Metabolic Syndrome in Patients Undergoing Endovascular Aortic Repair (EVAR)
Study Details
Study Description
Brief Summary
This prospective study aims to identify the prevalence of metabolic syndrome in patients undergoing EVAR and the implications of metabolic syndrome on the postoperative outcome, the major complications, the thromboembolic events and the perioperative mortality and morbidity of the patients undergoing vascular surgery.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
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Detailed Description
Patients scheduled for elective EVAR will be randomly divided in two groups. One group patients with metabolic syndrome and one without.
Metabolic syndrome is defined by the definition of 2009 as:
Increased waist circumflex (>94 cm in men and > 80 cm in women), increased triglycerides or in therapy, decreased HDL (< 40 mg/dl in men and <50mg/dl in women) or in therapy, Increased blood pressure (Systolic Blood Pressure>130 mmHg or Diastolic Blood Pressure>85 mmHg) or in therapy, increased fasting glucose (>100mg/dl) or in therapy.
All the patients will be monitored throughout the perioperative period, at 30 days, 6 and 12 months, and any major or minor complication will be recorded.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Metabolic group Patients with metabolic syndrome undergoing EVAR |
Other: EVAR
Patients undergoing EVAR
|
Control group Patients without metabolic syndrome undergoing EVAR |
Other: EVAR
Patients undergoing EVAR
|
Outcome Measures
Primary Outcome Measures
- Mortality [30 days]
Patients after EVAR who died in 30 days
- Mortality [6 months]
Patients after EVAR who died in 6 months
- Mortality [12 months]
Patients after EVAR who died in 12 months
Secondary Outcome Measures
- Systematic inflammatory response [30 days]
Patients after EVAR that develop Systematic inflammatory response
- Systematic inflammatory response [6 months]
Patients after EVAR that develop Systematic inflammatory response
- Systematic inflammatory response [12 months]
Patients after EVAR that develop Systematic inflammatory response
- Postimplantation syndrome [30 days]
Patients after EVAR that develop Postimplantation syndrome
- Postimplantation syndrome [6 months]
Patients after EVAR that develop Postimplantation syndrome
- Postimplantation syndrome [12 months]
Patients after EVAR that develop Postimplantation syndrome
- Renal insufficiency [30 days]
Patients after EVAR that develop Renal insufficiency
- Renal insufficiency [6 months]
Patients after EVAR that develop Renal insufficiency
- Renal insufficiency [12 months]
Patients after EVAR that develop Renal insufficiency
- Cardiovascular events [30 days]
Incidence of cardiovascular events in patients after EVAR
- Cardiovascular events [6 months]
Incidence of cardiovascular events in patients after EVAR
- Cardiovascular events [12 months]
Incidence of cardiovascular events in patients after EVAR
- Thromboembolic events [30 days]
Incidence of thromboembolic events in patients after EVAR
- Thromboembolic events [6 months]
Incidence of thromboembolic events in patients after EVAR
- Thromboembolic events [12 months]
Incidence of thromboembolic events in patients after EVAR
- Complications of surgical procedure [30 days]
Incidence of Complications of surgical procedure
- Complications of surgical procedure [6 months]
Incidence of Complications of surgical procedure
- Complications of surgical procedure [12 months]
Incidence of Complications of surgical procedure
Other Outcome Measures
- Postoperative delirium (POD) [30 days, 6 and 12 months]
Prevalence of POD in patients undergoing EVAR
Eligibility Criteria
Criteria
Inclusion Criteria:
- elective EVAR
Exclusion Criteria:
-
Patients incapable to give informed consent
-
Pregnancy
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Cancer
-
Systematic Inflammatory disease
-
Use of steroids
-
Emergency surgery
-
Prior ICU admission
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University of Thessaly
Investigators
- Study Chair: Elena Arnaoutoglou, MD, PhD, University of Thessaly
- Study Director: Haralampos Milionis, MD, PhD, University of Ioannina
- Principal Investigator: Konstantina Kolonia, MD, PhD, University Hospital of Larissa
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Metabolic syndrome in EVAR