Intestinal Vascular Emergency Unit for Mesenteric Ischemia
Cohort SURVI : Intestinal Ischemia and Vascular Diseases
This study looks at how a special emergency unit in Paris can improve care and outcomes for people with mesenteric ischemia and other intestinal vascular issues.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 20000 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Assistance Publique - Hôpitaux de Paris Academic / other |
| Locations | 1 site (Clichy) |
| Trial ID | NCT04746534 on ClinicalTrials.gov |
What this trial studies
This observational study focuses on the management of mesenteric ischemias, including both acute and chronic forms, as well as intestinal vascular diseases without ischemia. The study is conducted at the first dedicated Intestinal Vascular Emergency Unit in Paris, which combines advanced resuscitation techniques, interventional radiology, and specialized knowledge to improve patient outcomes. The unit has significantly increased survival rates for acute mesenteric ischemia while reducing the need for intestinal resections. The study aims to gather data on patient outcomes and the effectiveness of this specialized care.
Who should consider this trial
Good fit: Ideal candidates include adults over 18 with acute or chronic mesenteric ischemia or intestinal vascular diseases without ischemia.
Not a fit: Patients with left ischemic colitis or abdominal aorta dissection without intestinal ischemia may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could greatly improve survival rates and quality of life for patients suffering from mesenteric ischemia.
How similar studies have performed: Other studies have shown promising results with specialized care for mesenteric ischemia, indicating that this approach is both effective and necessary.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age \> 18 years old * IMVI including : * acute mesenteric ischaemia defined by acute digestive distress in relation to arterial and/or venous, occlusive and/or non-occlusive splanchnic-mesenteric vascular insufficiency, in the absence of an alternative diagnosis * Chronic mesenteric ischaemia defined by chronic digestive distress (duration of symptom evolution \>30 days) related to occlusive or non- occlusive arterial or venous vascular insufficiency. * MVI: gastrointestinal arterial or venous diseases without ischaemia (atheroma, embolism, thrombosis, dissection, mediolysis, aneurysm, dysplasia, sheathing, compression, torsion) Exclusion Criteria: * Left ischaemic colitis without damage to the celiac trunk and/or superior mesenteric artery * Dissection of the abdominal aorta without intestinal ischaemia * Portal thrombosis without extension to the superior mesenteric vein * Portal thrombosis without extension to the superior mesenteric vein * Traumatic rupture of the digestive arteries * Non-injected abdominal scanner or no abdominal scanner * Patient opposition to participation in research * Patient under guardianship / curators * Vulnerable patient: pregnant or breastfeeding women, persons deprived of their liberty, minors, adults unable or unwilling to give consent
Where this trial is running
Clichy
- Olivier CORCOS — Clichy, France (Recruiting)
Study contacts
- Study coordinator: Olivier CORCOS
- Email: olivier.corcos@aphp.fr
- Phone: 0140875000
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.