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| Name | Class |
|---|---|
| SCIRENT | UNKNOWN |
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The study is a prospective, non-randomized early feasibility study intended to evaluate the safety and performance of the JuxtaFlow System (also known as the JuxtaFlow Renal Assist Device (RAD)) in participants with pre-existing renal insufficiency who are undergoing cardiac surgery.
The BIPASS-AKI study is intended to evaluate participants who are at an increased risk of developing cardiac surgery-associated acute kidney injury (CSA-AKI), and, subsequently, overall poor outcomes. Patients to be considered for participation include those undergoing elective or urgent in-house on-pump cardiac surgery (to include coronary artery bypass graft, valvular surgery, or combination) and have pre-existing renal insufficiency as defined by a pre-operative eGFR between 15-60 mL/min. Participants meeting inclusion and exclusion criteria will be enrolled into a treatment arm (single-arm study) following the completion of informed consent. Participants will receive implantation of the JuxtaFlow Catheters following completion of the their cardiac surgery while remaining under anesthesia. Treatment with the JuxtaFlow System will be initiated upon the participant's arrival into the intensive care unit and continue for up to 24 hours post-operatively. Preoperative, intra-operative, and post-operative data will be collected on participants to include 15- and 30-day follow-up periods.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JuxtaFlow System | Device | Mild, controlled negative pressure introduced into the renal pelvis via JuxtaFlow catheters |
|
| Measure | Description | Time Frame |
|---|---|---|
| [Safety] Adverse Events Characterization | The characterization of all type, frequency, severity, and device-relatedness of the adverse events (AEs) associated with the placement, use, and removal of the JuxtaFlow System for the treatment of renal insufficiency in cardiac surgery patients. | 30 days |
| [Efficacy] Creatinine Clearance | The change in measured creatinine clearance occurring over the treatment period of 24 hours or less. | 24 hours |
| [Efficacy] Urine Sodium Excretion | The change in urine sodium excretion occurring over the treatment period of 24 hours or less. | 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Slobodan Micovic, MD | Institute for Cardiovascular Diseases Dedinje | Principal Investigator |
| Milovan Petrovic, MD | Institute of Cardiovascular Diseases of Vojvodina | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Polsko-Amerykanskie Kliniki Serca, Centrum Kardiologii | Krakow | Bielsko-Biata | 43-316 | Poland | ||
| Institute for Cardiovascular Diseases "Dedinje" |
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| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D058186 | Acute Kidney Injury |
| D007674 | Kidney Diseases |
| ID | Term |
|---|---|
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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BIPASS-AKI is a single-arm, unblinded interventional study designed to assess the safety of the JuxtaFlow System.
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| Belgrade |
| Serbia |
| Institute of Cardiovascular Diseases of Vojvodina | Kamenitz | Serbia |
| D052801 | Male Urogenital Diseases |