Status:

ENROLLING_BY_INVITATION

A Prospective Randomized Controlled Trial of Effect of Enhanced External Counter Pulsation to Arterial Stiffness in Chronic Hemodialysis Patient

Lead Sponsor:

Thana Thongsricome, MD

Conditions:

Hemodialysis

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The objectives of this study are; * To study effect of Enhanced External Counter Pulsation on arterial stiffness, as measured by pulse wave velocity, compared to standard hemodialysis treatment. * To...

Eligibility Criteria

Inclusion

  • Inclusion criteria
  • Patients aged 18 years old or older
  • Patients received hemodialysis at King Chulalongkorn Memorial Hospital for at least 3 months
  • Patients received hemodialysis frequency for at least 3 times/week with adequate hemodialysis, named single pool Kt/V of 1.2 or more, as calculated by Chula urea kinetic model
  • Patients achieving proper dry weight, as determined by clinical assessment or by body composition monitoring (Fresineus company)
  • Exclusion criteria
  • Patients with severe or unstable disease required emergent specific treatment such as severe infection or hemodynamic instability
  • Patients with acute coronary syndrome within 1 month
  • Patients received coronary artery bypass graft surgery or percutaneous transluminal coronary angioplasty within 3 months
  • Patients with severe valvular heart disease and hypertrophic obstructive cardiomyopathy known before inclusion or detected by pre - allocation (within 12 months) echocardiographic assessment
  • Patients with cardiac arrhythmia including atrial fibrillation or atrial flutter known before inclusion or detected by pre - allocation (within 12 months) 12 - lead electrocardiography
  • Patients with known or suspected deep vein thrombosis or peripheral arterial disease
  • Patients with thoracic aortic aneurysm detected pre - allocation (within 12 months) echocardiography or abdominal aortic aneurysm detected by pre - allocation (within 12 months) abdominal ultrasonography
  • Patients with bleeding diathesis other than uremic bleeding, including anticoagulants use, but antiplatelets or local thrombolytics for vascular access stenosis/thrombosis are not included
  • Patients with uncontrolled hypertension, defined as systolic blood pressure \> 160 mmHg or diastolic blood pressure \> 100 mmHg
  • Patients with severe pulmonary hypertension known before inclusion or detected by pre - allocation (within 12 months) echocardiographic assessment
  • Pregnant patients
  • Patients who not willing to give a consent or who cannot legally give a consent

Exclusion

    Key Trial Info

    Start Date :

    February 13 2020

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    March 31 2025

    Estimated Enrollment :

    14 Patients enrolled

    Trial Details

    Trial ID

    NCT06608953

    Start Date

    February 13 2020

    End Date

    March 31 2025

    Last Update

    September 23 2024

    Active Locations (1)

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    Faculty of Medicine, Chulalongkorn University

    Bangkok, Bangkok, Thailand, 10330