Investigation of Endothelium in Saphenous Vein Grafts
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Purpose
This is a single center prospective study of 30 patients undergoing elective heart bypass surgery (CABG) with at least two vein grafts from the leg (SVG). The purpose of this ex vivo study is to evaluate the function of vein grafts from small tissue samples treated with a pressure syringe and a non-pressure syringe. Syringes are routinely used to flush out the veins in preparation of bypass grafting. It is unknown if different levels of pressure in the syringe affect the vein or damage the vein. Small sections of tissue samples which are normally discarded will be obtained immediately after retrieval from the leg and before grafting to the heart. Tissue samples will be taken to the laboratory for study. There are no clinical endpoints in this study, however, clinical information will be obtained from the Society of Thoracic Surgeons database and will include demographics, risk factors, and perioperative outcomes.
| Condition | Intervention |
|---|---|
|
Endothelial Function of Saphenous Vein Grafts |
Other: Use of Maquet Vasoshield Pressure-limiting syringe on SVG Other: Use of non-regulated syringe on SVG |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Basic Science |
| Official Title: | A Prospective Trial to Investigate Endothelial Dysfunction in Saphenous Vein Grafts Subjected to the Maquet Vasoshield Pressure Limiting Syringe Versus Non-Regulated Vessel Dilation in Patients Undergoing Coronary Artery Bypass Grafting |
- SVG vascular contractility [ Time Frame: Day of surgery ] [ Designated as safety issue: No ]
- Nitric oxide metabolite levels [ Time Frame: Day of surgery ] [ Designated as safety issue: No ]
- Major adverse cardiac events [ Time Frame: 6 months and 1 year ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 30 |
| Study Start Date: | November 2011 |
| Estimated Study Completion Date: | May 2012 |
| Estimated Primary Completion Date: | May 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Maquet Vasoshield Arm
Pressure limiting syringe
|
Other: Use of Maquet Vasoshield Pressure-limiting syringe on SVG
Use of Maquet Vasoshield Pressure-limiting syringe on SVG
Other Name: Maquet device
|
|
Active Comparator: Non-regulated Arm
standard non-regulated syringe
|
Other: Use of non-regulated syringe on SVG
Use of non-regulated syringe on SVG
Other Name: standard syringe
|
Eligibility| Ages Eligible for Study: | 21 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- patients undergoing elective coronary artery bypass graft surgery requiring at least 2 saphenous vein grafts
Exclusion Criteria:
- patients undergoing any concomitant surgical procedures
Contacts and Locations| Contact: Kim Baio, MSN | 404-686-2513 | kbaio@emory.edu |
| Contact: Alexis Neill, MSN | 404-686-2513 | alexis.neill@emoryhealthcare.org |
| United States, Georgia | |
| Emory University Hospital Midtown | Recruiting |
| Atlanta, Georgia, United States, 30308 | |
| Sub-Investigator: David Lefer, PhD | |
| Cardiothoracic Surgery Reserach Laboratory | Recruiting |
| Atlanta, Georgia, United States, 30308 | |
| Principal Investigator: | Vinod Thourani, MD | Emory University |
More Information
No publications provided
| Responsible Party: | Vinod Thourani, Associate Professor of Surgery, Emory University |
| ClinicalTrials.gov Identifier: | NCT01510821 History of Changes |
| Other Study ID Numbers: | IRB-49331 |
| Study First Received: | November 2, 2011 |
| Last Updated: | January 14, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Emory University:
|
endoscopic vein harvest saphenous vein graft endothelial function |
ClinicalTrials.gov processed this record on June 17, 2013