Unique ID issued by UMIN | UMIN000018877 |
---|---|
Receipt number | R000021312 |
Scientific Title | First Repair Treatment with Transcatheter Closure followed by Pulmonary Vasodilator Therapy in Patients with Pulmonary Arterial Hypertension associated with Atrial Septal Defect |
Date of disclosure of the study information | 2015/09/29 |
Last modified on | 2019/09/05 13:20:45 |
First Repair Treatment with Transcatheter Closure followed by Pulmonary Vasodilator Therapy in Patients with Pulmonary Arterial Hypertension associated with Atrial Septal Defect
First Repair Treatment in ASD Patients with PAH
First Repair Treatment with Transcatheter Closure followed by Pulmonary Vasodilator Therapy in Patients with Pulmonary Arterial Hypertension associated with Atrial Septal Defect
First Repair Treatment in ASD Patients with PAH
Japan |
pulmonary hypertension associated with atrial septal defect patients between 5 and 10 wood units of pulmonary vascular resistance
Cardiology |
Others
NO
Evaluation of efficacy of atrial septal defect transcatheter closure followed by pulmonary vasodilator therapy in pulmonary hypertension patients between 5 and 10 wood units of pulmonary vascular resistance
Efficacy
Pulmonary vascular resistance and pulmonary artery pressure at 12, 24 and 48 weeks after treatment
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine | Maneuver |
Period: 1 year
Dose: Transcatheter Closure one time
Tracleer 125-250mg/day BID
Revatio 60mg/day TID
20 | years-old | <= |
75 | years-old | > |
Male and Female
A.Patients with pulmonary hypertensin associated with ASD.
1. mean pulmonary artery pressure more than 25mmHg and pulmonary vascular resistance more than 5 wood units, under 10 wood units.
2. Reduction of pulmonary vascular resistance by 100% oxygen test.
B.Patients with ASD
1. Defect size of ASD under 38 mm
A.Co-exist of other cause PH (collagen, pulmonary diseases, pulmonary embolism, left heart disease)
B.Co-exist of other congenital heart diseases except for ASD
C.Treatment of PAH-specific drugs(prostacyclin, endothelin receptor antagonist, PDE5 inhibitor, soluble guanylate cyclase stimulator)
D.Eisenmenger syndorome(Qp/Qs<1)
E.Bleeding or risk of bleeding
F.Atrial fibliration
G.Pregnat or possible pregnant woman and lactating woman
H.moderate renal dysfunction (Cre more than 1.5mg/dl)
I.moderate liver dysfunction (AST and ALT more than 2 times normal limit)
J.Hypotension (sBP less than 90mmHg)
K.Low cardiac output (cardiac index under 2.2l/min/m2)
L.LV ejection fraction under 50%
M.hypersensitivity of drugs
N.inadequate patients with whom physician evaluate
8
1st name | Ito |
Middle name | |
Last name | Ito |
Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Department of Cardiovascular Medicine
700-8558
2-5-1, shikata-cho kitaku, okayama city
086-235-7351
itomd@md.okayama-u.ac.jp
1st name | Satoshi |
Middle name | |
Last name | Akagi |
Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Department of Cardiovascular Medicine
700-8558
2-5-1, shikata-cho kitaku, okayama city
086-235-7351
akagi-s@cc.okayama-u.ac.jp
Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Other
okayama university hospital ethics committee
2-5-1,kita-ku, shikata-cho, okayama
086-235-6503
mae6605@adm.okayama-u.ac.jp
NO
2015 | Year | 09 | Month | 29 | Day |
Unpublished
0
Terminated
2015 | Year | 07 | Month | 23 | Day |
2015 | Year | 09 | Month | 15 | Day |
2015 | Year | 09 | Month | 29 | Day |
2019 | Year | 03 | Month | 31 | Day |
2015 | Year | 09 | Month | 01 | Day |
2019 | Year | 09 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021312