A Comparison of Renal Perfusion in Thoracoabdominal Aortic Aneurysm (TAAA) Repair
A Comparison of Cold Blood Versus Cold Crystalloid Renal Perfusion for Prevention of Acute Renal Failure Following Thoracoabdominal Aortic Aneurysm Repair: A Randomized Study
1 other identifier
interventional
172
1 country
1
Brief Summary
The purpose of this randomized trial was to determine whether renal perfusion with cold blood provides better protection against renal ischemia than perfusion with cold crystalloid in patients undergoing TAAA repair with left heart bypass.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2002
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2002
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2006
CompletedFirst Submitted
Initial submission to the registry
June 3, 2008
CompletedFirst Posted
Study publicly available on registry
June 5, 2008
CompletedMay 10, 2023
May 1, 2023
4.9 years
June 3, 2008
May 9, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Renal dysfunction
10 postoperative days
Secondary Outcomes (1)
Renal injury (increase in urinary biomarkers)
7 postoperative days
Study Arms (2)
1
EXPERIMENTALCold blood renal perfusion
2
ACTIVE COMPARATORCold crystalloid renal perfusion
Interventions
Both kidneys receive intermitent perfusion with cold (4 degrees C) autologous blood during thoracoabdominal aortic aneurysm repair.
Both kidneys receive intermittent perfusion with cold (4 degrees C) lactated Ringer's solution during thoracoabdominal aortic aneurysm repair. This is the standard renal perfusion technique in our practice.
Eligibility Criteria
You may qualify if:
- age equal to or greater than 18
- planned extent II or III thoracoabdominal aortic aneurysm repair
- planned left heart bypass
- patient consent obtained
You may not qualify if:
- impaired left ventricular function
- impaired renal function
- prior thoracoabdominal aortic aneurysm repair
- pseudoaneurysm
- pre-existing liver disease
- free aortic aneurysm rupture
- inability to measure renal temperature
- extent I or IV thoracoabdominal aortic aneurysm repair
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Baylor College of Medicinelead
- Gillson-Longenbaugh Foundationcollaborator
- Texas Heart Institutecollaborator
Study Sites (1)
Baylor College of Medicine
Houston, Texas, 77030, United States
Related Publications (2)
Wu D, Coselli JS, Johnson ML, LeMaire SA. Hepatopancreaticobiliary Values after Thoracoabdominal Aneurysm Repair. Aorta (Stamford). 2014 Aug 1;2(4):135-42. doi: 10.12945/j.aorta.2014.14-015. eCollection 2014 Aug.
PMID: 26798731BACKGROUNDLemaire SA, Jones MM, Conklin LD, Carter SA, Criddell MD, Wang XL, Raskin SA, Coselli JS. Randomized comparison of cold blood and cold crystalloid renal perfusion for renal protection during thoracoabdominal aortic aneurysm repair. J Vasc Surg. 2009 Jan;49(1):11-9; discussion 19. doi: 10.1016/j.jvs.2008.08.048. Epub 2008 Nov 22.
PMID: 19028052RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Scott A. LeMaire, MD
Baylor College of Medicine
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor, Surgery/Cardio/Thoracic Surg.
Study Record Dates
First Submitted
June 3, 2008
First Posted
June 5, 2008
Study Start
January 1, 2002
Primary Completion
December 1, 2006
Study Completion
December 1, 2006
Last Updated
May 10, 2023
Record last verified: 2023-05
Data Sharing
- IPD Sharing
- Will not share