasc Revasc Med. 2006 Jul-Sep;7(3):146-54. doi: 10.1016/j.carrev.2006.04.006.

Reference Type BACKGROUND
PMID: 16945821 (View on PubMed)

Jeysen ZY, Gerard L, Levant G, Cowen M, Cale A, Griffin S. Research report: the effects of hyperbaric oxygen preconditioning on myocardial biomarkers of cardioprotection in patients having coronary artery bypass graft surgery. Undersea Hyperb Med. 2011 May-Jun;38(3):175-85.

Reference Type BACKGROUND
PMID: 21721351 (View on PubMed)

Yogaratnam JZ, Laden G, Guvendik L, Cowen M, Cale A, Griffin S. Hyperbaric oxygen preconditioning improves myocardial function, reduces length of intensive care stay, and limits complications post coronary artery bypass graft surgery. Cardiovasc Revasc Med. 2010 Jan-Mar;11(1):8-19. doi: 10.1016/j.carrev.2009.03.004.

Reference Type DERIVED
PMID: 20129356 (View on PubMed)

Related Links

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Other Identifiers

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04/Q1104/26

Identifier Type: -

Identifier Source: secondary_id

R0047

Identifier Type: -

Identifier Source: org_study_id

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