NCT02173470

Brief Summary

To assess if information about aortic calcification obtained from routine preoperative ultra low-dose chest CT lowers the postoperative stroke rate in patients undergoing heart surgery by optimizing surgical strategy compared to the normal work-up with a conventional chest X-ray.

Trial Health

60
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
866

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2014

Longer than P75 for not_applicable

Geographic Reach
2 countries

3 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 17, 2014

Completed
8 days until next milestone

First Posted

Study publicly available on registry

June 25, 2014

Completed
2 months until next milestone

Study Start

First participant enrolled

September 1, 2014

Completed
5.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2019

Completed
8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2020

Completed
Last Updated

June 11, 2020

Status Verified

June 1, 2020

Enrollment Period

5.1 years

First QC Date

June 17, 2014

Last Update Submit

June 8, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Postoperative stroke

    Percentage of patients suffering from in-hospital postoperative stroke (central neurological defect that either recovers spontaneously or is permanent) after heart surgery.

    Participants will be followed for the duration of hospital stay, an expected average of 5 days

Secondary Outcomes (1)

  • Altered surgical approach

    The surgery will take place the day after hospital administration.

Study Arms (2)

Control

NO INTERVENTION

Routine clinical care (which includes a conventional chest X-ray).

CT scan

EXPERIMENTAL

Routine clinical care, which includes a chest x-ray, with an additional ultra low-dose non contrast enhanced chest CT with IR (performed preoperatively).

Other: CT scan

Interventions

CT scanOTHER

The intervention group receives both standard care (chest x-ray) and an ultra low dose CT thorax without contrast.

Also known as: computed tomography
CT scan

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years old or older
  • Scheduled to undergo heart surgery
  • Provide written informed consent

You may not qualify if:

  • Pregnant women
  • Scheduled to undergo transcatheter aortic valve insertion procedure (since these patients receive a standard preoperative CT)
  • Chest or cardiac CT in the past three months
  • Emergency surgery
  • Concomitant or previous participation in a study that prohibits the patient from participating in a study that exposed the patient to radiation
  • Unwillingness to be informed about unrequested findings on the CT scan

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Heart and Vascular Center Semmelweis University

Budapest, Hungary

Location

Erasmus Medical Center

Rotterdam, Netherlands

Location

University Medical Center Utrecht

Utrecht, 3508GA, Netherlands

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular Diseases

Study Officials

  • Ricardo PJ Budde, MD, PhD

    Erasmus MC Rotterdam

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD

Study Record Dates

First Submitted

June 17, 2014

First Posted

June 25, 2014

Study Start

September 1, 2014

Primary Completion

October 1, 2019

Study Completion

June 1, 2020

Last Updated

June 11, 2020

Record last verified: 2020-06

Locations