Status:

NOT_YET_RECRUITING

Hemodynamic Evaluation and Assessment of DIRECT myocaRdial and Sublingual Capillary Perfusion in Thoracic Surgery Patients on Cardiopulmonary Bypass

Lead Sponsor:

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Conditions:

Microcirculatory Perfusion

Eligibility:

All Genders

Brief Summary

After cardiac surgery, some people may experience problems with their circulation or how well the heart pumps. This can occur because the smallest blood vessels in the heart do not function properly. ...

Detailed Description

Congruence of micro- and macrocirculation is essential in participants during the postcardiotomy period to maintain hemodynamic stability \[1,2\]. At the capillary (i.e. microcirculatory) level, gas a...

Eligibility Criteria

Inclusion

  • Adult patients (18 years or older)
  • Use of central cannulated CPB through median sternotomy
  • Patients undergoing valve surgery or a supracoronary ascending aorta replacement
  • Good LVEF and RVF
  • LAVI \< 50 ml/m2, and right atrial volume index (RAVI) \< 45 ml/m2,

Exclusion

  • Patients with significant coronary artery disease (i.e., CAD-RADS ≥ 4, and/or stenosis of ≥ 70% as observed in coronary angiogram) or previous infarctions, including ST-elevated myocardial ischemia (STEMI) or non-ST-elevated myocardial ischemia (N-STEMI)
  • Patients with echocardiographically observed regional wall motion abnormalities, hypokinesis, or akinesis in the coronary territories
  • Patients undergoing left atrial appendage amputation (LAAA)
  • Patients with AF
  • High-risk patients, as defined by a EuroSCORE II ≥ 8%

Key Trial Info

Start Date :

October 1 2025

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

October 1 2026

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT07135700

Start Date

October 1 2025

End Date

October 1 2026

Last Update

August 22 2025

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