Clinical trials: Extracorporeal Circulation
Extracorporeal Circulation, Hemofiltration
Removal of Cytokines in Patients Undergoing Cardiac Surgery With CPB
In a lot of cases during cardiac surgery cardiopulmonary bypass initiates SIRS due to release of cytokines during immunological response. They are induced by different types of inductors ( intrinsic and extrinsic).
- Trial name
- REMOTE (NCT03104179)
- Testing
- Cytosorb Adsorber
- Where
- Germany
- Volunteers
- 80 people
- Sponsor
- Klinikum Nürnberg
Cardiac Surgery, Extracorporeal Circulation
Coronary Bypass and Artotic Leaflet Surgery : Heparin Low Dose vs Full Dose
The purpose of this study is to demonstrate superiority on postoperative bleeding from the use of a heparin half dose compared to a conventional dose, under mini-extra corporeal circulation, without increased risk to the patient.
- Trial name
- APPACHES (NCT00657475)
- Testing
- Heparin Low Dose, Heparin Full Dose
- Where
- France
- Volunteers
- 238 people
- Sponsor
- University Hospital, Bordeaux
Blood Loss, Thrombosis
Exploratory Assessment of the Quantra® System in Adult ECMO Patients
This is a prospective, observational exploratory study of the performance of the Quantra System in adult patients that are undergoing an arterio-venous (AV), veno-venous (VV) ECMO or extra-corporeal life support (ECLS) procedure.
- Conditions
- Blood Loss, Thrombosis, Extracorporeal Circulation; Complications
- Trial name
- NCT05426564
- Testing
- Quantra System
- Where
- United States
- Volunteers
- 10 people
- Sponsor
- HemoSonics LLC
Cardiac Surgery, Extracorporeal Circulation
RRI Compared With NephroCheckTM to Predict Acute Renal Failure After Cardiac Surgery.
Postoperative acute renal failure is a frequent complication after cardiac surgery. The current practice cannot predict Acute Kidney Injuries (AKI) early enough to reduce a significant kidney assault and prevent an organic…
- Conditions
- Cardiac Surgery, Extracorporeal Circulation, Nephrocheck, Renal Failure
- Trial name
- NCT02325726
- Testing
- Renal Resistive Index compared with NephroCheckTM
- Where
- France
- Volunteers
- 51 people
- Sponsor
- University Hospital, Bordeaux
Coronary Surgery
Evaluation of Hemodynamic Changes of the Left Ventricle Following the Use of Extracorporeal Circulation
The interpretation of perioperative measures of cardiac function during cardiac surgery is complicated. In particular, the evaluation of the diastolic compliance of the left ventricle.
- Trial name
- NCT03922178
- Testing
- Pressure/Volume Combination Catheter, Transthoracic echocardiography, Transesophageal echocardiogram
- Where
- Belgium
- Volunteers
- 9 people
- Sponsor
- Pierre Wauthy
Acute Kidney Injury
Perfusion - Pressure - Creatinine Trial
In Denmark around 3500 procedures are conducted involving a heart-lung-machine per year. An increase in the prevalence of postoperative kidney insufficiency have been observed following these procedures, during the last years.
- Trial name
- PPC (NCT01408420)
- Testing
- MAP > 60 mmHg
- Where
- Denmark
- Volunteers
- 100 people
- Sponsor
- Copenhagen University Hospital, Rigshospitalet
Surgical Blood Loss
Patient Blood Management in Cardiac Surgery
Preoperative anemia is associated with an important increase in transfusions of red blood cells (RBC) compared to a non-anemic patient in cardiac and non cardiac surgery.
- Trial name
- PBMc (NCT04040023)
- Testing
- Iron and vitamin Deficiencies Correction Program, PBMi: Training program to improve transfusion practices
- Where
- France
- Volunteers
- 900 people
- Sponsor
- Clinique Pasteur
Delirium - Postoperative, BDNF
The Relationship Between Delirium and BDNF in Coronary Artery Bypass Graft Surgery
This study is aimed at finding a correlation between postoperative delirium occurrence, severity and duration after cardiac surgery and the level of brain-derived neurotrophic factor (BDNF) in plasma as a marker of brain injury…
- Conditions
- Delirium - Postoperative, BDNF, CABG
- Trial name
- NCT06967779
- Where
- Poland
- Volunteers
- 107 people
- Sponsor
- Pomeranian Medical University Szczecin
Cardiogenic Pulmonary Edema, Ventilator-Induced Lung Injury
Ultra Protective Ventilation During Venoarterial Extracorporeal Membrane Oxygenation (UPV-ECMO)
Mechanical ventilation, in spite of being a life-saving technique, can also induce lung injury (VILI) mediated by an inflammatory response, thus having a profound impact in the course of critically ill patients.
- Conditions
- Cardiogenic Pulmonary Edema, Ventilator-Induced Lung Injury, Extracorporeal Circulation; Complications
- Trial name
- UPV-ECMO (NCT03041428)
- Testing
- Ultraprotective ventilation
- Where
- Spain
- Volunteers
- 20 people
- Sponsor
- Fundación para la Investigación Biosanitaria del Principado de Asturias
Cardiac Arrest, Sudden Death
A Comparative Study Between a Pre-hospital and an In-hospital Circulatory Support Strategy (ECMO) in Refractory Cardiac Arrest (APACAR2)
Cardiac arrest (CA) affects approximately 40,000 people in France. It is still a major cause of death in a young population. Management of CA is defined by international recommendations, detailed by learned societies in each…
- Trial name
- APACAR2 (NCT02527031)
- Testing
- ECMO Insertion on pre hospital setting, In Hospital ECMO
- Where
- France
- Volunteers
- 65 people
- Sponsor
- Assistance Publique - Hôpitaux de Paris
Opioid-free Anesthesia, Cardiac Surgery
Evaluation of Non-opioid Balanced General Anesthesia in Cardiac Surgery With Extracorporeal Circulation: a Randomized, Controlled, Multicenter Superiority Trial
Opioid-free anesthesia (OFA) is a general anesthesia based on the use of hypnotics and non-opioid analgesics (lidocaine, ketamine, dexamethasone, esmolol).
- Trial name
- OFACAR (NCT04886453)
- Testing
- Balanced general anesthesia without morphine, Standard general anesthesia balanced with morphine, Data collection
- Where
- France
- Volunteers
- 321 people
- Sponsor
- Centre Hospitalier Universitaire Dijon
Severe Sepsis and Septic Shock
Extracorporeal Immune Support System (EISS) for the Treatment of Septic Patients
The purpose of this study is to investigate the effect of an extracorporeal application of a bed-side bioreactor containing human donor granulocytes on the course and outcome of septic shock in humans.
- Trial name
- EISS-1 (NCT00818597)
- Testing
- EISS
- Where
- Germany
- Volunteers
- 10 people
- Sponsor
- University of Rostock
Extracorporeal Circulation of Blood; Thrombocytopenia
Thrombo-Elastography Guided Management of ECMO
Anticoagulation and coagulation management during ECMO is a challenge. Bleeding and clotting are major sources of morbidity and mortality. The currently used strategies are of poor evidence.
- Trial name
- TEGMO (NCT04268940)
- Testing
- Thromboelastography
- Where
- Canada
- Volunteers
- 61 people
- Sponsor
- Damian Ratano
Coronary Artery Disease
Coronary Bypass Grafting With Minimal Extracorporeal Circulation System Versus Off-pump Coronary Surgery
The investigators aimed to evaluate the clinical results and the inflammatory response of the minimal extracorporeal circulation system (MECC) Compared with off-pump coronary revascularization (OPCABG).
- Trial name
- NCT02118025
- Testing
- Off-pump coronary artery bypass graft, Mini extracorporeal circulation bypass
- Where
- Spain
- Volunteers
- 230 people
- Sponsor
- Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Coronary Artery Bypass Grafting
Arrested Versus Beating Heart Techniques in Coronary Revascularisation
The individual contribution of the specific injuring mechanisms surgical trauma, extracorporeal circulation, and ischemia/reperfusion to clinical outcome in coronary revascularisation remains to be elucidated.
- Trial name
- NCT00999089
- Testing
- Conventional Coronary Artery Bypass, Off-Pump Coronary Artery Bypass, Pump-Assisted Coronary Artery Bypass
- Where
- 2 sites in Germany
- Volunteers
- 616 people
- Sponsor
- Martin-Luther-Universität Halle-Wittenberg
Tooth Stability, Blood Flow
Effect of Shock Waves on Dental Parameters
This randomized clinical trial investigates the effect of the extracorporeal shockwave therapy (ESWT) on periodontal and endodontical parameters.
- Trial name
- NCT01600118
- Testing
- Extracorporeal shockwave therapy, No extracorporeal shockwave
- Where
- Austria
- Volunteers
- 72 people, healthy volunteers welcome
- Sponsor
- Medical University of Vienna
Heart Diseases
Study of Microcirculation During Extracorporeal Circulation in Cardiac Surgery
The aim of the proposed study is to evaluate microcirculatory alterations in patients undergoing open heart surgery under extracorporeal circulation.
- Trial name
- NCT04058860
- Testing
- NIRS monitoring, Cox monitoring, Sublingual microscopy
- Where
- Greece
- Volunteers
- 30 people
- Sponsor
- AHEPA University Hospital
Biomarkers, Coronary Artery Bypass Surgery
Dynamics of microRNA Expression and Systemic Inflammatory Response in POCD After Cardiac Surgery
Postoperative cognitive decline (POCD) is one of the most common complications after cardiac surgery. It is characterized by impaired memory, attention, and executive functions and can have long-term consequences.
- Conditions
- Biomarkers, Coronary Artery Bypass Surgery, Interleukin-6, MicroRNAs
- Trial name
- NCT07231731
- Where
- Croatia
- Volunteers
- 48 people
- Sponsor
- Osijek University Hospital
PtCO2, Extracorporeal Ventilation
Assessment of the Evolutions of Transcutaneous CO2 With the Modification of Blood Flow During On-pump Cardiac Surgery
There are no available criteria for determining the optimal flow rate and mean arterial pressure level in patients under cardiopulmonary bypass (CPB).
- Trial name
- NCT02362841
- Volunteers
- 41 people
- Sponsor
- European Georges Pompidou Hospital
Severe Acute Respiratory Distress Syndrome, Refractory Hypoxemia
ECMO for Critically Ill Patients With Respiratory Failure and/or Circulatory Failure
Extracorporeal membrane oxygenation (ECMO) had been used to treat refractory hypoxemia associated with acute respiratory distress syndrome (ARDS).
- Trial name
- NCT04031794
- Testing
- Extra Corporeal Membrane Oxygenator (ECMO)
- Where
- Thailand
- Volunteers
- 250 people
- Sponsor
- Mahidol University