Study to Improve Long Term Vein Graft Patency After Coronary Bypass Surgery by Using a Novel Endoscopic Harvesting Technique
OPTION Trial: Optimal Improvement of Vein Graft Patency Long Term by the Implementation Of Novel Endoscopic Harvesting Techniques
1 other identifier
observational
93
1 country
2
Brief Summary
The purpose of this study is to demonstrate improved vein graft patency rates at 12 months for endoscopically harvested saphenous vein grafts. The study will evaluate use modifications to existing techniques in vein graft handling during harvests. A secondary aim is to develop a standardized approach for harvesting, handling, and preparing vein grafts in the endoscopic approach.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Oct 2010
Typical duration for all trials
2 active sites
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
October 1, 2010
CompletedFirst Submitted
Initial submission to the registry
February 23, 2012
CompletedFirst Posted
Study publicly available on registry
February 28, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2014
CompletedMarch 17, 2015
March 1, 2015
3.7 years
February 23, 2012
March 12, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Improved vein graft patency
To demonstrate improved vein graft patency at 12 months for endoscopically harvested saphenous vein grafts by using modifications to existing vein harvest techniques in vein handling during harvest.
Baseline and 12 months
Secondary Outcomes (1)
Vein graft failure
Baseline, 30 days, and 12 months
Study Arms (1)
CABG w/saphenous vein grafts harvested using endoscopy
Those who have CABG surgery with saphenous vein grafts harvested using endoscopic techniques
Eligibility Criteria
Hospital facility
You may qualify if:
- Males and females at least 18 years of age and able to sign consent
- Undergoing CABG surgery
- Eligible for endoscopic saphenous vein harvesting
- A minimum of two non-sequential vein grafts will be performed
- Subject willing to comply with the requirements of the protocol
You may not qualify if:
- Previous CABG
- Previous or concomitant valve surgery
- Any other concomitant cardiac procedure other than surgical ablation or incidental PFO repair
- Intolerance to Iodine or IV contrast that cannot be controlled with pre-medication
- Renal insufficiency with GFR measurement ≤ 40, unless dialysis dependent
- Abnormal platelet level defined as Plt Count \>400,000
- Abnormal platelet function (hypercoagulable state) as evidenced by TEG testing
- Allergy to or presence of a condition that the investigator feels may prevent safe administration of ASA or Plavix post-operatively.
- Patient has a co-morbid condition that in the opinion of the investigator poses undue risk for successful endovascular harvesting of the vein
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Baylor Research Institutelead
- Maquet Cardiovascularcollaborator
Study Sites (2)
Medical City Hospital
Dallas, Texas, 75230, United States
The Heart Hospital Baylor Plano
Plano, Texas, 75093, United States
Related Publications (4)
Bolotin G, Kypson AP, Nifong LW, Chitwood WR Jr. A technique for evaluating competitive flow for intraoperative decision making in coronary artery surgery. Ann Thorac Surg. 2003 Dec;76(6):2118-20. doi: 10.1016/s0003-4975(03)00652-0.
PMID: 14667667BACKGROUNDLopes RD, Hafley GE, Allen KB, Ferguson TB, Peterson ED, Harrington RA, Mehta RH, Gibson CM, Mack MJ, Kouchoukos NT, Califf RM, Alexander JH. Endoscopic versus open vein-graft harvesting in coronary-artery bypass surgery. N Engl J Med. 2009 Jul 16;361(3):235-44. doi: 10.1056/NEJMoa0900708.
PMID: 19605828RESULTBurris N, Schwartz K, Tang CM, Jafri MS, Schmitt J, Kwon MH, Toshinaga O, Gu J, Brown J, Brown E, Pierson R 3rd, Poston R. Catheter-based infrared light scanner as a tool to assess conduit quality in coronary artery bypass surgery. J Thorac Cardiovasc Surg. 2007 Feb;133(2):419-27. doi: 10.1016/j.jtcvs.2006.09.056. Epub 2006 Dec 29.
PMID: 17258576RESULTSerruys PW, Morice MC, Kappetein AP, Colombo A, Holmes DR, Mack MJ, Stahle E, Feldman TE, van den Brand M, Bass EJ, Van Dyck N, Leadley K, Dawkins KD, Mohr FW; SYNTAX Investigators. Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease. N Engl J Med. 2009 Mar 5;360(10):961-72. doi: 10.1056/NEJMoa0804626. Epub 2009 Feb 18.
PMID: 19228612RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 23, 2012
First Posted
February 28, 2012
Study Start
October 1, 2010
Primary Completion
June 1, 2014
Study Completion
June 1, 2014
Last Updated
March 17, 2015
Record last verified: 2015-03