Status:

RECRUITING

Inhaled and Intravenous Milrinone in Patients With Severe Pulmonary Hypertension

Lead Sponsor:

Zagazig University

Conditions:

Pulmonary Hypertension Due to Left Heart Disease

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The investigator compared difference between inhaled and intravenous milirinone in patiens with severe pulmonary hypertension undergoing cardiac surgery

Detailed Description

Milrinone is widely used in cardiac surgery as an inotrope and pulmonary vasodilator agent But , intravenous milrinone has been associated with systemic hypotension and increased requirement for vasoa...

Eligibility Criteria

Inclusion

  • Patients scheduled to undergo mitral valve surgery by cardiopulmonary bypass with estimated mean pulmonary artery pressure =\>55 estimated by using preoperative Doppler echocardiography

Exclusion

  • Patients were excluded if they had surgery without CPB, preoperative hemodynamic instability (defined as acute requirement for vasoactive support or mechanical device),Patients with severe LV dysfunction (LV ejection fraction of less than 30% congenital heart disease, a contraindication to transesophageal echocardiography (TEE), emergency surgery or re-do surgeries severe renal or hepatic disease
  • , coagulopathy, and thromboembolic disease treated with anticoagulants

Key Trial Info

Start Date :

May 20 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 10 2025

Estimated Enrollment :

38 Patients enrolled

Trial Details

Trial ID

NCT04484675

Start Date

May 20 2023

End Date

May 10 2025

Last Update

April 30 2025

Active Locations (1)

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1

Zagazig University

Zagazig, Sharqia Province, Egypt, 44519