Sevoflurane and Hyperperfusion Syndrome

NCT ID: NCT02510586

Last Updated: 2015-07-29

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

152 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-31

Study Completion Date

2018-09-30

Brief Summary

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The aim of the present study is to evaluate the effect of sevoflurane postconditioning on the incidence of postoperative hyperperfusion syndrome following revascularization surgery in moyamoya patients.

Detailed Description

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Postoperative hyperperfusion syndrome is a common complication in moyamoya disease patients receiving revascularization surgery. Previously its incidence has been reported to be 17\~50%, but little remains regarding frequency of reperfusion injury after revascularization surgery in patients with moyamoya disease. Volatile anesthetics such as sevoflurane has been introduced clinically to reduce reperfusion injury and preconditioning with sevoflurane induced ischemic tolerance like as ischemic preconditioning. However, there was no report on the neuroprotective effect of sevoflurane postconditioning on ischemic/reperfusion injury in human brain. Therefore, We evaluated the neuroprotective effect of sevoflurane postconditioning on the incidence of postoperative hyperperfusion syndrome after revascularization surgery in moyamoya disease patients.

Conditions

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Hyperperfusion Syndrome Moyamoya Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Sevo_postconditioning

Patients receiving sevoflurane 1.0 minimum alveolar concentration (MAC) for 30 minutes after revascularization competed.

Group Type EXPERIMENTAL

Sevoflurane

Intervention Type DRUG

administer 1.0 MAC (1.7\~2.0 vol%) of sevoflurane for 30 minutes after vascular anastomosis completed

Non_postconditioning

Patients not receiving sevoflurane postconditioning after revascularization completed

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Sevoflurane

administer 1.0 MAC (1.7\~2.0 vol%) of sevoflurane for 30 minutes after vascular anastomosis completed

Intervention Type DRUG

Other Intervention Names

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Sevorane

Eligibility Criteria

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Inclusion Criteria

* Adult patients receiving cerebral revascularization surgery due to moyamoya disease

Exclusion Criteria

* Patients who do not agree to the study
* Patients with uncontrolled diabetes or hypertension
* Patients using cyclooxygenase2 inhibitor or with previously using cyclooxygenase2 inhibitor
* Patients with acute renal failure
* Patients with previous intervention related with moyamoya disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Hee-Pyoung Park

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hee Pyung Park, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Central Contacts

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Hee Pyung Park, MD, PhD

Role: CONTACT

82-2-2072-2466

Hyungseok Seo, MD

Role: CONTACT

82-2-2072-2469

References

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Payne RS, Akca O, Roewer N, Schurr A, Kehl F. Sevoflurane-induced preconditioning protects against cerebral ischemic neuronal damage in rats. Brain Res. 2005 Feb 9;1034(1-2):147-52. doi: 10.1016/j.brainres.2004.12.006.

Reference Type BACKGROUND
PMID: 15713266 (View on PubMed)

Ishii K, Morishige M, Anan M, Sugita K, Abe E, Kubo T, Fujiki M, Kobayashi H. Superficial temporal artery-to-middle cerebral artery anastomosis with encephalo-duro-myo-synangiosis as a modified operative procedure for moyamoya disease. Acta Neurochir Suppl. 2010;107:95-9. doi: 10.1007/978-3-211-99373-6_15.

Reference Type BACKGROUND
PMID: 19953378 (View on PubMed)

Kim SH, Choi JU, Yang KH, Kim TG, Kim DS. Risk factors for postoperative ischemic complications in patients with moyamoya disease. J Neurosurg. 2005 Nov;103(5 Suppl):433-8. doi: 10.3171/ped.2005.103.5.0433.

Reference Type BACKGROUND
PMID: 16302615 (View on PubMed)

Other Identifiers

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Sevo_postconditioning

Identifier Type: -

Identifier Source: org_study_id

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