Epicardial Stimulation of the Cardiac Autonomic Nervous System

NCT ID: NCT05255952

Last Updated: 2024-09-27

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

COMPLETED

Clinical Phase

NA

Total Enrollment

4 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-16

Study Completion Date

2023-11-13

Brief Summary

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The objective of the EpiCANS study is to evaluate the technique of stimulation of the cardiac autonomic nervous system (SNAC) directly at the epicardial level in humans during heart surgery.

Proof of concept study

Detailed Description

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Isolated stimulation of the parasympathetic system induces a protective effect on long-term cardiac remodeling, but at the cost of inhibiting the sympathetic system. The role of the sympathetic system is to increase cardiac output in cases of acute heart failure.

Electrical stimulation of the cardiac plexus directly at the level of the heart allows simultaneous stimulation of the sympathetic and parasympathetic systems, whose complementary and not automatically antagonistic role is now recognized. Thus, direct stimulation of the plexus would optimize cardiac function in the short and long term by instantly improving cardiac output and decreasing pulmonary resistance as described in dogs by Kobayashi et al.

The objective of the EpiCANS study is to evaluate this technique in humans during cardiac surgery.

Conditions

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Cardiac Insufficiency

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Patients

3 cycles of electrical stimualtions will be done at the end of cardiac surgery, before end of surgery (patient closure), under anaesthesia.

Cardiac outcomes will be monitored

Group Type EXPERIMENTAL

Electrical stimulation

Intervention Type PROCEDURE

Electrical stimulation of the cardiac plexus

Interventions

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Electrical stimulation

Electrical stimulation of the cardiac plexus

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Scheduled for elective cardiac surgery for valvular or coronary surgery
* Having received written and oral information about the protocol and having signed a written informed consent
* Affiliated or beneficiary of a social security plan

Exclusion Criteria

* Patient with an indication for cardiac surgery:
* Urgent or semi-urgent
* Aortic surgery
* Heart transplantation
* Mechanical circulatory assistance
* Patients who have already undergone cardiac surgery
* Adults under legal protection (safeguard of justice, curatorship, guardianship), persons deprived of liberty, pregnant or breastfeeding women, minors, persons unable to express their consent, persons hospitalized for a different reason
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rennes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Karl BOU NADER, Dr

Role: STUDY_DIRECTOR

CHU Rennes

Locations

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CHU Rennes

Rennes, , France

Site Status

Countries

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France

Other Identifiers

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35RC21_8946_04_EpiCANS

Identifier Type: -

Identifier Source: org_study_id

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