Cardiopulmonary Surgery, Endocarditis, Peri-operative Cytokines Levels
Conditions
Keywords
cytokine clearance, cardiac surgery, CytoSorb, cytokine removal
Brief summary
Cardiopulmonary surgery is associated with inflammatory responses that can lead to systemic inflammatory responses (SIRS), organ dysfunction (MOD) and death especially in patients with endocarditis. Cytokine removal might therefore improve outcomes of patients undergoing cardiac surgery. CytoSorb is a device designed to remove cytokine (IL-6, IL-10, TNFalpha) from the blood to reduce immune reactions. This trial investigates the use of CytoSorb during cardiac surgery in patients with endocarditis at the University Hospital Basel.
Interventions
CytoSorb® cartridges contain biocompatible sorbent polystyrene divinylbenzene beads coated with polyvinylpyrrolidone, capable of removing inflammatory molecules (eg Interleukin). The cartridge is inserted in a cardio-pulmonary bypass circuit to remove inflammatory molecules during cardiac surgery .
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with endocarditis undergoing cardiac surgery with cardio-pulmonary bypass circuit
Exclusion criteria
* denial of consent for data use
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| In-Hospital mortality | during hospital stay for cardiac surgery from admission until discharge (approximately 15 days) | In-Hospital mortality (number of deaths) of patients with endocarditis undergoing cardiac surgery and intra-operative CytoSorb haemoadsorption |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| time in intensive care unit (days) | during hospital stay for cardiac surgery from admission until discharge (approximately 15 days) | time in intensive care unit (days) |
| In-Hospital time (days) | hospital stay for cardiac surgery from admission until discharge (approximately 15 days) | In-Hospital time (days) |
Countries
Switzerland