Study of Alpha-blockers Alone During Preoperative Preparation in Patients With Pheochromocytoma
Study Details
Study Description
Brief Summary
Study of the relationship between hemodynamic stability and preoperative intravenous rehydration in patients with pheochromocytoma
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
All patients were subclassified into either the hemodynamic stability group (HS group) or the hemodynamic instability group (HU group) according to whether intraoperative hemodynamic instability occurred. Differences in data between the two groups were examined, and the risk factors for intraoperative hemodynamic instability were analyzed using logistic regression.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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No Intervention: PXB combined with venous dilation group Use of PXB combined with intravenous volume expansion during preoperative preparation in patients with pheochromocytoma |
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Experimental: PXB group PXB alone during preoperative preparation in patients with pheochromocytoma |
Drug: Abandonment of intravenous volume expansion during preoperative preparation in patients with pheochromocytoma
Abandonment of intravenous volume expansion with alpha-blockers during preoperative preparation in patients with pheochromocytoma
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Outcome Measures
Primary Outcome Measures
- intraoperative mean arterial pressure [During surgery]
an intraoperative mean arterial pressure <60 mmHg is considered to be hemodynamically unstable
Eligibility Criteria
Criteria
Inclusion Criteria:
Clinical diagnosis of adrenal pheochromocytoma Must be able to swallow tablets
Exclusion Criteria:
Bilateral or multiple pheochromocytomas. Ectopic pheochromocytoma
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Kunwu Yan,MM
Investigators
- Principal Investigator: kunwu yan, Master, Handan First Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
- Bihain F, Nomine-Criqui C, Guerci P, Gasman S, Klein M, Brunaud L. Management of Patients with Treatment of Pheochromocytoma: A Critical Appraisal. Cancers (Basel). 2022 Aug 9;14(16):3845. doi: 10.3390/cancers14163845.
- Challis BG, Casey RT, Simpson HL, Gurnell M. Is there an optimal preoperative management strategy for phaeochromocytoma/paraganglioma? Clin Endocrinol (Oxf). 2017 Feb;86(2):163-167. doi: 10.1111/cen.13252. Epub 2016 Oct 24.
- Meijs AC, Snel M, Corssmit EPM. Pheochromocytoma/paraganglioma crisis: case series from a tertiary referral center for pheochromocytomas and paragangliomas. Hormones (Athens). 2021 Jun;20(2):395-403. doi: 10.1007/s42000-021-00274-6. Epub 2021 Feb 11.
- Randle RW, Balentine CJ, Pitt SC, Schneider DF, Sippel RS. Selective Versus Non-selective alpha-Blockade Prior to Laparoscopic Adrenalectomy for Pheochromocytoma. Ann Surg Oncol. 2017 Jan;24(1):244-250. doi: 10.1245/s10434-016-5514-7. Epub 2016 Aug 25.
- 202303-1