A simple sensor on the back could warn of kidney danger during heart surgery
NCT ID NCT07760129
First seen Aug 12, 2026 · Last updated Aug 13, 2026 · Updated 1 time
Summary
This study tests whether a non-invasive sensor placed on the back can detect early signs of kidney injury in adults undergoing off-pump coronary artery bypass surgery. Kidney injury is common after such surgery, but current detection relies on blood tests that rise days later. The sensor measures oxygen levels in the erector spinae muscle, which lies close to the kidney's blood supply, potentially offering a real-time warning. Researchers will monitor 138 patients during surgery and compare sensor readings with kidney function after the operation.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Near-infrared spectroscopy monitoring of erector spinae muscle and renal regional oxygen saturation
- What this could lead to
- If it works, this could enable real-time, non-invasive detection of patients at high risk for kidney injury during heart surgery, allowing earlier intervention and potentially reducing complications.
- What could go wrong
- This is an observational study, not a treatment trial, so it cannot change outcomes directly. The sensor's accuracy may be limited, and results may not apply to all patients or surgery types.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 138 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Consecutive adult patients (19 years of age or older) scheduled for elective off-pump coronary artery bypass surgery at Severance Hospital, a tertiary university hospital in Seoul, Republic of Korea, who provide written informed consent. After consent, ultrasonography performed in the operating room before anesthetic induction measures the depth from the skin to the erector spinae muscle at the level of the left renal hilum; only patients in whom this depth is less than 2.0 cm, so that a reliable near-infrared spectroscopy signal can be obtained, are finally enrolled. Patients requiring emergency or concomitant surgery, those with severe renal impairment (estimated glomerular filtration rate below 30 mL/min/1.73 m2), previous kidney transplantation, left renal disease or a solitary kidney, a body mass index above 30 kg/m2, cardiogenic shock or mechanical circulatory support, or active bleeding or infection are not eligible.
- Ages
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19 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Adults aged 19 years or older scheduled for elective off-pump coronary artery bypass (OPCAB) surgery. 2. Able to receive a full explanation of the purpose and procedures of the study and to provide written informed consent voluntarily. 3. Depth from the skin to the erector spinae muscle at the level of the left renal hilum, measured by ultrasonography in the operating room before anesthetic induction, of less than 2.0 cm, so that stable near-infrared spectroscopy measurement is considered feasible. Consenting patients who do not meet this criterion are not enrolled and are classified as screen failures. Exclusion Criteria: 1. Emergency surgery. 2. Concomitant surgery performed by another department. 3. Preoperative or postoperative cardiogenic shock, or need for mechanical circulatory support. 4. Estimated glomerular filtration rate below 30 mL/min/1.73 m2. 5. Previous kidney transplantation. 6. Left renal disease or a solitary kidney. 7. Body mass index above 30 kg/m2. 8. Active bleeding or active infection. 9. Inability to read and voluntarily consent to the informed consent document (for example, because of illiteracy, language barrier, or cognitive impairment). 10. Refusal to participate in the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
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