Using carbon dioxide to reduce brain injuries after aortic dissection surgery
Official title: CARbon Dioxide Flooding to Reduce Postoperative Neurological Injury Following Surgery for Acute Type A Aortic Dissection - A Prospective, Randomized, Blinded, Controlled Clinical Trial
Run by Region Skane · NCT04962646 · Data updated 2026-11-12
This study is testing if using carbon dioxide during surgery for aortic dissection can help prevent brain injuries after the operation.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 80 (estimated) |
| Sponsor | Region Skane Academic / other |
| Locations | 1 site (Lund) |
| Status | Recruiting |
| Started | January 1, 2022 |
| Main results expected | June 30, 2025 |
| Study ends | June 30, 2025 |
| Registry record updated | April 11, 2025 |
| Trial ID | NCT04962646 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are patients diagnosed with acute type A aortic dissection who are scheduled for surgical repair.
✕Probably not a fit
Patients with new-onset neurological symptoms or a history of stroke with permanent neurological deficiency may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the use of carbon dioxide flooding during surgery for acute type A aortic dissection to reduce the risk of postoperative neurological injuries. Aortic dissection is a critical condition that can lead to severe complications, including stroke. The study aims to determine if carbon dioxide, which is more soluble in blood than air, can effectively displace air from the surgical site and minimize neurological damage. Patients undergoing surgery for this condition will be monitored for neurological outcomes postoperatively.
Why it matters
Potential benefit: If successful, this approach could significantly reduce the incidence of neurological injuries and improve recovery outcomes for patients undergoing surgery for aortic dissection.
How similar studies have gone: While the use of carbon dioxide flooding in cardiac procedures has been explored, this specific application for aortic dissection surgery is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Verified acute type A aortic dissection. * Patient accepted for surgical repair. Exclusion Criteria: * New-onset neurological symptoms defined as focal neurological symptoms or altered state of consciousness at time of inclusion. * History of stroke with permanent neurological deficiency. * Previous cardiac surgery. * Surgery performed with cross clamping of the aorta without open distal anastomosis or open inspection of the distal aorta. * Presence of implants or devices not compatible with Magnetic Resonance Imaging.
Where it's running
-
Skane University Hospital
Lund, Sweden Recruiting
Study contacts
- Principal investigator: Igor Zindovic, MD. PhD — Region Skåne, Skåne university hospital
- Study coordinator: Igor Zindovic, MD, PhD
- Email: igor.zindovic@med.lu.se
- Phone: +4646175288
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.