Trial Outcomes & Findings for A Pilot Study of Optic Nerve Ultrasound Following Cardiopulmonary Bypass (NCT NCT03757312)

NCT ID: NCT03757312

Last Updated: 2021-09-13

Results Overview

Optic nerve sheath diameter normal values: ≤4.0 mm for patients \<1 year and ≤4.5 mm used for patients ≥1 year of age, thus there is potential for worse outcomes with higher diameters.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

14 participants

Primary outcome timeframe

Day of surgery

Results posted on

2021-09-13

Participant Flow

Participant milestones

Participant milestones
Measure
Fontan
Patients undergoing Fontan procedure to redirect blood flow from the lower body to the lungs. Ultrasound: Ocular ultrasound to measure optic nerve sheath diameter (ONSD).
Non-Fontan
Patients undergoing other cardiac surgeries requiring cardiopulmonary bypass.
Overall Study
STARTED
5
9
Overall Study
COMPLETED
5
9
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fontan
n=5 Participants
Patients undergoing Fontan procedure to redirect blood flow from the lower body to the lungs. Ultrasound: Ocular ultrasound to measure optic nerve sheath diameter (ONSD).
Non-Fontan
n=9 Participants
Patients undergoing other cardiac surgeries requiring cardiopulmonary bypass.
Total
n=14 Participants
Total of all reporting groups
Age, Categorical
<=18 years
5 Participants
n=5 Participants
9 Participants
n=9 Participants
14 Participants
n=14 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=9 Participants
0 Participants
n=14 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=9 Participants
0 Participants
n=14 Participants
Age, Continuous
2.6 years
n=5 Participants
1.3 years
n=9 Participants
1.8 years
n=14 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
4 Participants
n=9 Participants
7 Participants
n=14 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
5 Participants
n=9 Participants
7 Participants
n=14 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
5 participants
n=5 Participants
9 participants
n=9 Participants
14 participants
n=14 Participants
Weight
13.5 kilograms
n=5 Participants
9.3 kilograms
n=9 Participants
10.8 kilograms
n=14 Participants
Height
88.2 centimeters
n=5 Participants
74.3 centimeters
n=9 Participants
79.2 centimeters
n=14 Participants
American Society of Anesthesiologists (ASA) status
ASA 3
0 Participants
n=5 Participants
2 Participants
n=9 Participants
2 Participants
n=14 Participants
American Society of Anesthesiologists (ASA) status
ASA 4
5 Participants
n=5 Participants
7 Participants
n=9 Participants
12 Participants
n=14 Participants

PRIMARY outcome

Timeframe: Day of surgery

Optic nerve sheath diameter normal values: ≤4.0 mm for patients \<1 year and ≤4.5 mm used for patients ≥1 year of age, thus there is potential for worse outcomes with higher diameters.

Outcome measures

Outcome measures
Measure
Fontan
n=5 Participants
Patients undergoing Fontan procedure to redirect blood flow from the lower body to the lungs. Ultrasound: Ocular ultrasound to measure optic nerve sheath diameter (ONSD).
Non-Fontan
n=9 Participants
Patients undergoing other cardiac surgeries requiring cardiopulmonary bypass.
Optic Nerve Sheath Diameter
Following tracheal extubation in the OR
4.2 millimeters
Interval 3.2 to 5.3
3.7 millimeters
Interval 3.0 to 4.3
Optic Nerve Sheath Diameter
Post induction of anesthesia
4.0 millimeters
Interval 3.0 to 4.6
3.6 millimeters
Interval 3.1 to 3.9
Optic Nerve Sheath Diameter
After coming off of CPB
4.2 millimeters
Interval 3.5 to 5.1
3.5 millimeters
Interval 3.1 to 3.9

SECONDARY outcome

Timeframe: Day of surgery

Short CPB time defined as \<100 minutes. Long CPB time defined as ≥ 100 minutes.

Outcome measures

Outcome measures
Measure
Fontan
n=7 Participants
Patients undergoing Fontan procedure to redirect blood flow from the lower body to the lungs. Ultrasound: Ocular ultrasound to measure optic nerve sheath diameter (ONSD).
Non-Fontan
n=7 Participants
Patients undergoing other cardiac surgeries requiring cardiopulmonary bypass.
Optic Nerve Sheath Diameter: Short Versus Long Cardiopulmonary Bypass (CPB) Time
Post-induction of anesthesia
3.8 millimeters
Interval 3.6 to 4.0
3.6 millimeters
Interval 3.0 to 4.6
Optic Nerve Sheath Diameter: Short Versus Long Cardiopulmonary Bypass (CPB) Time
After coming off of CPB
3.6 millimeters
Interval 3.5 to 3.9
3.8 millimeters
Interval 3.1 to 5.1
Optic Nerve Sheath Diameter: Short Versus Long Cardiopulmonary Bypass (CPB) Time
Following tracheal extubation in the OR
3.8 millimeters
Interval 3.5 to 4.3
3.8 millimeters
Interval 3.0 to 5.3

Adverse Events

Fontan

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Non-Fontan

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Marco Corridore, MD

Nationwide Children's Hospital

Phone: 614-722-4200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place