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Clinical Study of VA-ECMO Remote Limb Re-perfusion Monitoring Technology

Clinical Study of VA-ECMO Remote Limb Re-perfusion Monitoring Technology

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04929873
Enrollment
72
Registered
2021-06-18
Start date
2020-01-01
Completion date
2022-12-31
Last updated
2021-06-18

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

Conditions

Perfusion; Complications

Brief summary

Establish and verify the feasibility and effectiveness of VA-ECMO remote limb re-perfusion monitoring technology.

Detailed description

It is proposed to monitor VA-ECMO arterial end side branch circulation in real time through a set of monitoring equipment, guide clinical adjustment, improve lower limb re-perfusion, reduce the occurrence of lower limb ischemia, in order to achieve the goal of early detection, early prevention and early treatment, and provide reference and theoretical basis for clinical practice. Monitoring techniques are divided into two parts: A. monitoring equipment (connecting transdiotic monitoring pressure on va-ECMO side branches cycle); B.to guide clinical adjustment by monitoring pressure (average arterial pressure).

Interventions

BEHAVIORALClosed transdyser

When the average arterial pressure ≥ 50mmHg, it is indicated that the basic blood supply of the lower extremities is satisfied without special treatment, and when the average arterial pressure \< 50mmHg, it indicates insufficient perfusion, by adjusting the pipe position, changing the ECMO flow rate, and properly clamping the artery end to divert part of the blood flow to the side branch circulation, so that the average arterial pressure is maintained above 50mmHg.

BEHAVIORALRoutine monitor

Obtain oxygen saturation, skin color, temperature, etc

Sponsors

Second Affiliated Hospital, School of Medicine, Zhejiang University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE

Intervention model description

transdynation for real-time pressure monitoring

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Age: adult patients ≥ 18 years of age; * signed ECMO informed consent; * femur vein VA-ECMO treatment; * agreed to establish VA-ECMO side branch cycle; * informed consent to this study.

Exclusion criteria

* a completely closed double lower limb venously before surgery; * amputee

Design outcomes

Primary

MeasureTime frameDescription
Incidence of ischemia Incidence of ischemia1 yearof ischemia in the lower extremities on the side of the tube

Countries

China

Contacts

Primary ContactFei Zeng
zengfei@zju.edu.cn13757119536

Outcome results

None listed

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