Elective Coronary Artery Bypass Graft Surgery
Conditions
Keywords
reperfusion damage
Brief summary
There is evidence that inflammatory processes may play a key role during surgical myocardial reperfusion. The hypothesis of this study is that colchicine, an anti-inflammatory agent, may lead to reduction in periprocedural infarct size, when administered during elective coronary artery bypass graft surgery.
Interventions
colchicine p.os 0.5 mg bid for two days before undergoing elective CABG surgery and eight days after the operation
Sponsors
Study design
Eligibility
Inclusion criteria
* The study will enroll patients 18 years old or older who are eligible to undergo CABG surgery.
Exclusion criteria
Excluded are patients: * with age \> 80 years old * scheduled for concomitant valve surgery * scheduled for coronary surgery without cardiopulmonary bypass * with peripheral vascular disease affecting the upper limbs * with acute coronary syndrome within the previous 4 weeks * on inotropic or mechanical circulatory support before induction of anaesthesia * with any disorder that could potentially increase preoperative cTnI concentrations (eg, percutaneous coronary intervention within the previous 6 weeks) * with active inflammatory diseases, infectious diseases or known malignancy * under treatment with corticosteroids, anti-inflammatory agents or disease modifying agents * with known hypersensitivity-allergy to colchicine * under chronic treatment with colchicine * with severe renal failure (eGFR \< 35 ml/min/1.73 m2) * with hepatic failure (Child - Pugh class B or C)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Myocardial damage marker levels | Days 1-2 post-CABG |
Secondary
| Measure | Time frame |
|---|---|
| All cause mortality | At one and at six months after CABG |
Countries
Greece