Prevention of Colon Ischemia During Aortic Aneurysm (AAA) Repair - Full Text View

Purpose

Patients undergoing surgery on their Aorta can get ischemia, a lack of blood flow, to their intestines and colon. This is very serious, as 2 out of 3 patients who have this problem die before leaving the hospital. A device developed by Spectros, called T-Stat, is approved by the US FDA to detect ischemia, and has been reported to detect ischemia in AAA aneurysm surgery and stenting, allowing the surgeon or interventional radiologist to take action quickly, while the colon ischemia is still treatable.

This purpose of this study is to establish how T-Stat can best be used to prevent deaths.

Condition	Intervention	Phase
Colon Ischemia Aortic Aneurysm	Procedure: Reestablish colon blood flow	Phase III

MedlinePlus related topics:

Aneurysms

ChemIDplus related topics:

Erythromycin Erythromycin estolate Erythromycin ethylsuccinate Erythromycin Gluceptate Erythromycin stearate

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety/Efficacy Study

Official Title:	Prevention of Colon Ischemia During Aortic Aneurysm (AAA) Repair

Further study details as provided by Spectros Corporation:

Primary Outcome Measures:

Detect colon ischemia early [ Time Frame: Just before, and during, surgery or stenting ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:

Allows change in the untreated course of colon ischemia [ Time Frame: 28 days or discharge from hospital ] [ Designated as safety issue: Yes ]

Estimated Enrollment:	500
Study Start Date:	June 2007
Estimated Primary Completion Date:	September 2009 (Final data collection date for primary outcome measure)

Intervention Details:

If ischemia is detected, and the detection in consistent with the physician's clinical view, blood flow to the colon is established using any of the known techniques that would be used had the diagnosis been made in the absence of T-Stat, which include changes in the deployment of stents and/or coils, reanastomosis, reimplantation, or stenting, of obstructed vessels, or other established techniques.

Eligibility

Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Aortic Aneurysm, intact or ruptured
Repair by catheter based stent or by open surgery during monitoring
Patent rectum
Absence of rectal bleeding

Exclusion Criteria:

Lack of informed consent
Rectal bleeding
Obstructed rectum

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00671203

Contacts


Contact: Eugene Lee, MD	916-734-2011	eugenes.lee@ucdmc.ucdavis.edu

Contact: Jason Lee, MD	650-723-4000	jtlee@stanford.edu

Locations


United States, California
	Stanford University Vascular Surgery	Recruiting
	Palo Alto, California, United States, 94305
	Contact: Jason Lee, MD 650-723-4000 jtlee@stanford.edu
	University of California at Davis Medical Center	Recruiting
	Davis, California, United States, 95817
	Contact: Christy Pifer, RN 916-734-4156 christy.pifer@ucdmc.ucdavis.edu

Sponsors and Collaborators

Spectros Corporation

Stanford University

University of California

More Information

Spectros Corporation T-Stat Web Site This link exits the ClinicalTrials.gov site

Publications of Results:

Lee ES, Bass A, Arko FR, Heikkinen M, Harris EJ, Zarins CK, van der Starre P, Olcott C. Intraoperative colon mucosal oxygen saturation during aortic surgery. J Surg Res. 2006 Nov;136(1):19-24. Epub 2006 Sep 15.

Lee ES, Pevec WC, Link DP, Dawson DL. Use of T-Stat to predict colonic ischemia during and after endovascular aneurysm repair: a case report. J Vasc Surg. 2008 Mar;47(3):632-4.

Other Publications:

Friedland S, Benaron D, Coogan S, Sze DY, Soetikno R. Diagnosis of chronic mesenteric ischemia by visible light spectroscopy during endoscopy. Gastrointest Endosc. 2007 Feb;65(2):294-300. Epub 2006 Sep 20.

Benaron DA, Parachikov IH, Friedland S, Soetikno R, Brock-Utne J, van der Starre PJ, Nezhat C, Terris MK, Maxim PG, Carson JJ, Razavi MK, Gladstone HB, Fincher EF, Hsu CP, Clark FL, Cheong WF, Duckworth JL, Stevenson DK. Continuous, noninvasive, and localized microvascular tissue oximetry using visible light spectroscopy. Anesthesiology. 2004 Jun;100(6):1469-75.

Responsible Party:	Clinical Studies Director ( Spectros Corporation )
Study ID Numbers:	AAA-002, NIH DK068927
First Received:	May 1, 2008
Last Updated:	May 2, 2008
ClinicalTrials.gov Identifier:	NCT00671203
Health Authority:	United States: Food and Drug Administration

Keywords provided by Spectros Corporation:

Tissue oximetry

Ischemia

Aortic Aneurysm Repair

Aortic Stent

Vascular Stent

Aortic graft

Vascular graft

Study placed in the following topic categories:

Erythromycin stearate

Aortic Diseases

Erythromycin Estolate

Aneurysm

Erythromycin Ethylsuccinate

Vascular Diseases

Ischemia

Erythromycin

Aortic Aneurysm

Additional relevant MeSH terms:

Pathologic Processes

Cardiovascular Diseases

ClinicalTrials.gov processed this record on October 10, 2008

Sponsors and Collaborators:	Spectros Corporation Stanford University University of California
Information provided by:	Spectros Corporation
ClinicalTrials.gov Identifier:	NCT00671203