Could a blood pressure cuff save organs during heart surgery?
NCT ID NCT07383909
First seen Jun 27, 2026 · Last updated Sep 17, 2026 · Updated 2 times
Summary
This study tests a technique called remote ischemic preconditioning (RIPC) during emergency surgery for a life-threatening aortic tear. RIPC involves briefly inflating a blood pressure cuff on the arm and thigh to temporarily restrict blood flow, which may help protect the heart, brain, and kidneys from damage during surgery. The trial will compare 1,296 patients who receive RIPC to those who receive a sham procedure, tracking complications for up to 5 years.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- remote ischemic preconditioning (RIPC) procedure
- What this could lead to
- If it works, this simple, non-invasive procedure could reduce serious complications like heart, brain, or kidney damage after emergency aortic surgery.
- What could go wrong
- This is a large trial, but the procedure is still experimental. It may not reduce complications, and there is always a risk of unforeseen issues during emergency surgery.
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 1,312 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2026
- Expected to finish
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Dec 2032
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. Acute type A aortic dissection requiring emergency surgery within 14 days of symptom onset; 3. Written informed consent provided by the participant or a legally authorized representative; 4. Willingness to comply with study follow-up. Exclusion Criteria: 1. Traumatic or iatrogenic aortic dissection; 2. Previous open cardiac or thoracic aortic surgery; 3. Persistent deep coma (Glasgow Coma Scale score ≤8), abdominal compartment syndrome, preoperative mechanical circulatory support, or norepinephrine-equivalent dose \>0.1 μg/kg/min; 4. Estimated glomerular filtration rate \<30 mL/min/1.73 m², total bilirubin \>342 μmol/L, or international normalized ratio \>2.0; 5. Evidence of ischemia in the limb planned for intervention, including decreased skin temperature, pain, or pallor, with or without sensory disturbance, paralysis, or diminished or absent peripheral pulses; severe deformity of the limb; or a history of arterial or venous surgery at the planned intervention site; 6. Peripheral arterial disease involving the limbs, Raynaud phenomenon, active phlebitis, or a history of lower-extremity deep vein thrombosis; 7. Current use of sulfonylureas or nicorandil; 8. Expected survival \<1 year; 9. Concurrent participation in another clinical trial that has not yet reached its primary endpoint; 10. Pregnancy or breastfeeding; 11. Immunodeficiency, a known bleeding or coagulation disorder, sickle cell anemia, or active or uncontrolled infection; 12. Any other condition considered unsuitable for enrollment by the investigator
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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
16 sites. 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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Fujian Medical University Union Hospital
RECRUITINGFuzhou, Fujian, 350001, China
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Henan Provincial Chest Hospital
NOT_YET_RECRUITINGZhengzhou, Henan, China
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Qilu Hospital of Shandong University
NOT_YET_RECRUITINGJinan, Shandong, China
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Renji Hospital
NOT_YET_RECRUITINGShanghai, China
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Shengjing Hospital of China Medical University
NOT_YET_RECRUITINGShenyang, Liaoning, China
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The First Affiliated Hospital of Anhui Medical University
NOT_YET_RECRUITINGHefei, Anhui, China
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The First Affiliated Hospital of Dalian Medical University
RECRUITINGDalian, Liaoning, China
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The First Affiliated Hospital of Harbin Medical University
NOT_YET_RECRUITINGHarbin, Heilongjian, China
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The First Affiliated Hospital of Sun Yat-Sen University
NOT_YET_RECRUITINGGuangzhou, Guangdong, China
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The First Affiliated Hospital of Xi'an Jiaotong University
NOT_YET_RECRUITINGXi’an, Shanxi, China
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The First Affiliated Hospital of Xiamen University
NOT_YET_RECRUITINGXiamen, Fujian, China
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The Fourth Hospital of Harbin Medical University
NOT_YET_RECRUITINGHarbin, Heilongjian, China
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The Second Affiliated Hospital of AMU
NOT_YET_RECRUITINGChongqing, China
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The Second Xiangya Hospital of Central South University
NOT_YET_RECRUITINGChangsha, Hunan, China
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Xiamen Cardiovascular Hospital, Xiamen University
RECRUITINGXiamen, Fujian, China
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Yan'an Hospital of Kunming City
NOT_YET_RECRUITINGKunming, Yunnan, China
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