Predicting Cerebrovascular Adverse Events Post Cardiac Surgery
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Cerebral autoregulation monitoring.
- Who it may be relevant to
- Registry conditions: Cardiac Disease. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Italy
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Predicting Cerebrovascular Adverse Events Post Cardiac Surgery With Cardiopulmonary Bypass by Means of Cerebral AutoreguLation Indices
Overview
The aims of this study are: i) to assess cerebral autoregulation and autonomic control within the different phases of cardiac surgery with cardiopulmonary bypass; ii) to compare cerebral autoregulation measures derived via cerebral blood flow velocity estimated by transcranial Doppler device with simpler measurements derived from near infrared spectroscopy; iii) to develop a predictive model of postoperative cerebrovascular outcome (overt or silent stroke) based on the extracted indices.
Interventions
- Diagnostic test Cerebral autoregulation monitoring
Perioperative characterization of cerebral autoregulation and autonomic function; characterization of adverse events after surgery
Primary outcome measures
- Autoregulation index (ARI) [Time frame: 36 months]
- Cerebral Oxymetry index (CoX) [Time frame: 36 months]
- number of patients developing cerebrovascular adverse events [Time frame: 36 months]
Secondary outcome measures (1)
- Baroreflex sensitivity [Time frame: 36 months]
Eligibility criteria
Inclusion criteria
- age older than 18 years
- spontaneous sinus rhythm
- no pregnancy
- signed informed consent
Exclusion criteria
- age lower than 18 years
- absence of sinus rhythm
- autonomic disorders
- concomitant carotid intervention
- reintervention
- contraindication to MRI
- pregnancy
- impossibility of informed consent
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Supportive care
Study locations
Italy · 1 center
- IRCCS Policlinico San Donato — San Donato Milanese
Identifiers
NCT: NCT05786274 · PASCAL · GR-2021-12372037