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Coronary Artery DiseaseE-CABGNCT02319083

Outcome After Coronary Artery Bypass Grafting

An observational study of Coronary Artery Disease and Myocardial Infarction, run by University of Oulu at 1 site in Finland.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The E-CABG registry is a multicenter, European registry collecting data on the preoperative characteristics, treatment strategies and outcome of patients undergoing isolated coronary artery bypass grafting (CABG). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Coronary artery bypass surgery
Type of treatment
Surgery or procedure
How many people
4,000 participants
Where
1 siteFinland
Study dates
Jan 2015to Dec 2025
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: The study population includes any patient undergoing isolated coronary artery bypass surgery.

Who may be able to join

  • Patients of aged > 18 years undergoing isolated CABG for stable coronary artery disease or acute coronary syndrome. Patients undergoing Maze procedure will be included in this registry.

Who cannot join

  • Patients undergoing any other major cardiac surgery procedure will be excluded from this registry.

Trial locations and contacts

1 site in 1 country.

Fausto Biancari, Professor contact

+358407333973

faustobiancari@yahoo.it

Finland1 site, 1 recruiting
  • Oulu University Hospital

    Oulu

    Fausto Biancari, Professor, +358407333973, faustobiancari@yahoo.it

    Recruiting

Other trials in Finland

About this study

Official title: E-CABG: European Multicenter Study on the Outcome After Coronary Artery Bypass Grafting

The E-CABG registry is a multicenter, European registry collecting data on the preoperative characteristics, treatment strategies and outcome of patients undergoing isolated coronary artery bypass grafting (CABG).

Read the detailed description

Improvements in the surgical treatment of coronary artery disease are possible only when implementation of current methods and development of new methods are based on the solid ground of large and reliable clinical data. Furthermore, clinical findings assume even more significance when detected in study populations from different institutions with heterogeneous referral pathways, baseline clinical characteristics and perioperative treatment strategies. The rationale of this European multicenter study is therefore to prospectively collect data on baseline characteristics, operative and anesthesiological methods and postoperative outcome of patients undergoing CABG in eleven cardiac surgery centers from five European countries. This multicenter prospective registrywill provide data to evaluate the prognostic impact of a number of patients' risk factors as well as the efficacy and safety of operative methods and drugs used during the pre-, peri- and postoperative period.

Being tested
Coronary artery bypass surgery
Keywords
CABG, Coronary artery bypass surgery, Coronary artery bypass grafting, Coronary surgery, Myocardial infarction, Coronary artery disease, Off-pump, EuroSCORE
Medical subject headings
Coronary Artery Disease, Myocardial Infarction, Angina Pectoris

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Coronary artery bypass surgeryProcedure or surgery

    Also called Coronary artery bypass grafting

    Patients will undergo coronary artery bypass grafting

Study groups in NCT02319083
Study groupRoleWhat they receive
Coronary artery bypass surgeryPatients undergoing coronary artery bypass surgery.
Receives: Procedure: Coronary artery bypass surgery

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mortality

    Any death occurring after surgery

    Measured: The outcome measure will be assessed at time points up to 10 years after surgery

Secondary outcomes (19)
  1. Stroke

    Any ischemic brain injury occurring after surgery and lasting > 24 hours

    Measured: The outcome measure will be assessed at time points up to 10 years after surgery

  2. Prolonged use of inotropes

    Use of inotropes > 12 hours after surgery

    Measured: Participants will be followed for the duration of hospital stay (expected: 10 days)

  3. Intra-aortic balloon pump

    Use of intra-aortic balloon pump for acute heart failure after surgery

    Measured: Participants will be followed for the duration of hospital stay (expected: 10 days)

  4. ECMO

    Use of extracorporeal membrane oxygenation for acute heart failure after surgery

    Measured: Participants will be followed for the duration of hospital stay (expected: 10 days)

  5. Repeat revascularization

    Any repeat myocardial revascularization procedure performed after surgery

    Measured: The outcome measure will be assessed at time points up to 10 years after surgery

  6. Wound infection

    Any deep sternal or lower limb wound infection occurring after surgery

    Measured: Participants will be followed up for 3 months after surgery

  7. Blood losses

    Amont of blood losses from drainages 12 hours after surgery

    Measured: Participants will be followed 12 hours after surgery

  8. Nadir hematocrit

    Lowest hematocrit level during the operation day

    Measured: Participants will be followed during the operation day

  9. Use of blood products

    Use of any blood product (red blood cell, fresh frozen plasma, Octaplas, platelets) during the in-hospital stay

    Measured: Participants will be followed for the duration of hospital stay (expected: 10 days)

  10. Use of prothrombotic drugs

    Perioperative use of cryoprecipitate, PCC and/or rFVIIa for excessive bleeding

    PCCs

    Perioperative use of rFVIIa, PCC, cryoprecipitate

    Measured: Participants will be followed for the duration of hospital stay (expected: 10 days)

  11. Resternotomy for bleeding

    Re-exploration for excessive bleeding

    Measured: Participants will be followed for the duration of hospital stay (expected: 10 days)

  12. Atrial fibrillation

    New episode of atrial fibrillation requiring or not cardioversion during the in-hospital stay

    Measured: Participants will be followed for the duration of hospital stay (expected: 10 days)

  13. Renal replacement therapy

    Any renal replacement therapy during the in-hospital stay

    Measured: Participants will be followed for the duration of hospital stay (expected: 10 days)

  14. Highest level of serum creatinine

    Highest level of serum creatinine during the in-hospital stay

    Measured: Participants will be followed for the duration of hospital stay (expected: 10 days)

  15. Myocardial infarction

    Myocardial infarction (diagnosed by ECG and troponin monitoring) any time after surgery

    Measured: The outcome measure will be assessed at time point up to 10 years after surgery

  16. Length of stay in the intensive care unit

    Length of stay in the intensive care unit after surgery

    Measured: Participants will be followed for the duration of hospital stay (expected: 10 days)

  17. Pericardial effusion

    Pericardial effusion requiring medical or surgical treatment

    Measured: Participants will be followed up to 3 months after surgery.

  18. Postoperative use of antibiotics

    Postoperative use of antibiotics for postoperative infection

    Measured: Participants will be followed for the duration of hospital stay (expected: 10 days)

  19. Gastrointestinal complications

    Any gastrointestinal complication requiring medical or surgical treatment after surgery

    Measured: Participants will be followed for the duration of hospital stay (expected: 10 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Dec 2014 (estimated)
  2. Study startJan 2015
  3. Primary completionDec 2015 (estimated)
  4. Study completionDec 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
4,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02319083
Sponsor's protocol ID
1
Acronym
E-CABG
Status last verified
Jul 2015
First submitted
23 Nov 2014
Last updated
7 Jul 2015
Results posted
No
Data monitoring committee
Yes

Publications

  • Rubino AS, Nicolini F, Tauriainen T, Demal T, De Feo M, Onorati F, Faggian G, Bancone C, Perrotti A, Chocron S, Dalen M, Santarpino G, Fischlein T, Maselli D, Musumeci F, Santini F, Salsano A, Zanobini M, Saccocci M, Bounader K, Gatti G, Ruggieri VG, Mignosa C, Juvonen T, Mariscalco G, Biancari F. Failure to achieve a satisfactory cardiac outcome after isolated coronary surgery in low-risk patients. Interact Cardiovasc Thorac Surg. 2020 Jul 1;31(1):9-15. doi: 10.1093/icvts/ivaa062.

    PubMed 32442254
  • Biancari F, Gatti G, Rosato S, Mariscalco G, Pappalardo A, Onorati F, Faggian G, Salsano A, Santini F, Ruggieri VG, Perrotti A, Santarpino G, Fischlein T, Saccocci M, Musumeci F, Rubino AS, De Feo M, Bancone C, Nicolini F, Kinnunen EM, Demal T, D'Errigo P, Juvonen T, Dalen M, Maselli D. Preoperative risk stratification of deep sternal wound infection after coronary surgery. Infect Control Hosp Epidemiol. 2020 Apr;41(4):444-451. doi: 10.1017/ice.2019.375. Epub 2020 Jan 20.

    PubMed 31957634
  • Khodabandeh S, Biancari F, Kinnunen EM, Mariscalco G, Airaksinen J, Gherli R, Gatti G, Demal T, Onorati F, Faggian G, De Feo M, Santarpino G, Rubino AS, Maselli D, Salsano A, Nicolini F, Zanobini M, Ruggieri VG, Bounader K, Perrotti A, Dalen M. Perioperative Bleeding in Patients With Acute Coronary Syndrome Treated With Fondaparinux Versus Low-Molecular-Weight Heparin Before Coronary Artery Bypass Grafting. Am J Cardiol. 2019 Feb 15;123(4):565-570. doi: 10.1016/j.amjcard.2018.11.028. Epub 2018 Nov 24.

    PubMed 30527774
  • Santarpino G, Nicolini F, De Feo M, Dalen M, Fischlein T, Perrotti A, Reichart D, Gatti G, Onorati F, Franzese I, Faggian G, Bancone C, Chocron S, Khodabandeh S, Rubino AS, Maselli D, Nardella S, Gherli R, Salsano A, Zanobini M, Saccocci M, Bounader K, Rosato S, Tauriainen T, Mariscalco G, Airaksinen J, Ruggieri VG, Biancari F. Prognostic Impact of Asymptomatic Carotid Artery Stenosis in Patients Undergoing Coronary Artery Bypass Grafting. Eur J Vasc Endovasc Surg. 2018 Nov;56(5):741-748. doi: 10.1016/j.ejvs.2018.07.042. Epub 2018 Sep 6.

    PubMed 30197287
  • Reichart D, Rosato S, Nammas W, Onorati F, Dalen M, Castro L, Gherli R, Gatti G, Franzese I, Faggian G, De Feo M, Khodabandeh S, Santarpino G, Rubino AS, Maselli D, Nardella S, Salsano A, Nicolini F, Zanobini M, Saccocci M, Bounader K, Kinnunen EM, Tauriainen T, Airaksinen J, Seccareccia F, Mariscalco G, Ruggieri VG, Perrotti A, Biancari F. Clinical frailty scale and outcome after coronary artery bypass grafting. Eur J Cardiothorac Surg. 2018 Dec 1;54(6):1102-1109. doi: 10.1093/ejcts/ezy222.

    PubMed 29897529
  • Mariscalco G, Rosato S, Serraino GF, Maselli D, Dalen M, Airaksinen JKE, Reichart D, Zanobini M, Onorati F, De Feo M, Gherli R, Santarpino G, Rubino AS, Gatti G, Nicolini F, Santini F, Perrotti A, Bruno VD, Ruggieri VG, Biancari F. Prior Percutaneous Coronary Intervention and Mortality in Patients Undergoing Surgical Myocardial Revascularization: Results From the E-CABG (European Multicenter Study on Coronary Artery Bypass Grafting) With a Systematic Review and Meta-Analysis. Circ Cardiovasc Interv. 2018 Feb;11(2):e005650. doi: 10.1161/CIRCINTERVENTIONS.117.005650.

    PubMed 29440275
  • Biancari F, Brascia D, Onorati F, Reichart D, Perrotti A, Ruggieri VG, Santarpino G, Maselli D, Mariscalco G, Gherli R, Rubino AS, De Feo M, Gatti G, Santini F, Dalen M, Saccocci M, Kinnunen EM, Airaksinen JK, D'Errigo P, Rosato S, Nicolini F. Prediction of severe bleeding after coronary surgery: the WILL-BLEED Risk Score. Thromb Haemost. 2017 Feb 28;117(3):445-456. doi: 10.1160/TH16-09-0721. Epub 2016 Dec 1.

    PubMed 27904903
  • Biancari F, Ruggieri VG, Perrotti A, Svenarud P, Dalen M, Onorati F, Faggian G, Santarpino G, Maselli D, Dominici C, Nardella S, Musumeci F, Gherli R, Mariscalco G, Masala N, Rubino AS, Mignosa C, De Feo M, Della Corte A, Bancone C, Chocron S, Gatti G, Gherli T, Kinnunen EM, Juvonen T. European Multicenter Study on Coronary Artery Bypass Grafting (E-CABG registry): Study Protocol for a Prospective Clinical Registry and Proposal of Classification of Postoperative Complications. J Cardiothorac Surg. 2015 Jun 30;10:90. doi: 10.1186/s13019-015-0292-z.

    PubMed 26123033

Questions about this trial

What is this clinical trial studying?

An observational study of Coronary Artery Disease and Myocardial Infarction, run by University of Oulu at 1 site in Finland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 7 Jul 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Finland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Fausto Biancari, Professor (+358407333973, faustobiancari@yahoo.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mortality (time frame: The outcome measure will be assessed at time points up to 10 years after surgery). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02319083, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Jul 2015.

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