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Trial registered on ANZCTR
Registration number
ACTRN12619000137190
Ethics application status
Approved
Date submitted
23/01/2019
Date registered
30/01/2019
Date last updated
15/09/2020
Date data sharing statement initially provided
30/01/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Three-stages assessment of coronary artery bypass grafts patency by intraoperative
transit time flow measurement
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Scientific title
Evaluation of coronary artery bypass grafts by intraoperative
transit time flow measurement in three stages; on the resting heart, on beating heart, after heparin inactivation.
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Secondary ID [1]
297163
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Coronary artery bypass grafting patency
311195
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Condition category
Condition code
Surgery
309815
309815
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0
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Other surgery
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Cardiovascular
309925
309925
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0
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Coronary heart disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A randomized study comparing two groups of patients undergoing coronary artery bypass grafting (CABG) at our institute, where patient first group underwent transit time flow measurements (TTFM) of all bypass grafts using the VeriQ system (MediStim Inc., Oslo, Norway). The TTFM values of all grafts were recorded intra-operatively in three stages: 1. Immediately after performing of the all distal anastomoses (with proximal snare on target corfonary artery and without it), 2. after the patient was weaned from cardiopulmonary bypass and the hemodynamic condition was assessed as being stable, 3. after heparin inactivation, before chest closure.
Materials: Two hundred patients listed for CABG
Procedures: All CABGs were performed through a median sternotomy during cardiopulmonary bypass. Full heparinization was given.
Who: heart surgeon with 10 years experience
Mode of delivery: face to face
Number of times: twice / week
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Intervention code [1]
313423
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Treatment: Surgery
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Comparator / control treatment
Standart CABG without routinely underwent TTFM
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Control group
Active
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Outcomes
Primary outcome [1]
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The effect three-stages TTFM on a number grafts revised. All measurement will performe using a TTFM (VeriQ System, Medistim, Oslo, Norway). Based on graft diameter, either 3 or 4 mm, a flow probe was used for flow measurement. Flow parameters recorded in this study included mean graft flow, pulsatility index and diastolic filling. The flow parameters were recorded after waveform of graft flow and values became stable. First measure will be done when all distal anasamoses will be performed, during heart in arrest (free bypass grafts will be connected to arterial canula on cardio-pulmonary bypass during thise measure). Also first measure will be done with proximal snare on target corfonary artery and without it, Second measure will be done after all proximal anasamoses will be completed and after weaning from cardio-pulmonary bypass, Third measure will be done after protamine, and immediately before chest closure.
Abnormal flowmetery was considered to be present with a pulsatility index of more than 5 and the shape of the waveform with a spikes. This is indications for grafts revised.
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Assessment method [1]
318774
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Timepoint [1]
318774
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Intraoperatively,
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Primary outcome [2]
318775
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The effect three-stages TTFM on major adverse cardiac events (MACE) (which are death from any cause, myocardial infarction [MI], or unplanned revascularization for ischemia). This outcome is assessed by data-linkage to medical records.
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Assessment method [2]
318775
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Timepoint [2]
318775
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all 30-day
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Secondary outcome [1]
366001
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The effect three-stages TTFM on major adverse cardiac events (MACE) (which are death from any cause, myocardial infarction [MI], or unplanned revascularization for ischemia). This outcome is assessed by data-linkage to medical records.
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Assessment method [1]
366001
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Timepoint [1]
366001
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at 1 and 3 year after operation
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Secondary outcome [2]
366002
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The effect three-stages TTFM on grafts patency by Computed Tomographic Angiography
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Assessment method [2]
366002
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Timepoint [2]
366002
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at 1 and 3 years after operation
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Eligibility
Key inclusion criteria
coronary artery disease
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Concomitant surgery (valve surgery, aorta surgery)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/02/2019
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Actual
1/02/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/09/2025
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Actual
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Sample size
Target
300
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Accrual to date
87
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Final
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Recruitment outside Australia
Country [1]
21224
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Russian Federation
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State/province [1]
21224
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Funding & Sponsors
Funding source category [1]
301715
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Government body
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Name [1]
301715
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Department of Health
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Address [1]
301715
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Russia, Tomsk city, Kirov Avenue 41, postcode 634041
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Country [1]
301715
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Russian Federation
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Primary sponsor type
Government body
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Name
Federal State Budgetary Scientific Institution “Tomsk National Research Medical Center of the Russian Academy of Sciences”
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Address
Russia, Tomsk city, Cooperative street 5,postcode 634009
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Country
Russian Federation
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Secondary sponsor category [1]
301488
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None
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Name [1]
301488
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None
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Address [1]
301488
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None
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Country [1]
301488
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
302436
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Ethics committee of Federal State Budgetary Scientific Institution “Tomsk National Research Medical Center of the Russian Academy of Sciences”
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Ethics committee address [1]
302436
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Russia, Tomsk city, Cooperative street 5,postcode 634009
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Ethics committee country [1]
302436
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Russian Federation
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Date submitted for ethics approval [1]
302436
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Approval date [1]
302436
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01/03/2017
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Ethics approval number [1]
302436
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Summary
Brief summary
Intraoperative graft failure is a potentially avoidable major
cause of cardiac morbidity and mortality and occurs in up to
3% of grafts (8% of patients) after coronary artery bypass
grafting. At present, transit-time flow measurement (TTFM) is the most
common intraoperative method for assessing graft function. Our randomized study using the VeriQ system allows to verify the adequacy of the grafts patency at all stages of the operation. In this way the TTFM values of all grafts were recorded intra-operatively in three stages: 1. Immediately after performing of the all distal anastomoses (with proximal snare on target corfonary artery and without it), 2. after the patient was weaned from cardiopulmonary bypass and the hemodynamic condition was assessed as being stable, 3. after heparin inactivation, before chest closure. This allows to control the grafts functionality after performing of each anastomosis and correct the surgical error immediately, without restoring repeat cardiac arrest.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Zatolokin Vasily Viktorovich
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Address
90234
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Russia, Tomsk, Kievskaya street 111A.
Federal State Budgetary Scientific Institution “Tomsk National Research Medical Center of the Russian Academy of Sciences”.
Director academician Popov Sergey Valentinovich
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Country
90234
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Russian Federation
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Phone
90234
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+79138490545
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Fax
90234
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Email
90234
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[email protected]
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Contact person for public queries
Name
90235
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Dr Zatolokin Vasily Viktorovich
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Address
90235
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Russia, Tomsk, Kievskaya street 111A.
Federal State Budgetary Scientific Institution “Tomsk National Research Medical Center of the Russian Academy of Sciences”.
Director academician Popov Sergey Valentinovich
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Country
90235
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Russian Federation
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Phone
90235
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+79138490545
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Fax
90235
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Email
90235
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[email protected]
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Contact person for scientific queries
Name
90236
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Dr Zatolokin Vasily Viktorovich
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Address
90236
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Russia, Tomsk, Kievskaya street 111A.
Federal State Budgetary Scientific Institution “Tomsk National Research Medical Center of the Russian Academy of Sciences”.
Director academician Popov Sergey Valentinovich
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Country
90236
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Russian Federation
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Phone
90236
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+79138490545
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Fax
90236
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Email
90236
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
all of the individual participant data collected during the trial
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When will data be available (start and end dates)?
Immediately following publication, no end date.
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Available to whom?
anyone who wishes to access it
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Available for what types of analyses?
any purpose
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How or where can data be obtained?
access subject to approvals by Principal Investigator
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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