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NCT03719248

Thoracic Epidural Reduces Risks of Increased Left Ventricular Mass Index During Coronary Artery Bypass Graft Surgery

Completed NA Last updated 25 October 2018
What this trial tests

NA trial testing thoracic epidural in Ischemia Coronary Artery Origin in 80 participants. Completed in 1 January 2018.

Timeline
1 January 2017
Primary endpoint
1 January 2018
1 January 2018

Quick facts

Lead sponsorAhmed Said Elgebaly,MD
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposesupportive care
Enrollment80
Start date1 January 2017
Primary completion1 January 2018
Estimated completion1 January 2018
Sites1 location across Egypt

Drugs / interventions tested

Conditions studied

Sponsor

Ahmed Said Elgebaly,MD

Who can join

Adults 65 to 75, any sex, with Ischemia Coronary Artery Origin. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Increased left ventricular mass index (LVMI) results from aortic valve lesions as an adaptive mechanism to help limit systolic wall stress and preserve ejection fraction (EF). This study Aim to investigate the effects of sympathetic blockade by HTEA on systolic and diastolic LV function in patients undergoing aortic valve replacement (AVR) alone or in addition to coronary artery bypass graft (CABG). It Designs as A prospective randomized controlled comparative study in which eighty patients received either general anesthesia ( control group n=40) or with high thoracic epidural analgesia(HTEA group n=40). Each group subdivided to normal (LVM) (n=20)or increased(LVM) group(n=20), all submitted to (AVR) alone or in addition to (CABG).

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass.
    Guay J, Kopp S. · · 2019 · cited 26× · PMID 30821845 · DOI 10.1002/14651858.cd006715.pub3
  2. High thoracic epidural decreases perioperative myocardial ischemia and improves left ventricle function in aortic valve replacement alone or in addition to cabg surgery even with increased left ventricle mass index.
    Elgebaly AS, Fathy SM, Elbarbary Y, Sallam AA. · · 2020 · cited 5× · PMID 32275028 · DOI 10.4103/aca.aca_203_18

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