Page last updated: 2024-10-29

isoflurane and Coronary Artery Disease

isoflurane has been researched along with Coronary Artery Disease in 9 studies

Isoflurane: A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.

Coronary Artery Disease: Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause.

Research Excerpts

ExcerptRelevanceReference
"In a randomized, single-blinded, placebo-controlled prospective study, serum troponin I concentration (cTnI) (baseline, and 1, 6, 12, 24, 48, and 72 h postoperatively) were measured during isoflurane/sufentanil or propofol/sufentanil anesthesia with or without RIPC (three 5-min periods of intermittent left upper arm ischemia with 5 min reperfusion each) in non-diabetic patients (n = 72) with three-vessel coronary artery disease (ClinicalTrials."5.16Protection by remote ischemic preconditioning during coronary artery bypass graft surgery with isoflurane but not propofol - a clinical trial. ( Bergmann, L; Heine, T; Heusch, G; Jakob, H; Kottenberg, E; Peters, J; Thielmann, M, 2012)
"We can conclude that the use of desflurane in these patients provides a pharmacological preconditioning so as to reduce myocardial necrosis and improve the cardiac performance in the postoperative period."5.12Desflurane preconditioning in coronary artery bypass graft surgery: a double-blinded, randomised and placebo-controlled study. ( Cirri, S; Cosseta, D; Gallazzi, C; Magnani, G; Meco, M, 2007)
"Depth of anesthesia (DoA) monitors are widely used during general anesthesia to guide individualized dosing of hypnotics."1.51Decreasing Frontal Electroencephalogram Alpha Power and Increasing Sensitivity to Volatile Anesthetics Over 3 Surgeries Within 7 Months: A Case Report. ( Hartwich, V; Hight, D; Hirschi, T; Kaiser, HA; Reineke, D; Rummel, C; Stucki, M, 2019)

Research

Studies (9)

TimeframeStudies, this research(%)All Research%
pre-19903 (33.33)18.7374
1990's0 (0.00)18.2507
2000's3 (33.33)29.6817
2010's3 (33.33)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Zhang, L1
Wang, CB1
Li, B1
Lin, DM1
Ma, J1
Kaiser, HA1
Hirschi, T1
Hartwich, V1
Stucki, M1
Rummel, C1
Reineke, D1
Hight, D1
Bui, AH1
Marco, AP1
Kottenberg, E1
Thielmann, M1
Bergmann, L1
Heine, T1
Jakob, H1
Heusch, G1
Peters, J1
Hantler, CB1
Larson, LO1
Shea, MJ1
Zelenock, GB1
Bolling, SF1
Ralley, FE1
Merin, RG1
Kirov, MY1
Lenkin, AI1
Kuzkov, VV1
Suborov, EV1
Slastilin, VY1
Borodin, VV1
Chernov, II1
Shonbin, AN1
Bjertnaes, LJ1
Meco, M1
Cirri, S1
Gallazzi, C1
Magnani, G1
Cosseta, D1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Department of Anesthesiology, Beijing Anzhen Hospital, Capital Medical University[NCT02678650]Phase 460 participants (Anticipated)Interventional2016-01-31Recruiting
Effect of Remote Ischemic Preconditioning in Patients Undergoing On-pump Coronary Artery Bypass Graft Surgery With Crystalloid Cardioplegic Arrest[NCT01406678]Phase 2/Phase 31,204 participants (Actual)Interventional2008-07-31Completed
Remote Ischemic Conditioning (RIC) in Recipients of Brain Death Donor Livers - A Feasibility and Safety Study[NCT02635347]31 participants (Actual)Interventional2015-11-30Completed
Protection of Heart, Brain and Kidney by Remote Ischemic Preconditioning in Patients Undergoing Transcatheter Aortic Valve Implantation - a Randomized, Single-blind Study[NCT02080299]Phase 2100 participants (Actual)Interventional2013-09-30Active, not recruiting
Fluid Responsiveness: A Validation of Stroke Volume Variations Estimated With Pulse Wave Transit Time in Mechanically Ventilated and Spontaneously Breathing Patients After Off-pump Coronary Artery Bypass Grafting[NCT04786652]20 participants (Anticipated)Interventional2021-03-20Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Clavien-Dindo Grade IIIb or Higher - Number of Complications

In patients with Clavien-Dindo >/= IIIb complications, number of such complications per patient. (NCT02635347)
Timeframe: Post-op days 0-30

InterventionComplications (Median)
Remote Ischemic Conditioning (RIC) Group1
Historical Control Cohort0

Hospital LOS

Number of days in hospital post-transplant. Starting at post-op day 0 and ending on the calendar date that the patient is leaves the hospital, dies, or post-op day 90, whichever is soonest. (NCT02635347)
Timeframe: Post-op days 0 up to 90 days

Interventiondays (Median)
Remote Ischemic Conditioning (RIC) Group13
Historical Control Cohort10

Intensive Care Unit (ICU) Length of Stay (LOS)

Number of days in ICU post-transplant. Starting at post-op day 0 and ending on the calendar date that the patient is transferred out of ICU, dies, or post-op day 90, whichever is soonest. (NCT02635347)
Timeframe: Post-op days 0 up to 90 days

Interventiondays (Median)
Remote Ischemic Conditioning (RIC) Group3.5
Historical Control Cohort4

Intervention-related Pain Score

Median intervention-related pain score during each of the post-operative interventions, in extubated patients who are able to communicate. Using the Numerical Rating Scale (NRS, Ferrieira-Valente MA PAIN Volume 152, 2011), patients were asked to rate their pain following the intervention on a scale of 0-10 with 0 being no pain experienced to 10 as the maximum pain felt. (NCT02635347)
Timeframe: Post-op days 1-4

Interventionscores on a scale (Median)
Remote Ischemic Conditioning (RIC) Group5

Liver Allograft Survival

Percentage of patients with functioning allograft at 90 days post-transplant (NCT02635347)
Timeframe: Post-op day 90

Interventionpercentage of participants (Number)
Remote Ischemic Conditioning (RIC) Group90
Historical Control Cohort98.41

Number of Subjects Not Completing Intervention Protocol

Number of subjects that received fewer than 6 interventions,. (NCT02635347)
Timeframe: Pre-op - Post-op day 4

Interventionparticipants (Number)
Remote Ischemic Conditioning (RIC) Group9

Patient Survival

Percentage of patients alive at 90 days post-transplant (NCT02635347)
Timeframe: Post-op day 90

Interventionpercentage of participants (Number)
Remote Ischemic Conditioning (RIC) Group90.32
Historical Control Cohort98.41

Percentage of Participants Completing Entire Intervention Protocol

Proportion of enrolled liver recipients that complete all 6 remote ischemic conditioning (RIC) interventions. (NCT02635347)
Timeframe: Pre-op - Post-op day 4

Interventionpercentage of participants (Number)
Remote Ischemic Conditioning (RIC) Group70.96

Percentage of Participants Who Developed Acute Kidney Injury (AKI) Stages 2 or 3

"Percentage of participants who developed Acute Kidney Injury (AKI)~Based on Kidney Disease - Improving Global Outcomes (KDIGO) criteria, AKI criteria are:~Stage 2:~- 2.0-2.9 fold rise in serum creatinine from baseline~Stage 3:~> 3.0 fold rise in serum creatinine from baseline, or~Serum creatinine of > 4.0 mg/dL, with an acute (<48 hours) increase of 0.3 mg/dL in serum creatinine or subacute (< 7 days) increase in serum creatinine of 0.5 mg/dL, or~Initiation of renal replacement therapy." (NCT02635347)
Timeframe: Post-op days 0-7

Interventionpercentage of participants (Number)
Remote Ischemic Conditioning (RIC) Group20.0
Historical Control Cohort25.86

Percentage of Participants Who Developed Early Allograft Dysfunction (EAD)

"Percentage of participants who developed Early Allograft Dysfunction (EAD) which is defined as:~Aspartate Transaminase (AST) or Alanine Transaminase (ALT)> 2,000 U/L at any point within the first seven post-transplant days, or~Total Bilirubin (TB) > 10 mg/dL on postoperative day 7,or~International Normalized Ratio (INR)> 1.6 on postoperative day 7." (NCT02635347)
Timeframe: Post-op days 0-7

Interventionpercentage of participants (Number)
Remote Ischemic Conditioning (RIC) Group23.3
Historical Control Cohort39.68

Percentage of Participants Who Developed Prolonged Respiratory Insufficiency (PRI)

"Percentage of Participants who developed Prolonged Respiratory Insufficiency (PRI) defined as:~Ventilator support for >2 postoperative days after transplant, or~Reintubation after extubation, within 7 days of transplant. Patients who require brief re-intubation for an endoscopic, radiologic, or surgical procedure would not be considered to have PRI if they are extubated within 2 days of the end of the procedure." (NCT02635347)
Timeframe: Post-op days 0-7

Interventionpercentage of participants (Number)
Remote Ischemic Conditioning (RIC) Group33.3
Historical Control Cohort28.57

Presence of Clavien-Dindo Grade IIIb or Higher Complications

"Percentage of patients with Clavien-Dindo >/= grade III b complications (Dindo D, Demartines N, Clavien P, Annals of Surgery 2004).~The Clavien-Dindo Complications grade ranges from Grade I (Any deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic and radiological interventions Allowed therapeutic regimens are: drugs as antiemetics, antipyretics, analgetics, diuretics and electrolytes and physiotherapy. This grade also includes wound infections opened at the bedside) to Grade V (Death). Grade IIIb would be any intervention requiring general anesthesia." (NCT02635347)
Timeframe: Post-op days 0-30

Interventionpercentage of participants (Number)
Remote Ischemic Conditioning (RIC) Group51.1
Historical Control Cohort47.62

Time to Dialysis Discontinuation

In patients who are receiving dialysis pre-op, time to discontinuation of dialysis, if occurring within 90 days of transplantation. (NCT02635347)
Timeframe: Post-op days 0-90

Interventiondays (Median)
Remote Ischemic Conditioning (RIC) Group2
Historical Control Cohort15.5

Withdrawal of Consent Due to Pain

- Withdrawal of consent due to discomfort/pain in the lower extremity (NCT02635347)
Timeframe: Pre-op - Post-op day 7

Interventionparticipants (Number)
Remote Ischemic Conditioning (RIC) Group6
Historical Control Cohort0

Trials

4 trials available for isoflurane and Coronary Artery Disease

ArticleYear
RhoA/rho-kinase, nitric oxide and inflammatory response in LIMA during OPCABG with isoflurane preconditioning.
    Journal of cardiothoracic surgery, 2019, Jan-25, Volume: 14, Issue:1

    Topics: Aged; Anesthetics, Inhalation; Coronary Artery Bypass, Off-Pump; Coronary Artery Disease; Coronary V

2019
Protection by remote ischemic preconditioning during coronary artery bypass graft surgery with isoflurane but not propofol - a clinical trial.
    Acta anaesthesiologica Scandinavica, 2012, Volume: 56, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intraveno

2012
Protection by remote ischemic preconditioning during coronary artery bypass graft surgery with isoflurane but not propofol - a clinical trial.
    Acta anaesthesiologica Scandinavica, 2012, Volume: 56, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intraveno

2012
Protection by remote ischemic preconditioning during coronary artery bypass graft surgery with isoflurane but not propofol - a clinical trial.
    Acta anaesthesiologica Scandinavica, 2012, Volume: 56, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intraveno

2012
Protection by remote ischemic preconditioning during coronary artery bypass graft surgery with isoflurane but not propofol - a clinical trial.
    Acta anaesthesiologica Scandinavica, 2012, Volume: 56, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intraveno

2012
Protection by remote ischemic preconditioning during coronary artery bypass graft surgery with isoflurane but not propofol - a clinical trial.
    Acta anaesthesiologica Scandinavica, 2012, Volume: 56, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intraveno

2012
Protection by remote ischemic preconditioning during coronary artery bypass graft surgery with isoflurane but not propofol - a clinical trial.
    Acta anaesthesiologica Scandinavica, 2012, Volume: 56, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intraveno

2012
Protection by remote ischemic preconditioning during coronary artery bypass graft surgery with isoflurane but not propofol - a clinical trial.
    Acta anaesthesiologica Scandinavica, 2012, Volume: 56, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intraveno

2012
Protection by remote ischemic preconditioning during coronary artery bypass graft surgery with isoflurane but not propofol - a clinical trial.
    Acta anaesthesiologica Scandinavica, 2012, Volume: 56, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intraveno

2012
Protection by remote ischemic preconditioning during coronary artery bypass graft surgery with isoflurane but not propofol - a clinical trial.
    Acta anaesthesiologica Scandinavica, 2012, Volume: 56, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intraveno

2012
Single transpulmonary thermodilution in off-pump coronary artery bypass grafting: haemodynamic changes and effects of different anaesthetic techniques.
    Acta anaesthesiologica Scandinavica, 2007, Volume: 51, Issue:4

    Topics: Aged; Anesthesia; Anesthetics, Inhalation; Anesthetics, Intravenous; Blood Pressure; Coronary Artery

2007
Desflurane preconditioning in coronary artery bypass graft surgery: a double-blinded, randomised and placebo-controlled study.
    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2007, Volume: 32, Issue:2

    Topics: Anesthetics, Inhalation; Cardiotonic Agents; Coronary Artery Bypass; Coronary Artery Disease; Desflu

2007

Other Studies

5 other studies available for isoflurane and Coronary Artery Disease

ArticleYear
Decreasing Frontal Electroencephalogram Alpha Power and Increasing Sensitivity to Volatile Anesthetics Over 3 Surgeries Within 7 Months: A Case Report.
    A&A practice, 2019, Oct-01, Volume: 13, Issue:7

    Topics: Aged; Brain; Comorbidity; Coronary Artery Bypass; Coronary Artery Disease; Drug Dosage Calculations;

2019
Peripheral nerve blockade in a patient with Charcot-Marie-Tooth disease.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2008, Volume: 55, Issue:10

    Topics: Anesthetics, Inhalation; Anesthetics, Intravenous; Anesthetics, Local; Bupivacaine; Charcot-Marie-To

2008
Case conference. A 55-year-old man develops ventricular tachycardia and cardiac arrest during non-cardiac vascular surgery.
    Journal of cardiothoracic anesthesia, 1987, Volume: 1, Issue:4

    Topics: Anesthesia, General; Anesthetics, Inhalation; Celiac Artery; Chest Pain; Coronary Artery Disease; Di

1987
Pro: Isoflurane is contraindicated for use in coronary artery surgery.
    Journal of cardiothoracic anesthesia, 1988, Volume: 2, Issue:2

    Topics: Anesthetics, Inhalation; Animals; Contraindications; Coronary Artery Disease; Coronary Vessels; Dogs

1988
Con: Isoflurane is contraindicated in patients with coronary artery disease.
    Journal of cardiothoracic anesthesia, 1988, Volume: 2, Issue:2

    Topics: Anesthetics, Inhalation; Animals; Blood Pressure; Contraindications; Coronary Artery Disease; Corona

1988