Refractory IHCA and OHCA Treated With ECMO
SEAC
Refractory In and Out of Hospital Cardiac Arrest Treated With Extracorporeal Membrane Oxygenation. Observational, Single Centre, Prospective Study.
1 other identifier
observational
40
1 country
1
Brief Summary
Extracorporeal membrane oxygenation (ECMO) support has been suggested to improve the survival rate in patients with refractory cardiac arrest (CA). Recent studies have also highlighted the potential early application of this method in improving the prognosis of prolonged cardiac arrest both for in hospital CA (INHCA) and out of hospital CA (OHCA). The rationale for use of ECMO in these patients is to optimize early perfusion of vital organs, curing the cause of CA and waiting for the recovery of the injured myocardium. The investigators have created a flow-chart to decide which patients are eligible. The aims of this study are to evaluate if, with this flow-chart, the investigators are able to detect which patients have more probability of survival.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jul 2011
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
First Submitted
Initial submission to the registry
February 16, 2011
CompletedFirst Posted
Study publicly available on registry
February 17, 2011
CompletedStudy Start
First participant enrolled
July 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2013
CompletedAugust 4, 2011
July 1, 2011
1 year
February 16, 2011
August 3, 2011
Conditions
Outcome Measures
Primary Outcomes (1)
28 days survival
28 days
Secondary Outcomes (3)
Neurologic recovery
28 days
Cardiac recovery
28 days
Six months survival with minimal neurologic impairment
180 days
Study Arms (1)
Extracorporeal Membrane Oxygenation
All patients have to start ECMO under CPR, by insertion of peripheral VA cannulas.
Interventions
Insertion of peripheral Veno-Arterious ECMO, subsequent therapeutic hypothermia
Eligibility Criteria
Adults 18-75 years old, community sample
You may qualify if:
- Adults 18-75 years old
- In and out of hospital Witnessed Cardiac Arrest
- No-flow time \< 5 min. or VF,VT,TP as rhythm of presentation
- Low-flow time \< 45 min.
- End Tidal CO2 \> 10 after 20 min.of CPR
You may not qualify if:
- Comorbidities such:
- Terminal Malignancy
- Aortic Dissection
- Severe Cardiac Failure without transplant indication
- Severe Aortic Valve Failure
- Known Severe Peripheral arteriopathy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
San Gerardo Hospital
Monza, MB, 20052, Italy
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Leonelllo Avalli, MD
Ospedale San Gerardo
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
February 16, 2011
First Posted
February 17, 2011
Study Start
July 1, 2011
Primary Completion
July 1, 2012
Study Completion
July 1, 2013
Last Updated
August 4, 2011
Record last verified: 2011-07