Thoracoabdominal aortic aneurysm MedDRA version: 17.1 Level: PT Classification code 10002882 Term: Aortic aneurysm System Organ Class: 10047065 - Vascular disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1 Age = 18 years 2 Ability to provide written informed consent 3 Patient underwent surgery for thoraco-abdominal aortic aneurysmectomy with need for renal perfusion Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 30 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 60
Exclusion criteria
Exclusion criteria: 1 Patients who have participated in a drug trial in the previous three months 2 Intervention under emergency / urgency 3 Patient uncooperative and / or mental changes 4 Referred allergy or intolerance to the study drug 5. Any contraindication shown on the Summary of Product Characteristics (SPC) of the study drugs Patient 6 in renal replacement treatment (dialysis) at the time of 7 Women who are pregnant or breast-feeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: ASSESSING THE EFFECTIVENESS OF RENAL PERFUSION WITH CUSTODIOL IN REDUCING THE RENAL DAMAGE AFTER SURGICAL;Secondary Objective: ASSESSING VALIDITY 'BIOMARKER OF SERUM AND URINE FROM KIDNEY DAMAGE SUB-CLINICAL AND CLINICAL POST-ISCHEMIC;Primary end point(s): Make a significant reduction of acute renal failure (AKI - Defined according to the diagram 2013.9 KDIGO see Table 1) in postoperative surgical patients who receive renal perfusion with respect to Custodiol those who receive standard perfusion with Ringer's lactate solution ;Timepoint(s) of evaluation of this end point: 28 DAYS | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • perioperative trend (from the preoperative to the sixth postoperative day) of the estimated glomerular filtration rate (eGFR) calculated on a daily basis using the formula Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) 10 between the two groups of renal perfusion • identify independent predictors of postoperative acute renal failure • length of stay in the Intensive Care Unit (ICU) • in-hospital length of stay • In-hospital mortality, 28-day and one year after surgery. ;Timepoint(s) of evaluation of this end point: • perioperative trend (from the preoperative to the sixth postoperative day) of the estimated glomerular filtration rate (eGFR) calculated on a daily basis using the formula Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) 10 between the two groups of renal perfusion • identify independent predictors of postoperative acute renal failure (28 days) • length of stay in the Intensive Care Unit (ICU) (60 days) • in-hospital length of stay (60 days) • In-hospital mortality, 28-day and one year after surgery. | — |
Countries
Italy
Contacts
Ospedale San Raffaele