Near Infrared Spectroscopy (NIRS) for Heart Failure Assessment.

NCT ID: NCT01577810

Last Updated: 2025-11-24

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

TERMINATED

Clinical Phase

NA

Total Enrollment

3 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2017-04-05

Brief Summary

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It is routine practice for a cardiologist to perform a battery of tests to assess the degree of heart failure. The purpose of this study is to establish a non-invasive method to reliably predict cardiac output state in real-time in children and adolescents with heart failure in an outpatient setting. This study will rely on the use of near infrared spectroscopy monitors to measure cardiac output in the outpatient setting.

Detailed Description

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Near-infrared spectroscopy (NIRS) technology, such as that used in pulse oximetry, has been used in medicine for decades. Several characteristics contribute to its widespread use, including its noninvasive nature, reliability and safety. The Somanetics' INVOSĀ® System harnesses this power to safely and reliably "see inside" the brain and body. NIRS devices measure the venous weighted oxy-hemoglobin saturation (color of blue blood) in a field of tissue, rather than in arteries, and thus the rSO2 parameter provides a window into regional oxygen supply-demand relationships. Monitoring rSO2 at two distinct sites (cerebral and somatic) has become common practice at our institution for all infants and children in the intensive care unit and provides valuable feedback about potentially deleterious trends in regional tissue oxygenation that cannot easily be obtained by other modalities in such patients.

Conditions

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Cardiac Failure

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

The NIRS monitoring in the heart center was not able to be completed.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Only the investigator knew the assignment.

Study Groups

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non-NIRS patients

Group Type OTHER

Near Infrared Spectroscopy

Intervention Type DEVICE

Use of Near Infrared Spectroscopy in outpatient setting to determine global cardiac output

Interventions

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Near Infrared Spectroscopy

Use of Near Infrared Spectroscopy in outpatient setting to determine global cardiac output

Intervention Type DEVICE

Other Intervention Names

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NIRs INVOS

Eligibility Criteria

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Inclusion Criteria

* Patient in Phoenix Children's Hospital Heart Failure Clinic

Exclusion Criteria

* N/A
Minimum Eligible Age

1 Day

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Phoenix Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rohit Rao, MD

Role: PRINCIPAL_INVESTIGATOR

Phoenix Children's Hospital

Locations

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Phoenix Children's Hospital Heart Failure Clinic

Phoenix, Arizona, United States

Site Status

Countries

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United States

References

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Hayashida M, Kin N, Tomioka T, Orii R, Sekiyama H, Usui H, Chinzei M, Hanaoka K. Cerebral ischaemia during cardiac surgery in children detected by combined monitoring of BIS and near-infrared spectroscopy. Br J Anaesth. 2004 May;92(5):662-9. doi: 10.1093/bja/aeh120. Epub 2004 Mar 19.

Reference Type BACKGROUND
PMID: 15033888 (View on PubMed)

Hoffman GM, Stuth EA, Jaquiss RD, Vanderwal PL, Staudt SR, Troshynski TJ, Ghanayem NS, Tweddell JS. Changes in cerebral and somatic oxygenation during stage 1 palliation of hypoplastic left heart syndrome using continuous regional cerebral perfusion. J Thorac Cardiovasc Surg. 2004 Jan;127(1):223-33. doi: 10.1016/j.jtcvs.2003.08.021.

Reference Type BACKGROUND
PMID: 14752434 (View on PubMed)

Nollert G, Jonas RA, Reichart B. Optimizing cerebral oxygenation during cardiac surgery: a review of experimental and clinical investigations with near infrared spectrophotometry. Thorac Cardiovasc Surg. 2000 Aug;48(4):247-53. doi: 10.1055/s-2000-6895.

Reference Type BACKGROUND
PMID: 11005605 (View on PubMed)

Watzman HM, Kurth CD, Montenegro LM, Rome J, Steven JM, Nicolson SC. Arterial and venous contributions to near-infrared cerebral oximetry. Anesthesiology. 2000 Oct;93(4):947-53. doi: 10.1097/00000542-200010000-00012.

Reference Type BACKGROUND
PMID: 11020744 (View on PubMed)

Wyatt JS, Cope M, Delpy DT, Wray S, Reynolds EO. Quantification of cerebral oxygenation and haemodynamics in sick newborn infants by near infrared spectrophotometry. Lancet. 1986 Nov 8;2(8515):1063-6. doi: 10.1016/s0140-6736(86)90467-8.

Reference Type BACKGROUND
PMID: 2877225 (View on PubMed)

Yoshitani K, Kawaguchi M, Iwata M, Sasaoka N, Inoue S, Kurumatani N, Furuya H. Comparison of changes in jugular venous bulb oxygen saturation and cerebral oxygen saturation during variations of haemoglobin concentration under propofol and sevoflurane anaesthesia. Br J Anaesth. 2005 Mar;94(3):341-6. doi: 10.1093/bja/aei046. Epub 2004 Dec 10.

Reference Type BACKGROUND
PMID: 15591331 (View on PubMed)

Fortune PM, Wagstaff M, Petros AJ. Cerebro-splanchnic oxygenation ratio (CSOR) using near infrared spectroscopy may be able to predict splanchnic ischaemia in neonates. Intensive Care Med. 2001 Aug;27(8):1401-7. doi: 10.1007/s001340100994.

Reference Type BACKGROUND
PMID: 11511955 (View on PubMed)

Petros AJ, Heys R, Tasker RC, Fortune PM, Roberts I, Kiely E. Near infrared spectroscopy can detect changes in splanchnic oxygen delivery in neonates during apnoeic episodes. Eur J Pediatr. 1999 Feb;158(2):173-4. doi: 10.1007/s004310051046. No abstract available.

Reference Type BACKGROUND
PMID: 10048622 (View on PubMed)

Nagdyman N, Fleck T, Barth S, Abdul-Khaliq H, Stiller B, Ewert P, Huebler M, Kuppe H, Lange PE. Relation of cerebral tissue oxygenation index to central venous oxygen saturation in children. Intensive Care Med. 2004 Mar;30(3):468-71. doi: 10.1007/s00134-003-2101-8. Epub 2004 Jan 13.

Reference Type BACKGROUND
PMID: 14722637 (View on PubMed)

Schulz G, Weiss M, Bauersfeld U, Teller J, Haensse D, Bucher HU, Baenziger O. Liver tissue oxygenation as measured by near-infrared spectroscopy in the critically ill child in correlation with central venous oxygen saturation. Intensive Care Med. 2002 Feb;28(2):184-9. doi: 10.1007/s00134-001-1182-5. Epub 2002 Jan 12.

Reference Type BACKGROUND
PMID: 11907662 (View on PubMed)

Weiss M, Dullenkopf A, Kolarova A, Schulz G, Frey B, Baenziger O. Near-infrared spectroscopic cerebral oxygenation reading in neonates and infants is associated with central venous oxygen saturation. Paediatr Anaesth. 2005 Feb;15(2):102-9. doi: 10.1111/j.1460-9592.2005.01404.x.

Reference Type BACKGROUND
PMID: 15675925 (View on PubMed)

Nollert G, Mohnle P, Tassani-Prell P, Uttner I, Borasio GD, Schmoeckel M, Reichart B. Postoperative neuropsychological dysfunction and cerebral oxygenation during cardiac surgery. Thorac Cardiovasc Surg. 1995 Oct;43(5):260-4. doi: 10.1055/s-2007-1013224.

Reference Type BACKGROUND
PMID: 8610284 (View on PubMed)

Berens RJ, Stuth EA, Robertson FA, Jaquiss RD, Hoffman GM, Troshynski TJ, Staudt SR, Cava JR, Tweddell JS, Bert Litwin S. Near infrared spectroscopy monitoring during pediatric aortic coarctation repair. Paediatr Anaesth. 2006 Jul;16(7):777-81. doi: 10.1111/j.1460-9592.2006.01956.x.

Reference Type BACKGROUND
PMID: 16879521 (View on PubMed)

Tsuji M, Saul JP, du Plessis A, Eichenwald E, Sobh J, Crocker R, Volpe JJ. Cerebral intravascular oxygenation correlates with mean arterial pressure in critically ill premature infants. Pediatrics. 2000 Oct;106(4):625-32. doi: 10.1542/peds.106.4.625.

Reference Type BACKGROUND
PMID: 11015501 (View on PubMed)

Hanson SJ, Berens RJ, Havens PL, Kim MK, Hoffman GM. Effect of volume resuscitation on regional perfusion in dehydrated pediatric patients as measured by two-site near-infrared spectroscopy. Pediatr Emerg Care. 2009 Mar;25(3):150-3. doi: 10.1097/PEC.0b013e31819a7f60.

Reference Type BACKGROUND
PMID: 19262423 (View on PubMed)

Bernal NP, Hoffman GM, Ghanayem NS, Arca MJ. Cerebral and somatic near-infrared spectroscopy in normal newborns. J Pediatr Surg. 2010 Jun;45(6):1306-10. doi: 10.1016/j.jpedsurg.2010.02.110.

Reference Type BACKGROUND
PMID: 20620336 (View on PubMed)

Other Identifiers

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PHNX-NIRS-12-024

Identifier Type: -

Identifier Source: org_study_id

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