At a glance
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Remote Ischemic Preconditioning for Carotid Endarterectomy
In Brief
A clinical study evaluating Remote Ischemic Preconditioning for Carotid Stenosis and Endarterectomy, Carotid. Completed, enrolled 86 participants across 1 site.
Detailed Summary
This is a randomized controlled trial designed to test an intervention (Remote ischemic preconditioning) in patients undergoing carotid endarterectomy (CEA) for carotid artery stenosis (CAS). The outcomes of interest include neurocognitive function, cardiac complications, and biomarkers of brain ischemia.
Study Details
Timeline
Interventions
Those randomized to RIPC will undergo a standard protocol of 4 cycles of 5 minutes of forearm ischemia with 5 minutes of reperfusion requiring 35 minutes for an application. Forearm ischemia will be induced by a blood pressure cuff inflated to 200mmHg or at least 15mmHg higher than the systolic pressure if systolic \> 185mmHg or until the radial pulse is obliterated. This can occur during anesthesia induction and incision/dissection prior to manipulation or clamping of the carotid.