Right Ventricular Dysfunction Clinical Trial
Official title:
Utility of Three-dimensional Transesophageal Echocardiography in Right Ventricular Function Assessment in Surgical Aortic Valve Replacement, Mini-sternotomy Aortic Valve Replacement, and Transcatheter Aortic Valve Replacement
Three-dimensional echocardiography has become a gold standard to assess right ventricular (RV) function, and investigators plan to use 3D transesophageal echocardiography to assess RV function in 3 types of aortic valve replacement (AVR): surgical AVR (SAVR), mini-sternotomy AVR (mini AVR), and transcatheter AVR (TAVR).
Objective: Right ventricular (RV) function is known to be a critical factor to determine postoperative outcome in cardiac surgery, and echocardiography plays an important role in RV function assessment. In the previous studies, RV function was reported to be more reduced in surgical aortic valve replacement (SAVR) than transcatheter aortic valve replacement (TAVR), but its assessment was performed by 2-dimensional echocardiography. On the other hand, three-dimensional (3D) echocardiography has been the gold standard to assess RV systolic function (EF: ejection fraction), and its intraoperative use is getting more useful in cardiac surgery given recent technological advance in echocardiography machines. However, realty is that RV function assessment is based on subjective information or traditional RV function indices, mostly due to unfamiliarity of 3D technique. In this study, the investigators plan to evaluate intraoperative RV function assessment by 3D transesophageal echocardiography (TEE). The investigators will compare 3D RV EF with other traditional RV function indices (RV size, Right Ventricular Index of Myocardial Performance (RIMP), RV fractional area change (FAC), peak systolic velocity of the lateral tricuspid annulus (S'), tricuspid annular plane systolic excursion (TAPSE), speckle tracking echocardiography (STE) in SAVR, mini-sternotomy AVR (mini AVR), and TAVR. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT03183414 -
Right Ventricular Dysfunction in Cardiac Surgery Patients
|
||
| Recruiting |
NCT04764032 -
Right Ventricular Dysfunction in Ventilated Patients With COVID-19
|
||
| Not yet recruiting |
NCT05188222 -
Preoperative Maltodextrin's Effect on Cardiac Function in Cardiac Surgery
|
Phase 4 | |
| Completed |
NCT05948332 -
Definition and Management of Right Ventricular Injury in Adult Patients Receiving Extracorporeal Membrane Oxygenation
|
||
| Not yet recruiting |
NCT06002321 -
Right Ventricular Dysfunction in Chronic Heart Failure
|
||
| Recruiting |
NCT03309852 -
Emergency Department Assessment of Right Ventricular Function and Size in the Post Cardiac Arrest Patient
|
||
| Recruiting |
NCT05583461 -
Ventilator-induced Right Ventricular Injury During EIT-based PEEP Titration in Patients With ARDS
|
N/A | |
| Completed |
NCT03438825 -
PRediction of Early PostoperAtive Right vEntricular Failure in Mitral Valve Replacement/Repair Patients
|
||
| Active, not recruiting |
NCT01230294 -
New Echocardiographic Methods for Right Ventricular Function.
|
N/A | |
| Completed |
NCT00557934 -
Right Ventricular Contractility Reserve Following Repair of Tetralogy of Fallot
|
N/A | |
| Completed |
NCT04694378 -
Relationship Between Strain and Stroke Volume in Cardiac Surgery
|
||
| Not yet recruiting |
NCT04167241 -
Right Ventricle Function After Major Right Lung Resection
|
||
| Recruiting |
NCT03013075 -
General Plus Spinal Anesthesia and General Anesthesia Alone on Right Ventricular Function
|
Phase 4 | |
| Completed |
NCT06197256 -
Cardiac Dysfunction in Critically Ill Covid-19 Patients
|
||
| Completed |
NCT03301571 -
Right Ventricular Echocardiography in caRdiac SurgEry
|
N/A | |
| Recruiting |
NCT05860504 -
Acute Cardiac Dysfunction in Critical Illnes
|
||
| Completed |
NCT01093001 -
Tricuspid Regurgitation Study
|
Phase 4 | |
| Recruiting |
NCT05758194 -
Mitigating Post-Op RV Dysfunction After LVAD Implantation
|
N/A | |
| Not yet recruiting |
NCT05768230 -
Using TEE to Evaluate the Effect of Levosimendan on Patients With ARDS Associated With RVD During MV
|
Phase 2/Phase 3 | |
| Not yet recruiting |
NCT05620992 -
Evaluation of Right Ventricular Function Post Mitral Valve Operations
|