Skip to content

Femorofemoral Bypass in Redo Cardiac Surgery

Femorofemoral Bypass in Redo Cardiac Surgery: A Safe and Effective Operative Technique

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03624738
Enrollment
40
Registered
2018-08-10
Start date
2019-01-17
Completion date
2019-03-30
Last updated
2019-01-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Heart Valve Diseases

Keywords

Femoro-femoral bypass

Brief summary

Redo cardiac surgery are becoming more common with a patient population at greater risk. Sternal re-entry poses the hazard of probable injury to vital structures. To minimize the risk associated with sternal re-entry, the investigators adopted the method of establishing femoral artery-femoral vein cardiopulmonary bypass (CPB).

Detailed description

Redo cardiac surgery are more frequent with a patient population at greater risk. Repeat sternal entry poses the risk of possible injury to vital structures. These include laceration of the myocardium, especially the right ventricle, injury of great vessels or crossing coronary bypass grafts as the internal mammary grafts in particular, or dislodgement of emboli from patent vein grafts. To minimize the risk associated with sternal re-entry, the investigators adopted the method of establishing femoral artery-femoral vein cardiopulmonary bypass (CPB) in order to achieve cardiac drain prior to sternotomy. Also, femorofemoral bypass support the hemodynamics in cases of redo emergency cardiac surgery.

Interventions

PROCEDUREProcedure

Patients with redo cardiac surgery 1: femoral artery-femoral vein cardiopulmonary bypass (CPB) in order to achieve cardiac decompression prior to sternotomy. Patients with redo cardiac surgery 2: only conventional aortobicaval cannulation will be used

Sponsors

Assiut University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Femorofemoral bypass in redo cardiac surgery

Eligibility

Sex/Gender
ALL
Age
25 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* 25-65 years old * Patients scheduled for repeat open heart surgery with sternotomy * informed consent has been obtained

Exclusion criteria

* Planned off-pump cardiac surgery * Vascular disease * previous operation on femoral artery * under 25 years of age

Design outcomes

Primary

MeasureTime frameDescription
invasive monitoring of arterial blood pressureBaseline during operationsuitable systolic arterial blood pressure between 50 and 60 mmHg during cardiopulmonary bypass.

Contacts

Primary ContactMohamed mahmoud ahmed, Doctor
mohamedmahmoudclinic@gmail.com01008332462

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026