Unique ID issued by UMIN | UMIN000007558 |
---|---|
Receipt number | R000008927 |
Scientific Title | Effectiveness of Bio Glue in reinforcing the aortic stump of acute aortic dissection |
Date of disclosure of the study information | 2012/03/23 |
Last modified on | 2017/10/02 09:02:48 |
Effectiveness of Bio Glue in reinforcing the aortic stump of acute aortic dissection
Effectiveness of Bio Glue in reinforcing the aortic stump of acute aortic dissection
Effectiveness of Bio Glue in reinforcing the aortic stump of acute aortic dissection
Effectiveness of Bio Glue in reinforcing the aortic stump of acute aortic dissection
Japan |
Acute aortic dissection
Cardiovascular surgery |
Others
NO
We evaluate the effectiveness of Bio Glue in reinforcing the aortic stump of acute aortic dissection at the point of anastomotic leakage to the false lumen.
Safety,Efficacy
Confirmatory
Pragmatic
Not applicable
Anastomotic leakage to the false lumen
Evaluation of effectiveness
Intraoperative bleeding
Operation time
Circuratory arrest time
Time for hemostasis
Transfusion
Maximal diameter of aortic arch at one year after operation
Evaluation of safety
Operative mortality
Stroke, paraplegia, embolization
anastomotic lealage,deformation at one year after operation
Aortic event
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
NO
2
Treatment
Medicine |
In acsending aortic replacement for acute aortic dissection, we focused on the distal anastomosis. After establishment of extracorporeal circulation and selective cerebral perfusion, we reinforce the dissected distal aortic stump as follows;
Bio Glue group
We inject Bio Glue to the false lumen under circulatory arrest for five miutes. Thereafter standard aortic stump formation is performed. Interrupted horizontal mattress sutures fix the Teflon felt strips which are placed both side of aortic wall. Then a prosthetic graft is anastomosed by 3-0 porypropyrene sutures.
Standard method group
Interrupted horizontal mattress sutures fix the Teflon felt strips which are placed both side of aortic wall. Then a prosthetic graft is anastomosed by 3-0 porypropyrene sutures.
Not applicable |
Not applicable |
Male and Female
Emergent surgery for Stanford type A acute aortic dissection
(1)all age, male and female
(2)dissection extend to descending aorta
(3)Patients' consent
inappropriate patients depend on doctor's judgement
80
1st name | |
Middle name | |
Last name | Keiji Uchida |
Yokohama City University Medical Center
cardiovascular surgery
4-57 Urafune-cho, Minami-ku, Yokohama City, 232-0024, Japan
045-261-5656
uchida@urahp.yokohama-cu.ac.jp
1st name | |
Middle name | |
Last name | Keiji Uchida |
Yokohama City University Medical Center
cardiovascular surgery
4-57 Urafune-cho, Minami-ku, Yokohama City, 232-0024, Japan
045-261-5656
uchida@urahp.yokohama-cu.ac.jp
Yokohama City University Medical Center
None
Self funding
NO
横浜市立大学附属市民総合医療センター(神奈川県)
2012 | Year | 03 | Month | 23 | Day |
Published
Completed
2012 | Year | 01 | Month | 10 | Day |
2012 | Year | 03 | Month | 01 | Day |
2016 | Year | 12 | Month | 01 | Day |
2012 | Year | 03 | Month | 23 | Day |
2017 | Year | 10 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008927