Abdominal Aortic Aneurysm
Conditions
Brief summary
To investigate the influence of limb remote ischemic preconditioning (LRIP) on mortality, hospitalization costs and quality of life in patients undergoing open infrarenal abdominal aortic aneurysm (AAA) repair.
Detailed description
Remote ischaemic preconditioning may confer the cytoprotection in critical organs. The investigators have revealed that limb remote ischemic preconditioning (RIPC) would reduce intestinal and pulmonary injury in patients undergoing open infrarenal abdominal aortic aneurysm (AAA) repair.Few groups have investigated the long term influence of limb remote ischemic preconditioning.Therefore, the investigators evaluated the impact of limb remote ischemic preconditioning on mortality, hospitalization costs and quality of life during elective abdominal aortic aneurysm repair in a prospective, randomized, controlled, single blind setting.
Interventions
LRIP consisted of three cycles of left upper limb ischemia induced by inflating a blood pressure cuff on the left upper arm to 200mmHg, with an intervening 5 minutes of reperfusion, during which time the cuff was deflated
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis of abdominal aortic aneurysm * Must be received open abdominal aortic aneurysm repair
Exclusion criteria
* age \>80 years old * Acute coronary syndrome or myocardial infraction within 3 months * Chronic obstructive pulmonary emphysema * angina pain within 48 hours of repair procedure * ejection fraction less than 40% * poor pulmonary function (PaO2 \<60mmHg)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| all cause mortality | one year |
Secondary
| Measure | Time frame |
|---|---|
| hospitalization costs | 30 days after operation |