Femorofemoral Bypass in Redo Cardiac Surgery

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-17

Study Completion Date

2019-03-30

Brief Summary

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Redo cardiac surgery are becoming more common with a patient population at greater risk. Sternal re-entry poses the hazard of probable injury to vital structures. To minimize the risk associated with sternal re-entry, the investigators adopted the method of establishing femoral artery-femoral vein cardiopulmonary bypass (CPB).

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Detailed Description

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Redo cardiac surgery are more frequent with a patient population at greater risk. Repeat sternal entry poses the risk of possible injury to vital structures. These include laceration of the myocardium, especially the right ventricle, injury of great vessels or crossing coronary bypass grafts as the internal mammary grafts in particular, or dislodgement of emboli from patent vein grafts. To minimize the risk associated with sternal re-entry, the investigators adopted the method of establishing femoral artery-femoral vein cardiopulmonary bypass (CPB) in order to achieve cardiac drain prior to sternotomy. Also, femorofemoral bypass support the hemodynamics in cases of redo emergency cardiac surgery.

Conditions

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Heart Valve Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Femorofemoral bypass in redo cardiac surgery

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Patients with redo cardiac surgery 1

Procedure: the patients will undergo femorofemoral bypass

Group Type ACTIVE_COMPARATOR

Procedure

Intervention Type PROCEDURE

Patients with redo cardiac surgery 1: femoral artery-femoral vein cardiopulmonary bypass (CPB) in order to achieve cardiac decompression prior to sternotomy.

Patients with redo cardiac surgery 2: only conventional aortobicaval cannulation will be used

Patients with redo cardiac surgery 2

Procedure: the patients will undergo conventional Aortobicaval cannulation

Group Type ACTIVE_COMPARATOR

Procedure

Intervention Type PROCEDURE

Patients with redo cardiac surgery 1: femoral artery-femoral vein cardiopulmonary bypass (CPB) in order to achieve cardiac decompression prior to sternotomy.

Patients with redo cardiac surgery 2: only conventional aortobicaval cannulation will be used

Interventions

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Procedure

Patients with redo cardiac surgery 1: femoral artery-femoral vein cardiopulmonary bypass (CPB) in order to achieve cardiac decompression prior to sternotomy.

Patients with redo cardiac surgery 2: only conventional aortobicaval cannulation will be used

Intervention Type PROCEDURE