Incidence of Acute Cerebrovascular Events Using Either Minimized or Standard Cardiopulmonary Bypass Circuit (ROCsafeTM)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified October 2009 by Hannover Medical School.
Recruitment status was  Recruiting
Sponsor:
Collaborators:
Städtisches Klinikum Braunschweig
Terumo Europe N.V.
Information provided by:
Hannover Medical School
ClinicalTrials.gov Identifier:
NCT00862160
First received: March 13, 2009
Last updated: October 6, 2009
Last verified: October 2009

March 13, 2009
October 6, 2009
April 2009
April 2010   (final data collection date for primary outcome measure)
fresh micro-lesions in cranial MRT [ Time Frame: before and 72 h after CABG ] [ Designated as safety issue: Yes ]
Same as current
Complete list of historical versions of study NCT00862160 on ClinicalTrials.gov Archive Site
  • Death [ Time Frame: 30 days after CABG ] [ Designated as safety issue: Yes ]
  • Neurological events [ Time Frame: between CABG and discharge ] [ Designated as safety issue: Yes ]
  • Neurocognitive function [ Time Frame: before and 3-4 days after CABG and after 3 months ] [ Designated as safety issue: Yes ]
Same as current
Not Provided
Not Provided
 
Incidence of Acute Cerebrovascular Events Using Either Minimized or Standard Cardiopulmonary Bypass Circuit
Acute Cerebrovascular Events During Extracorporeal Circulation a Comparison of New Minimized Perfusion Circuit to Standard Cardiopulmonary Bypass

The prospective, randomized, two centre study investigates acute cerebrovascular events during extracorporal circulation and the early post operative outcome when using either the minimized cardiopulmonary bypass circuit (ROCsafeTM) or a standard cardiopulmonary bypass circuit in patients undergoing coronary artery bypass grafting.

Coronary artery bypass grafting with extracorporal circulation is established as the golden standard. The conventional cardiopulmonary bypass (CPB) system is associated with inflammatory reaction, hemolysis, hemodilution an disturbances of the blood coagulation system. Also it's well known that neurological disturbances caused by embolic material and air bubbles are potential risks of CPB. The new minimized perfusion circuit ROCsafeTM is a closed, reservoir-less, reduced prime, surface coated circuit, with optimized safety features in effectively eliminate both macro and micro air bubbles and should optimize the clinical outcome after CABG using cardiopulmonary bypass.

Interventional
Phase 4
Allocation: Randomized
Endpoint Classification: Safety Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Outcomes Assessor)
Primary Purpose: Treatment
  • Coronary Artery Disease
  • Acute Cerebrovascular Accident
  • Intracranial Embolism
  • Embolism, Air
Device: ROCsafeTM
using minimized perfusion circuit while CABG
  • Active Comparator: 1
    using minimized cardiopulmonary bypass circuit ROCsafeTM
    Intervention: Device: ROCsafeTM
  • No Intervention: 2
    using standard cardiopulmonary bypass circuit
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
64
October 2010
April 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Patient is older than 17 years
  • Patient is acceptable candidate for CABG operation
  • Patient or the patient's legal representative has been informed of the nature of the study and agrees to its provisions and has provided written informed consent.

Exclusion Criteria:

  • Ejection fraction less than 30 %
  • Valve surgery
  • Acute endocarditis or history of endocarditis
  • Cerebral ischemia within 4 weeks before surgery
  • Detection of intracardial thrombi in preoperative echocardiography
  • Stenosis of A. carotis int. greater than 70 %
  • Patients older than 80 years
  • Patients on dialysis
  • Acute myocardial ischemia or infarction within two weeks before inclusion
  • Markedly elevated baseline C-reactive protein (CRP) or leucocytosis
  • Cancer or immunologic diseases
  • Dysregulation of the coagulation cascade (not concerning INR or PTT under cumarin or heparin treatment)
  • Intake of steroids or NSAR
  • Female of childbearing potential
  • Participation in an other study
  • Contraindication for MRI (e.g. pacemaker, any kind of implanted metal)
  • Claustrophobia
Both
18 Years to 80 Years
No
Contact: Ingo Kutschka, PD Dr. med. 0049-511-532-2154 kutschka.ingo@mh-hannover.de
Germany
 
NCT00862160
T201E1
Yes
PD Dr. med. Ingo Kutschka, HannoverMS, Clinic of Cardiac Thoracic Transplantation and Vascular Surgery
Hannover Medical School
  • Städtisches Klinikum Braunschweig
  • Terumo Europe N.V.
Principal Investigator: Ingo Kutschka, PD Dr. med. Hannover Medical School
Hannover Medical School
October 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP