About this trial
Congenital heart defects affect 1 in 100 births in France, with rising prevalence due to better care. Despite improved survival, 40% of children post-surgery face neurological impairments, and some of them show brain lesions. Causes include heart defects, genetic syndromes, and surgeries. Some heart defects and support systems increase cerebral risks. Monitoring cerebral perfusion is difficult to assess but emerging ultrafast ultrasound offers real-time, non-invasive blood flow insights.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Every patient under 2 years old any sex or gender hospitalised in the congenital heart disease unit of the intensive care and anaesthesia for cardiovascular surgery, CHU de Bordeaux.
Open anterior fontanella
congenital heart disease
cardiac shock necessitating mechanical circulatory support.
Disqualifiers
Anechoic
Allergy to echocardiography gel.
Trial population
Every patient, under two years old, receiving a transcranial Doppler in routine care in our CHD unit of intensive care and anaesthesiology for cardiovascular surgery department.
Trial design
Cohort
Prospective
Treatments tested in this trial
Ultrafast ultrasound (UFUS)
Other interventionUltrafast ultrasound imaging(UFUS), ultrasound images at a very high rate, using a Verasonics system (ultrasound open platform).
Treatment groups
Trial outcomes
Primary outcomes
Cerebral blood volume variation
Depending on stage of medico-surgical treatment
Cerebral blood volume variation
Depending on hemodynamic or ventilatory situation, and exposure to vasoactive or neuroactive drugs.
Secondary outcomes
Evolution of Arterial blood pressure
Evolution of central venous blood pressure
Evolution of left atrial pressure
Evolution of SpO2
Sponsors and contacts
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