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Ischemia clinical trials

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NCT ID: NCT04508608 Completed - Clinical trials for Ischemic Cardiomyopathy

Scintigraphic Evaluation of Contractile and Coronary Reserve in Patients With Ischemic Cardiomyopathy

SciCoRIC
Start date: September 1, 2018
Phase:
Study type: Observational

According to single-photon emission computed tomography, the left ventricular contractile and coronary flow reserve (CFR) will be assessed in patients with ischemic cardiomyopathy. According to these data, the criteria for predicting the effectiveness of complex surgical treatment of this pathology will be evaluated.

NCT ID: NCT04493983 Completed - Oxidative Stress Clinical Trials

Role of Oxidative Stress in Ovarian Tissue After CO2-pneumoperitoneum Application-induced I/R

Start date: September 1, 2019
Phase: N/A
Study type: Interventional

Because of cellular changes in response to ischemia and a following period of reperfusion, damages to organs and different tissues occur. There are several ongoing studies to enlighten the pathophysiological processes underlying these damages inflicted by ischemia/reperfusion. Gases (CO2) with low water content are used in pneumoperitoneum, which is a procedure to inflate the abdominal cavity with an appropriate gas for laparoscopic operations. In the current literature, it was shown that due to a restricted blood flow during the gas insufflation, ischemia develops and with the reperfusion of the organ in deflation period, oxidative stress and inflammation increases, leading to ischemia/reperfusion-related organ and tissue damages. In the proposed study, biomarkers for ischemia/reperfusion-inflicted damage will be evaluated in a biochemical and histopathological perspective in biopsy samples of ovaries from a young patient group in which hysterectomy and bilateral salpingo-oophorectomy will be performed, laparoscopically.

NCT ID: NCT04490408 Completed - Clinical trials for Critical Lower Limb Ischemia

Surgical Bypass Versus Hybrid Approaches for Critical Limb Ischemia

Start date: September 20, 2014
Phase: N/A
Study type: Interventional

The present randomized study proposed to compare the immediate postoperative and 2-year clinical outcomes of long surgical bypass and hybrid approaches in patients with multilevel critical lower limb ischemia.

NCT ID: NCT04488913 Completed - Myocardial Ischemia Clinical Trials

Rapid Acute Coronary Syndrome Exclusion Using High-sensitivity I Troponin

RACE-IT
Start date: July 29, 2020
Phase: N/A
Study type: Interventional

As part of the planned implementation of a new clinical pathway using hs-cTnI, the investigators will measure patient outcomes and clinical processes in a real-world scenario throughout an integrated health system across 9 emergency departments (ED).

NCT ID: NCT04479813 Completed - Clinical trials for Central Sympathetic Nervous System Diseases

Role of Sympathetic Activation in Ischemia Reperfusion Injury

Start date: July 8, 2015
Phase: Phase 4
Study type: Interventional

This study is designed to assess the effect of forearm ischemia-reperfusion injury on sympathetic nerve activity. To determine whether reduced sympathetic responsiveness is a contributor to the protective effects of remote ischemic preconditioning. In addition it will assess whether pharmacologic inhibition of the sympathetic nervous system can ameliorate ischemia reperfusion injury induced endothelial dysfunction.

NCT ID: NCT04479449 Completed - Ischemic Stroke Clinical Trials

Efficacy and Safety of SP-8203 in Patients With Ischemic Stroke Requiring rtPA

SP-8203-2002
Start date: March 18, 2019
Phase: Phase 2
Study type: Interventional

This clinical trial is designed to evaluate the efficacy and safety of the combination therapy of SP-8203 (Otaplimastat) and recombinant tissue Plasminogen Activator (rtPA) standard of care. In this clinical trial, rtPA will be injected intravenously using an infusion device. If reperfusion is not occur in spite of rtPA therapy, endovascular therapy can be performed.

NCT ID: NCT04475328 Completed - Clinical trials for Acute Ischemic Stroke

Efficacy and Safety of AngongNiuhuang Pill in Patients With Acute Ischemic Stroke (ANGONG TRIAL)

Start date: October 1, 2020
Phase: Phase 3
Study type: Interventional

AngongNiuhuang pill has obvious effects on the cardiovascular and cerebrovascular diseases. Pharmacological experiments confirmed that AngongNiuhuang pill can protect blood-brain barrier, inhibit capillary permeability, improve the tolerance of cerebral ischemia and hypoxia, reduce oxidative stress injury, thus protecting brain tissue. Clinical studies have also confirmed that AngongNiuhuang pill can increase the GCS score, reduce coma, improve nerve function defect and promote nerve function recovery. The primary purpose of this trial was to evaluate the difference in the volume of cerebral infarction and cerebral edema between Angong Niuhuang pill and placebo in patients with ischemic stroke at 14 days compared with the baseline.

NCT ID: NCT04465669 Completed - Clinical trials for Coronary Heart Disease

Heterogeneity of Neointimal Healing Following Biodegradable-polymer Drug-Eluting Coronary Stent Implantation

Healing
Start date: January 13, 2020
Phase: N/A
Study type: Interventional

The objective of this study is a comparative evaluation of Orsiro stent and of Resolute Integrity stent in terms of the extent of neointima formation at 4 months after implantation using optical coherence tomography (OCT).

NCT ID: NCT04465526 Completed - Myocardial Ischemia Clinical Trials

The Influence of Coronary Chronic Total Occlusion on Myocardial Perfusion on Computed Tomography

COPACABANA
Start date: February 1, 2020
Phase:
Study type: Observational

The COPACABANA study is designed as a single-centre, open, prospective trial aimed to assess the influence of coronary chronic total occlusion (CTO) on downstream myocardial ischemia via the novel computed tomography perfusion (CTP) imaging technique. To this end, consecutive patients with CTO of a major coronary artery scheduled to undergo percutaneous recanalization of occluded coronary artery based on clinical grounds, will undergo stress CTP using state-of-the-art dual-energy CT scanner at 2 time points (before and 3 months after successful restoration of flow in the CTO vessel).

NCT ID: NCT04463563 Completed - Cardiac Surgery Clinical Trials

Cerebral Oximetry in Cardiac Surgery to Reduce Neurological Impairment and Hospital Length-of-stay

Start date: February 1, 2011
Phase: N/A
Study type: Interventional

Cerebral oximetry using near-infrared spectroscopy (NIRS) has been shown to reduce the incidence of neurological dysfunction and hospital length-of-stay in adult cardiac surgery though not all studies agree. A previous audit using cerebral saturations at or above baseline showed improved neurological and length-of-stay outcomes.