Cardiac Remote Ischemic Preconditioning Before Elective Major Vascular Surgery
Status: | Completed |
---|---|
Conditions: | Peripheral Vascular Disease |
Therapuetic Areas: | Cardiology / Vascular Diseases |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 4/21/2016 |
Start Date: | July 2011 |
End Date: | September 2015 |
Cardiac Remote Ischemic Preconditioning Before Elective Major Vascular Surgery (CRIPES)
Vascular surgery is considered a high-risk operation with an anticipated risk of major
cardiovascular complications in excess of 5%. The occurrence of a cardiovascular
complication after surgery carries a long-term higher mortality risk. The main objective of
this investigation is to reduce the proportion of patients having major cardiovascular
complications during surgery through a clinical protocol of remote preconditioning that is
safe, effective and reproducible.
cardiovascular complications in excess of 5%. The occurrence of a cardiovascular
complication after surgery carries a long-term higher mortality risk. The main objective of
this investigation is to reduce the proportion of patients having major cardiovascular
complications during surgery through a clinical protocol of remote preconditioning that is
safe, effective and reproducible.
Inclusion Criteria:
- Eligible patients would be those undergoing elective major vascular surgery at the
Minneapolis VA Medical Center for an expanding abdominal aortic aneurysm, obstructive
carotid disease, and/or chronic limb ischemia during the study period. All patients
must be ≥ 18 years of age and provide written informed consent.
Exclusion Criteria:
- Exclusion criteria include hypertensive crisis, acute coronary syndrome in the
preceding 6 weeks, severe valvular heart disease, peripheral arterial disease of the
upper extremities, manifested by a systolic blood pressure difference greater than 20
mmHg, pregnant women, patients unable to understand the consent process due to mental
illness, advanced malignancy with limited life expectancy (<1 year), and hemodialysis
with a fistula in the upper extremity.
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