New software aims to predict and prevent dangerous low blood pressure during major surgery
NCT ID NCT07510451
First seen Jun 26, 2026 · Last updated Jul 15, 2026 · Updated 3 times
Summary
This study tests a special software called the Hypotension Prediction Index (HPI) that helps doctors predict and prevent low blood pressure during major aortic surgery. The trial involves 200 adults undergoing elective open or endovascular abdominal aortic surgery expected to last over 2 hours. Researchers will compare the HPI-guided monitoring to standard advanced monitoring to see if it reduces the time patients spend with dangerously low blood pressure and lowers the risk of organ damage after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Hypotension Prediction Index software
- What this could lead to
- If successful, this software could help doctors prevent dangerous drops in blood pressure during surgery, reducing complications.
- What could go wrong
- This is a single-center trial with 200 participants, so results may not apply to all hospitals or patients. The software may not significantly improve outcomes over standard monitoring.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Jun 2028
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.
- Ages
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18 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. Age ≥ 18 years 2. American Society of Anesthesiologists (ASA) physical status classification III or IV 3. Scheduled for elective major abdominal aortic surgery (open or endovascular repair) with an expected surgical duration exceeding 2 hours 4. Able to provide written informed consent Exclusion Criteria: 1. Emergency or urgent surgery 2. Pregnancy or breastfeeding or positive/uncertain pregnancy test 3. Haemodynamically significant valvular heart disease: * Severe aortic stenosis (aortic valve area \< 1.5 cm\^2) * Moderate to severe aortic regurgitation * Moderate to severe mitral regurgitation * Moderate to severe mitral stenosis 4. Severe heart failure with left ventricular ejection fraction \< 35% 5. Permanent atrial fibrillation (reduces accuracy of pulse contour analysis) 6. Inability to provide informed consent 7. Participation in another interventional trial that may influence haemodynamic management or study outcomes
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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 places running it
1 site. The list below names each one and where it is.
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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
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Department of Anesthesiology and Intensive Therapy
RECRUITINGPoznan, Poznań, 61-355, Poland
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Other studies related to the condition(s) this trial covers.
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- Aneurysm repair may stiffen arteries — a study asks what that means for the heart
- Rehab after aneurysm surgery: could a 3-Week program boost heart and lung fitness?
- Nerve block may offer safer pain relief after major aortic surgery
- New device aims to seal aortic aneurysms without open surgery