Vascular Surgery
Conditions
Keywords
ATORVASTATIN, VASCULAR SURGERY, CARDIOVASCULAR OUTCOMES
Brief summary
This study is designed to determine if the use of atorvastatin (Lipitor), a member of the HMG coA reductase inhibitor class of drugs referred to as statins, will reduce cardiovascular outcomes ( mortality - myocardial infarction - stroke ) when given in high doses in comparative standard doses in the perioperative period of major vascular surgery. Abdominal aortic aneurysm , Carotid endarterectomy , Revascularization of lower limbs
Interventions
Atorvastatin 80 mg; Use Atorvastatin for 60 days , and the vascular surgery will be made between day-7 and day-60
Sponsors
Study design
Eligibility
Inclusion criteria
* Vascular surgery (abdominal aortic aneurysm , carotid endarterectomy , limbs revascularization)
Exclusion criteria
* Pregnant or lactating women * Patient with sensitivity to atorvastatin * Patient has elevations in certain laboratory values (CK, AST, ALT) * Known history of active hepatic disease or known hepatic insufficiency * Patients participating in another clinical trial * Prior statin therapy to include: \>10 mg of atorvastatin (Lipitor) or \>20 mg of other HMG-CoA Reductase Inhibitors (statins) or use rosuvastatin * Serious infectious disease after surgery * Known history of cancer
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| mortality ; myocardial infarction ; stroke | within 90 days after surgery |
Secondary
| Measure | Time frame |
|---|---|
| Safety of atorvastatin through laboratory assessment | within 24h before surgery |
| Change and percent change from baseline to the surgery of treatment for LDL-C, HDL-C, TC, and TG for subjects | within 24h before surgery |
| Change and percent change from baseline to the surgery of treatment for hs-CRP | within 24h before surgery |
Countries
Brazil