Page last updated: 2024-10-24

candesartan and Complication, Postoperative

candesartan has been researched along with Complication, Postoperative in 9 studies

candesartan: a nonpeptide angiotensin II receptor antagonist
candesartan : A benzimidazolecarboxylic acid that is 1H-benzimidazole-7-carboxylic acid substituted by an ethoxy group at position 2 and a ({2'-(1H-tetrazol-5-yl)[1,1'-biphenyl]-4-yl}methyl) group at position 1. It is a angiotensin receptor antagonist used for the treatment of hypertension.

Research Excerpts

ExcerptRelevanceReference
"One hundred and five patients eligible for coronary artery bypass graft surgery (65-85 years old, all suffering from hypertension and coronary artery disease, with stable kidney function) were randomized to candesartan (8 mg od) or placebo for between 8 and 11 days prior to surgery."5.14ARTA: AT1-receptor blocker therapy in patients undergoing coronary artery bypass grafting. ( Erdmann, E; Flesch, M; Geissler, HJ; Kessler, G; Knipp, S; Massoudy, P; Philipp, T; Wilhelm, H, 2009)
"Candesartan significantly reduced the development of coronary arteriosclerosis (intima/media ratio: 0."3.73The angiotensin II type 1 receptor blocker candesartan attenuates graft vasculopathy. ( Fukuda, D; Sata, M; Takamoto, S; Yamamoto, T, 2006)
"Candesartan has no additional effect on the rates of postoperative AF when added to ACEI."2.73Effect of renin-angiotensin aldosteron system blockers on postoperative atrial fibrillation. ( Dede, O; Duver, H; Ibrisim, E; Kapan, S; Ozaydin, M; Peker, O; Turker, Y; Varol, E, 2008)
"Proteinuria is common following kidney transplantation and affects more than 40% of kidney transplant patients per year."2.47Causes and consequences of proteinuria following kidney transplantation. ( G-Cosío, F; Suárez Fernández, ML, 2011)
"Although, prevention and treatment of angioedema have not been established, careful observation would be required."1.34[Case of facial edema and tongue swelling after aortic surgery in the lateral position]. ( Adachi, Y; Aoki, Y; Doi, M; Igarashi, H; Iwakiri, S; Katoh, T; Nakagawa, C; Sato, S; Uchisaki, S, 2007)

Research

Studies (9)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's5 (55.56)29.6817
2010's4 (44.44)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Li, Z1
Cao, Y1
Li, L1
Liang, Y1
Tian, X1
Mo, N1
Liu, Y1
Li, M1
Chui, D1
Guo, X1
Flesch, M1
Knipp, S1
Kessler, G1
Geissler, HJ1
Massoudy, P1
Wilhelm, H1
Philipp, T1
Erdmann, E1
Mariscalco, G1
Dominici, C1
Banach, M1
Sala, A1
Giordano, U1
Cifra, B1
Giannico, S1
Turchetta, A1
Calzolari, A1
Suárez Fernández, ML1
G-Cosío, F1
Billings, FT1
Balaguer, JM1
C, Y1
Wright, P1
Petracek, MR1
Byrne, JG1
Brown, NJ1
Pretorius, M1
Yamamoto, T1
Sata, M1
Fukuda, D1
Takamoto, S1
Ozaydin, M1
Dede, O1
Varol, E1
Kapan, S1
Turker, Y1
Peker, O1
Duver, H1
Ibrisim, E1
Iwakiri, S1
Adachi, Y1
Uchisaki, S1
Aoki, Y1
Nakagawa, C1
Katoh, T1
Igarashi, H1
Doi, M1
Sato, S1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The RAS, Fibrinolysis and Cardiopulmonary Bypass[NCT00607672]Phase 4111 participants (Actual)Interventional2006-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Acute Kidney Injury

Acute kidney injury (AKI) was defined according to Acute Kidney Injury Network (AKIN) criteria,specifically any increase in subject serum creatinine concentration of 50% or 0.3 mg/dL (26.5 umol/L) within 72 hours of surgery. (NCT00607672)
Timeframe: From the start of surgery until postoperative day 3

Interventionpercentage of patients (Number)
Placebo28.6
Ramipril (ACEI)23.8
Candesartan (ARB)36.4

Blood Loss

Blood loss over 24 hours as measured by chest tube output (NCT00607672)
Timeframe: First 24 hours after arrival in the intensive care unit

InterventionmL (Mean)
Placebo437
Ramipril (ACEI)470
Candesartan (ARB)511

Length of Hospital Stay

(NCT00607672)
Timeframe: From the start of surgery until discharge from hospital

Interventiondays (Mean)
Placebo7.7
Ramipril (ACEI)6.3
Candesartan (ARB)8.1

New Onset Atrial Fibrillation

New onset atrial fibrillation based on electrocardiogram (ECG) rhythm strips with a duration longer than 10 seconds (NCT00607672)
Timeframe: From arrival in intensive care unit until discharge from hospital

Interventionpercentage of patients (Number)
Placebo17.9
Ramipril (ACEI)16.7
Candesartan (ARB)27.3

Re-exploration for Bleeding

The percentage of patients that were taken back to the operating room for re-exploration because of bleeding (NCT00607672)
Timeframe: From arrival in intensive care unit until discharge from hospital

Interventionpercentage of patients (Number)
Placebo3.6
Ramipril (ACEI)8.3
Candesartan (ARB)4.5

Stroke

New onset neurological deficit with a duration of longer than 24 hours (NCT00607672)
Timeframe: From arrival in intensive care unit until discharge from hospital

Interventionpercentage of patients (Number)
Placebo7.1
Ramipril (ACEI)4.2
Candesartan (ARB)4.5

Blood Product Transfusion Requirement

Percentage of patients that received blood product transfusion (NCT00607672)
Timeframe: From the start of surgery until discharge from hospital

,,
Interventionpercentage of patients (Number)
Packed red blood cellsPlasmaPlateletsCryoprecipitate
Candesartan (ARB)2.731.822.74.5
Placebo67.960.746.47.1
Ramipril (ACEI)62.529.229.24.2

Interleukin-10 (IL-10) Response

To compare the effects of AT1 receptor antagonism or ACE inhibition versus placebo on the inflammatory response to CPB as measured by the IL-10 response (NCT00607672)
Timeframe: From the start of surgery until postoperative day 2

,,
Interventionpg/mL (Mean)
Pre CPBPost surgeryPostoperative day 1Postoperative day 2
Candesartan (ARB)4.21749.5622.5514.26
Placebo4.45461.9030.7016.74
Ramipril (ACEI)5.36815.7426.8914.59

Interleukin-6 (IL-6) Response

To compare the effects of AT1 receptor antagonism or ACE inhibition versus placebo on the inflammatory response to CPB as measured by IL-6 (NCT00607672)
Timeframe: From the start of surgery until postoperative day 2

,,
Interventionpg/mL (Mean)
Pre CPBPost surgeryPostoperative day 1Postoperative day 2
Candesartan (ARB)6.44144.76218.16243.72
Placebo6.29116.04224.96166.96
Ramipril (ACEI)9.33167.51172.65144.67

Interleukin-8 (IL-8) Response

To compare the effects of AT1 receptor antagonism or ACE inhibition versus placebo on the inflammatory response to CPB as measured by IL-8 (NCT00607672)
Timeframe: From the start of surgery until postoperative day 2

,,
Interventionpg/mL (Mean)
Pre CPBPost surgeryPostoperative day 1Postoperative day 2
Candesartan (ARB)13.3876.7637.1137.77
Placebo16.1866.4446.1834.39
Ramipril (ACEI)11.8680.0737.3928.06

Plasminogen Activator Inhibitor-1 (PAI-1) Response

To compare the effects of AT1 receptor antagonism or ACE inhibition versus placebo on the fibrinolytic responses to CPB as measured by PAI-1 response (NCT00607672)
Timeframe: From the start of surgery until postoperative day 2

,,
Interventionng/mL (Mean)
Pre CPB60min of CPBPost surgeryPostoperative day 1Postoperative day 2
Candesartan (ARB)18.2824.1949.1021.7013.4
Placebo15.1420.4339.6931.8321.59
Ramipril (ACEI)16.2519.4141.6226.2717.33

Tissue-type Plasminogen Activator (t-PA) Antigen Response

To compare the effects of angiotensin II type I (AT1) receptor antagonism or angiotensin-converting enzyme (ACE) inhibition versus placebo on the fibrinolytic responses to cardiopulmonary bypass (CPB) as measured by t-PA antigen response (NCT00607672)
Timeframe: From the start of surgery until postoperative day 2

,,
Interventionng/mL (Mean)
Pre CPB60min of CPBPost surgeryPostoperative day 1Postoperative day 2
Candesartan (ARB)11.9724.8931.4715.7512.89
Placebo14.3627.6534.5620.2516.56
Ramipril (ACEI)14.0536.6741.1117.1012.49

Vasopressor Drug Use

(NCT00607672)
Timeframe: From the end of cardiopulmonary bypass until arrival in intensive care unit

,,
Interventionpercentage of patients (Number)
DobutamineMlrinoneNorepinephrineEpinephrine
Candesartan (ARB)27.322.795.513.6
Placebo35.725.085.77.1
Ramipril (ACEI)29.225.079.24.3

Reviews

1 review available for candesartan and Complication, Postoperative

ArticleYear
Causes and consequences of proteinuria following kidney transplantation.
    Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia, 2011, Volume: 31, Issue:4

    Topics: Benzimidazoles; Biphenyl Compounds; Cardiovascular Diseases; Endothelium, Vascular; Graft Rejection;

2011

Trials

3 trials available for candesartan and Complication, Postoperative

ArticleYear
ARTA: AT1-receptor blocker therapy in patients undergoing coronary artery bypass grafting.
    Clinical research in cardiology : official journal of the German Cardiac Society, 2009, Volume: 98, Issue:1

    Topics: Aged; Aged, 80 and over; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compounds

2009
Comparative effects of angiotensin receptor blockade and ACE inhibition on the fibrinolytic and inflammatory responses to cardiopulmonary bypass.
    Clinical pharmacology and therapeutics, 2012, Volume: 91, Issue:6

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Benzimidazo

2012
Effect of renin-angiotensin aldosteron system blockers on postoperative atrial fibrillation.
    International journal of cardiology, 2008, Jul-21, Volume: 127, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzy

2008

Other Studies

5 other studies available for candesartan and Complication, Postoperative

ArticleYear
Prophylactic angiotensin type 1 receptor antagonism confers neuroprotection in an aged rat model of postoperative cognitive dysfunction.
    Biochemical and biophysical research communications, 2014, Jun-20, Volume: 449, Issue:1

    Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Benzimidazoles; Biphenyl Compounds; Blood-Brain Ba

2014
Angiotensin converting-enzyme inhibitors and candesartan have no effects on atrial fibrillation after cardiac surgery: comment on: Mehmet Ozaydin et al. "Effect of renin-angiotensin aldosterone system blockers on postoperative atrial fibrillation".
    International journal of cardiology, 2010, Jul-09, Volume: 142, Issue:2

    Topics: Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Atrial Fibrillati

2010
Mid-term results, and therapeutic management, for patients suffering hypertension after surgical repair of aortic coarctation.
    Cardiology in the young, 2009, Volume: 19, Issue:5

    Topics: Adolescent; Antihypertensive Agents; Aortic Coarctation; Atenolol; Benzimidazoles; Biphenyl Compound

2009
The angiotensin II type 1 receptor blocker candesartan attenuates graft vasculopathy.
    The Journal of surgical research, 2006, Volume: 132, Issue:1

    Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Arteriosclerosis; Benzimidazoles; Biphenyl Compoun

2006
[Case of facial edema and tongue swelling after aortic surgery in the lateral position].
    Masui. The Japanese journal of anesthesiology, 2007, Volume: 56, Issue:9

    Topics: Aged; Anesthesia; Angioedema; Angiotensin II Type 1 Receptor Blockers; Antihypertensive Agents; Benz

2007