Optimized Strategies for Malperfusion Syndrome

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorXiamen Cardiovascular Hospital, Xiamen University

About this trial

An investigator-initiated, randomized, multicenter, two-arm, open-label study of consecutive patients presenting with acute type A aortic dissection (ATAAD) and malperfusion syndrome (MPS).

Objectives: The present study aimed to investigate the difference in all-cause mortality after optimized treatment strategies (OTS) versus traditional treatment strategies (TTS) for ATAAD patients with MPS.

Background: The mortality of ATAAD with MPS is high. However, the management strategies of MPS patients still not to be confirmed. Compare with TTS, OTS as a strategy for ATAAD patients with MPS might have be beneficial results.

Eligibility criteria

Qualifiers

Provision of informed consent prior to any study specific procedures;

Acute type A aortic dissection is confirmed by computed tomography angiography;

The symptoms onset within 2 weeks;

Radiographic findings reveal occlusion of the corresponding arteries (including either coronary artery, either carotid artery, celiac trunk, superior mesenteric artery or either iliac artery);

Disqualifiers

Age <18 yr and >80 yr;

Unstable condition with cardiac tamponade or aortic rupture on admission;

Multiple types of malperfusion syndrome on admission;

Bloody stools or melena on admission;

Trial design

Treatments tested in this trial

  • Optimized treatment strategies
  • Traditional treatment strategies

Treatment groups

236 Participants
are divided into 2 treatment groups