Cardiovascular disease requiring surgery with cardiopulmonary bypass.
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients who are between 20 and 65 years of age at the time of consent 2) Patients who have given a sufficient explanation of their participation in this study, and who have given written consent of their own free will based on a thorough understanding of the study. 3) Patients with an American Society of Anesthesiologists pre-anesthesia risk assessment of 4 or less (ASA classification 1: no organic, physiological, biochemical, or psychiatric abnormalities; 2: mild to moderate systematic disorder; 3: severe systematic disorder; 4: severe systematic disorder that is life-threatening and may not be curable even if surgery is performed; 5: severe systematic disorder that is life-threatening; 6: severe systematic disorder that is not curable even if surgery is performed; 7: severe systematic disorder that is not curable even if surgery is performed; 8: severe systematic disorder that is not curable even if surgery is performed. 5: A dying condition.)
Exclusion criteria
Exclusion criteria: 1) Patients with cancer or a history of surgery for malignant tumors 2) Patients with poorly controlled diabetes mellitus (HbA1c > 8.0%) 3) Patients with severe renal dysfunction (eGFR < 30%) 4)Patients with severe hepatic dysfunction (Child-Pugh C) 5) Patients taking steroids 6)Patients with inflammatory disease or infectious symptoms (surgical procedure for infective endocarditis) 7)Cases in which CPB is driven again, cases of circulatory arrest, and cases in which aortic blockade is not performed 8) Emergency surgery cases 9) Other patients deemed inappropriate as research subjects by the principal investigator 10) Patients who refuse to participate in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in plasma cytokines before and after use of cardiopulmonary bypass. | — |
Secondary
| Measure | Time frame |
|---|---|
| Investigation of proliferative, invasive and metastatic potential of pancreatic cancer cells using blood samples before and after the use of cardiopulmonary bypass. | — |
Countries
Japan
Contacts
Nihon University School of Medicine Department of Anesthesiology