Impact of Del Nido Versus Blood Cardioplegia on Myocardial Viability Assessed With Magnetic Resonance Imaging

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorKlinički Bolnički Centar Zagreb

About this trial

Myocardial protection during surgical myocardial revascularization is crucial for reducing perioperative myocardial injury and improving postoperative outcomes. Blood cardioplegia represents the standard method in many centers, while del Nido cardioplegia, originally developed for the pediatric population, is increasingly being used in adult patients as well.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

Left ventricular ejection fraction <30%

Associated cardiac procedures

Off-pump coronary artery bypass grafting

Contraindications for MRI

Trial design

Design model

Parallel

Treatments tested in this trial

  • Del Nido Cardioplegia Solution for myocardial protection

    Drug

    CABG patients receiving Del Nido cardioplegia as the myocardial protection strategy

  • Blood Cardioplegia Solution for myocardial protection

    Drug

    Patients will receive Blood Cardioplegia Solution for myocardial protection

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Del Nido cardioplegiaActive comparator 1 intervention
Group B: Blood cardioplegiaActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Myocardial Viability Assessed by Magnetic Resonance Imaging

Myocardial Viability Assessed by Magnetic Resonance Imaging

Time frame
Patients will undergo the initial cardiac MRI scan before surgery. The follow-up MRI will be scheduled approximately 4 weeks after surgical revascularization.

Secondary outcomes

1

Major Adverse Cardiac and Cerebrovascular Events

The secondary outcome will be a composite of mortality, periprocedural myocardial infarction, stroke, and cardiac rehospitalization

Time frame
MACCE will be adjudicated at 30 days and 6 months.

Other outcomes

Sponsors and contacts

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