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The aim of this study is to evaluate the role of remote ischemic preconditioning (RIPC) in preventing acute kidney injury after lower limb revascularization.
Remote ischemic preconditioning(RIPC) is a simple, cost-free and non invasive procedure (transient upper limb ischemia/reperfusion) that could provide organ protection (Heart, Brain and Kidney) following ischemia injuries.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RIPC Group | Experimental | Remote ischemic preconditioning |
|
| Control Group | Sham Comparator | Sham remote ischemic preconditioning |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RIPC | Procedure | 4 cycles of 5-min inflation to 200 mmHg followed by 5-min deflation of arm cuff |
|
| Measure | Description | Time Frame |
|---|---|---|
| AKI | the incidence of Acute Kidney Injury, defined as absolute rise of ≥ 0.3 mg/dL and/or a relative increase of 25% in serum creatinine compared to preoperative | 72 Hours |
| AKI | the incidence of Acute Kidney Injury, defined as decrease of 35% in GFR compared to preoperative. | 72 Hours |
| Measure | Description | Time Frame |
|---|---|---|
| AKI Risk Score | the incidence of Acute Kidney Injury, defined as increase od 0.3 in Aki risk score (TIMP-2 * IGFBP-7) | 24 Hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alberto Noto, MD, PhD | University of Messina | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| A.O.U. G.Martino - University of Messina | Messina | 98100 | Italy |
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| ID | Term |
|---|---|
| D058186 | Acute Kidney Injury |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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patients were randomly assigned in 1:1 ratio to either control group or RIPC using computerized randomization table
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The RIPC procedure were performed in the ward before going to operating room, and this is blinded to Investigators and surgical case anesthesiologist
| Control | Procedure | deflated cuff placed on the left arm for 40 min |
|
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |