Abdominal aortic aneurysm Circulatory System Abdominal aortic aneurysm
Conditions
Interventions
Intervention:
Remote ischaemic preconditioning. After induction of anaesthesia, an inflatable cuff will be used to render each leg ischaemic for ten minutes. The operation will then proceed in the usu
Sponsors
Cambridge University Hospitals NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Any patient undergoing elective endovascular repair of an abdominal aortic aneurysm.
Exclusion criteria
Exclusion criteria: 1. Ankle-brachial pressure index less than 0.7 2. Previous renal transplant 3. Previous renal disease 4. Previous renal replacement therapy 5. Previous endovascular aneurysm repair 6. Baseline serum creatinine more than 150 mmols/l 7. Baseline serum urea more than 20 mmols/l 8. Previous lower limb amputation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Urinary retinol binding protein levels pre- and post-operatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Urinary albumin-creatinine ratios 2. Urinary Tumour Necrosis Factor (TNF), Tumour Necrosis Factor Receptor (TNFR) 1 and TNFR2 3. Serum TNF, TNFR1 and TNFR2 4. Serum creatinine 5. Creatinine clearance 6. Glomerular filtration rate 7. Cardiac index as measured by the LiDCO system 8. Peripheral vascular resistance as measured by the LiDCO system 9. Ischaemia detected on 12-lead electrocardiogram | — |
Countries
United Kingdom
Outcome results
None listed