Vitamin c Vitamine c Ascorbic acid Ascorbinezuur Vascular surgery Vaatchirurgie Revascularisation Revascularisatie Wound healing Wond genezing Fontaine IIb
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Planned open arterial revascularisation on 1 or 2 legs Age > 18 yrs Vascular disease fontaine IIb or higher
Exclusion criteria
Exclusion criteria: Age < 18yrs. Hyperoxaluria. Patients on dialysis. Paroxismal nocturnal haemoglobinuria. G6P deficiency. Recurrent kidney stones. Hemochromatosis. Hemosiderosis. Usage of deferoxamine (in the past). Immunological disease. Pregancy. Bilateral surgery, other than the revascularisation. Intolerance for study medication. Mentally incompetent patients. Previous participation in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improved woundhealing in 30 days in patients with an open revascularisation of the lower extremities after treatment with 4 dosages of 2 grams ascorbic acid on 4 consecutive days. (First dosage 1 hour preoperative) | — |
Secondary
| Measure | Time frame |
|---|---|
| Relation between the ascorbicacid bloodlevel and the reduction in wound surface area of the primary surgical wound 4 weeks post-surgery. Reduction in wound surface area of a secondary wound (pre-surgical existing) 4 weeks post-surgery (corrected for baseline ascorbicacid level) Decreasing the incidence of woundinfections of the surgical wound within 30 days post-surgery(corrected for baseline ascorbicacid level) Reduction of hospital stay (corrected for baseline ascorbicacid level) Reduction of the number of readmissions within 30 days post-surgery(corrected for baseline ascorbicacid level) Reduction of the number of 'all cause complications' within 30 days post-surgery (corrected for baseline ascorbicacid level) Reduction of mortality within 30 days post-surgery (corrected for baseline ascorbicacid level) Reduction of the time till median wound surface area healing in case the wounds in both groups are fully closed within 30 days post-surgery. (corrected for baseline ascorbicacid level) | — |
Contacts
Meander Medisch Centrum - Klinische Farmacie