Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT02860364

Comparing Hypothermic Temperatures During Hemiarch Surgery

Led by Ottawa Heart Institute Research Corporation · Updated on 2025-09-24

282

Participants Needed

12

Research Sites

666 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Hypothermic circulatory arrest is an important surgical technique, allowing complex aortic surgeries to be performed safely. Hypothermic circulatory arrest provides protection to cerebral and visceral organs, but may result in longer cardiopulmonary bypass times during surgery, increased risks of bleeding, inflammation, and neuronal injury. To manage these consequences, a trend towards warmer core body temperatures during circulatory arrest has emerged. This trial will randomize patients to either mild (32°C) or moderate (26°C) hypothermia during aortic hemiarch surgery to determine if mild hypothermia reduces the length of cardiopulmonary bypass time and other key measures of morbidity and mortality.

CONDITIONS

Official Title

Comparing Hypothermic Temperatures During Hemiarch Surgery

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age �318 years
  • Elective aortic hemiarch surgery
  • Planned unilateral selective anterograde cardioplegia
  • Anticipated lower body arrest time of < 20 minutes
  • Able to provide written informed consent
Not Eligible

You will not qualify if you...

  • Surgery for acute aortic dissection or emergent operations
  • Total arch replacement
  • Inability to perform unilateral selective anterograde cerebral perfusion (uSACP)
  • Known/documented coagulopathy
  • Cold agglutinin disease or positive preoperative screening
  • Severe pre-existing neurological impairment or inability to assess neurocognitive function
  • Severe carotid disease as defined by degree of stenosis or prior carotid procedures
  • Renal failure or current renal replacement therapy or eGFR < 30 ml/min/1.73m2
  • Use of investigational drug or device at enrollment
  • Participation in another conflicting clinical trial

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 12 locations

1

Massachusetts General

Boston, Massachusetts, United States, 02114

Actively Recruiting

2

The Valley Hospital

Ridgewood, New Jersey, United States, 07450

Actively Recruiting

3

Ohio State University Medical Center

Columbus, Ohio, United States, 43210

Actively Recruiting

4

Kelowna General Hospital

Kelowna, British Columbia, Canada, V1Y 1T2

Actively Recruiting

5

Fraser Health Authority

Surrey, British Columbia, Canada, V3T 0H1

Actively Recruiting

6

University of British Columbia

Vancouver, British Columbia, Canada, V6Z 1Y6

Not Yet Recruiting

7

Dalhousie university

Halifax, Nova Scotia, Canada, B3H 3A7

Not Yet Recruiting

8

London Health Sciences Centre

London, Ontario, Canada, N6A 5A5

Actively Recruiting

9

University of Ottawa Heart Institute

Ottawa, Ontario, Canada, K1Y 4W7

Actively Recruiting

10

University Health Network

Toronto, Ontario, Canada, M5G 2N2

Actively Recruiting

11

Montreal Heart Institute

Montreal, Quebec, Canada, H1T 1C8

Actively Recruiting

12

Institut universitaire de cardiologie et de pneumologie de Québec

Québec, Quebec, Canada, G1V 4G5

Actively Recruiting

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Research Team

J

Jehangir Appoo, MD

CONTACT

A

Alice Black, BSc

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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