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NCT04015193

Follow-up of SPTS in Patients With Raynaud's Phenomenon

Status unknown Last updated 10 July 2019
What this trial tests

trial testing Single-port thoracoscopic sympathicotomy (patient care) in Raynaud Phenomenon in 50 participants. Status unknown.

Timeline
28 March 2019
Primary endpoint
1 March 2025
1 March 2025

Quick facts

Lead sponsorUniversity Medical Center Groningen
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment50
Start date28 March 2019
Primary completion1 March 2025
Estimated completion1 March 2025
Sites1 location across Netherlands

Drugs / interventions tested

Conditions studied

Sponsor

University Medical Center Groningen

Who can join

16 and older, any sex, with Raynaud Phenomenon. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Background: Raynaud's phenomenon is a vasospasm of the extremities, leading to extensive discomfort in daily life and potentially severe ischemia. Some patients are resistant to conventional vasodilatory drug treatment. In the University Medical Center Groningen, single-port thoracoscopic sympathicotomy (SPTS) was developed. This is a new minimally invasive endoscopic technique, extensively limiting surgical burden. In many hospitals in the Netherlands, this operation is sometimes performed on patients with Raynaud's phenomenon. However, the techniques used are more invasive than the SPTS technique. Furthermore, studies on sympathectomy and sympathicotomy in Raynaud's are limited and encompass obsolete more invasive techniques. Also, it is unclear which patients would benefit the most and for how long and in which percentage of patients treatment effects persist over time. In a recent study on the new SPTS technique, it was found that one month after the procedure, the Raynaud's attacks were substantially reduced and the hand perfusion increased on the operated side. Based on these short term effects and previously reported broad experience with this technique for other indications, it is possible to offer this option to a broader range of patients with Raynaud's as a reasonable and safe treatment option. However, whether the effects persist on the long-term needs to be established. Main research question: The aim of the study is to assess the 5 year efficacy and outcome in patients with primary and secondary Raynaud's phenomenon in whom SPTS has been performed. Design (including population, confounders/outcomes): Patients with Raynaud's, who will undergo SPTS in patient care setting, will be included. Data from the patient file will be collected, including vascular measurements to assess hand perfusion, a Raynaud diary (Raynaud condition score, duration and frequency of the attacks), quality of life questionnaires, and adverse events.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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