Prognosis of Right Ventricular Dysfunction Assessed by Speckle Tracking in Postoperative Thoracic Surgery

  • STATUS
    Recruiting
  • End date
    Sep 9, 2024
  • participants needed
    164
  • sponsor
    Centre Hospitalier Universitaire, Amiens
Updated on 9 October 2021

Summary

In postoperative thoracic surgery (lobe resection, pneumonectomy or wedge resection), cardiovascular complications are the most frequent (10 to 15%) with a significant morbi-mortality rate. Right ventricular (RV) dysfunction is a complication that can be multifactorial in post thoracic surgery. The RV longitudinal shortening fraction (RV-LSF) is a new 2D-STE parameters able to more accurately detect patients with RV dysfunction compared to conventional echocardiographic parameters.

This project is a single-center, prospective, interventional study of patients hospitalized at the Amiens University Hospital for scheduled thoracic surgery. TTE is performed preoperatively, at day 2 and day 15 following the thoracic surgery. Echocardiographic parameters will be measured by an echocardiographic expert in offline with a dedicated software. MACE criteria will be collected at day 2, day 15 and day-30 following the thoracic surgery.

Details
Condition Thoracic Surgery, Right Ventricle
Treatment Transthoracic Echocardiography (TTE)
Clinical Study IdentifierNCT05060302
SponsorCentre Hospitalier Universitaire, Amiens
Last Modified on9 October 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Adult patient (>18 years)
Patient hospitalized at the Amiens University Hospital for scheduled thoracic surgery (lobectomy, pneumonectomy, wedge resection)
Surgery by thoracotomy or video-assisted thoracic surgery
Information of the patient and collection of his non-opposition

Exclusion Criteria

Patient with poor echogenicity on TTE not allowing evaluation of 2D-STE or conventional parameters of the RV
Patient with a rapid supraventricular rhythm disorder (HR > 100) at the time of TTE
Patient under mechanical ventilation
Patient under extracorporeal membrane oxygenation
Patients under guardianship or legal protection
Patients whose clinical condition does not allow for their non-opposition
Pregnant women
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