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Effect of cerebral oximetry and minimized extracorporeal circulation on cognitive dysfunction after coronary bypass in patients at high risk of cerebrovascular events

Effect of cerebral oximetry and minimized extracorporeal circulation on cognitive dysfunction after coronary bypass in patients at high risk of cerebrovascular events

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00008853
Enrollment
100
Registered
2015-07-20
Start date
2015-06-09
Completion date
Unknown
Last updated
2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

I25.13

Interventions

Group 1: Group A: 50 patients with coronary heart disease (CHD), diabetes mellitus and / or chronic renal failure and need for coronary artery bypass graft received intraoperative NIRS with the goal o

Sponsors

Universitätsklinik für Herz- und Thoraxchirurgie
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: - Written authorization of the study participant - Age> 18 years - Coronary with or without cardiopulmonary bypass (CPB) - Type 2 diabetes and / or renal impairment (GFR = 35% and <70% and / or left ventricular ejection fraction of <= 35%

Exclusion criteria

Exclusion criteria: Lack of written consent - Pregnancy - aortic surgery - stenosis of the carotid artery > 70% - Documented dementia - state after stroke - Lack of knowledge of the German language - Lack of possibility of follow-up studies - Pacemakers or other electrical implants - Claustrophobia (Ban Reason for MR subanalysis) - Coronary (possible reason for exclusion of the MR sub-analysis). This will be decided on an individual basis according to the specifications of the stent manufacturer.

Design outcomes

Primary

MeasureTime frame
Statistically significantly lower postoperative deterioration of neurocognitive function compared with the control group Test methods used: - MoCA (Montreal Cognitive Assessment) - Rey-figure / figure Taylor - CVLT-k (California Verbal Learning Test - short) - TMT A and B - Boston Naming Test (BNT) -. Short form according Th Merten (2004) - Regensburger word liquid test (RWT) - Digit Span forward and backward - Block span

Secondary

MeasureTime frame
- Subclinical, morphological cerebrovascular events compared to baseline based MRI - Intraoperative measures to improve cerebral oxygenation - Duration of hospitalization - Duration intensive stay - Prevalence delirium - Biometric data and vital signs - Euro Core and Simplified Acute Physiology Score (SAPS) III - Hospital mortality

Countries

Germany

Contacts

Public ContactJohannes Hadem

Universitätsklinik für Herz- und Thoraxchirurgie

johannes.hadem@med.ovgu.de+49-391-6714132

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026