ICG vs. HSI in Gastrointestinal Resections

NCT ID: NCT04226781

Last Updated: 2020-03-16

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

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-02

Study Completion Date

2021-06-20

Brief Summary

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In this study, gastrointestinal anastomoses are examined with a hyperspectral camera and after this the investigators use the Standard Routine ICG-Imaging. At the end, both methods will be compared..

Detailed Description

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All gastrointestinal anastomoses were examined in all patients with written informed consent.

As Standard in our clinical Routine the tissue perfusion is measured with fluorescence Imaging and Indocyaningreen (ICG). In this study the investigators use the Hyperspectral-Camera (HSI-Camera) as new method. The measurements were performed like described before, using the TIVITA Tissue system (Diaspective Vision GmbH, Am Salzhaff, Germany). This HSI-camera provides hyperspectral images with a high spectral resolution (5 nm) in the visible and near infrared range (500-1000 nm). A RGB image and 4 false color images that represent physiologic parameters are intraoperatively provided by an analysis software. This work is focused on tissue oxygenation (StO2), which represents the relative blood oxygenation in the microcirculation of superficial tissue layers (approximately 1 mm) and the near-infrared (NIR) Perfusion Index, representing tissue layers in 4-6 mm penetration depth.

As Standard method ICG-Fluorescence Imaging is used. After the procedure the Perfusion data of both Systems is compared.

Conditions

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Anastomosis Perfusion

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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ICG

Fluorescence imaging for blood Perfusion of the gastrointestinal tissue

Group Type ACTIVE_COMPARATOR

Indocyaningreen-Fluorescence imaging

Intervention Type DIAGNOSTIC_TEST

Photos were taken with the Fluorescence camera after injection of the indocyaningreen-dye of the gastrointestinal anastomosis

HSI

Hyperspectralimaging for blood Perfusion of the gastrointestinal tissue

Group Type EXPERIMENTAL

Hyperspectral-Imaging

Intervention Type DIAGNOSTIC_TEST

Photos were taken with the hyperspectral camera of the gastrointestinal anastomosis.

Interventions

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Hyperspectral-Imaging

Photos were taken with the hyperspectral camera of the gastrointestinal anastomosis.

Intervention Type DIAGNOSTIC_TEST

Indocyaningreen-Fluorescence imaging

Photos were taken with the Fluorescence camera after injection of the indocyaningreen-dye of the gastrointestinal anastomosis

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* all gastrointestinal anastomoses

Exclusion Criteria

* inability to consent
* allergy against indocyaningreen dye
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Leipzig

OTHER

Sponsor Role lead

Responsible Party

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Dr. Boris Jansen-Winkeln

Principal Investigator, Deputy Head of Department, Priv.-Doz. Dr. med. habil.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Boris Jansen-Winkeln, MD, PD

Role: PRINCIPAL_INVESTIGATOR

University of Leipzig

Locations

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Universitätsklinikum Leipzig - AöR

Leipzig, Saxony, Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Boris Jansen-Winkeln, MD, PD

Role: CONTACT

+49-314-97 ext. 17200

Ines Gockel, MD, Prof.

Role: CONTACT

+49-314-97 ext. 17200

Facility Contacts

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Boris Jansen-Winkeln, MD, PD

Role: primary

+49-341-97- ext. 17200

Ines Gockel, MD, Prof.

Role: backup

+49-341-97- ext. 17200

References

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Jansen-Winkeln B, Holfert N, Kohler H, Moulla Y, Takoh JP, Rabe SM, Mehdorn M, Barberio M, Chalopin C, Neumuth T, Gockel I. Determination of the transection margin during colorectal resection with hyperspectral imaging (HSI). Int J Colorectal Dis. 2019 Apr;34(4):731-739. doi: 10.1007/s00384-019-03250-0. Epub 2019 Feb 2.

Reference Type BACKGROUND
PMID: 30712079 (View on PubMed)

Jansen-Winkeln B, Maktabi M, Takoh JP, Rabe SM, Barberio M, Kohler H, Neumuth T, Melzer A, Chalopin C, Gockel I. [Hyperspectral imaging of gastrointestinal anastomoses]. Chirurg. 2018 Sep;89(9):717-725. doi: 10.1007/s00104-018-0633-2. German.

Reference Type BACKGROUND
PMID: 29637244 (View on PubMed)

Jansen-Winkeln B, Germann I, Kohler H, Mehdorn M, Maktabi M, Sucher R, Barberio M, Chalopin C, Diana M, Moulla Y, Gockel I. Comparison of hyperspectral imaging and fluorescence angiography for the determination of the transection margin in colorectal resections-a comparative study. Int J Colorectal Dis. 2021 Feb;36(2):283-291. doi: 10.1007/s00384-020-03755-z. Epub 2020 Sep 23.

Reference Type DERIVED
PMID: 32968892 (View on PubMed)

Other Identifiers

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202001

Identifier Type: -

Identifier Source: org_study_id

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