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The Effect of Levosimendan on Pulmonary Artery Pressure and Right Ventricular Function in the Perioperative Period in Patients With CTEPH After Pulmonary Thromboendarterectomy

NCT07914933, Not applicable, Recruiting, Meshalkin Research Institute of Pathology of Circulation

Trial 10

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

FieldValueSource
TitleThe Effect of Levosimendan on Pulmonary Artery Pressure and Right Ventricular Function in the Perioperative Period in Patients With CTEPH After Pulmonary ThromboendarterectomyClinicalTrials.gov
NCT numberNCT07914933ClinicalTrials.gov
StatusRecruitingClinicalTrials.gov
PhasesNot applicableClinicalTrials.gov
Enrollment50 participants, estimatedClinicalTrials.gov
Lead sponsorMeshalkin Research Institute of Pathology of CirculationClinicalTrials.gov
ConditionsLEVOSIMENDAN, PULMONARY THROMBOENDARTERECTOMY, Chronic Thromboembolic Pulmonary Hypertension (CTEPH), Pulmonary HypertensionClinicalTrials.gov
InterventionsInfusion of levosimendan, Placebo infusion "Soluvit"ClinicalTrials.gov
First posted2026-11-04ClinicalTrials.gov
Last updated2026-11-04ClinicalTrials.gov

Registered outcomes 33

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescriptionSource
PrimaryMean pulmonary artery pressure (mPAP)24 hours at the end of surgeryMean pulmonary artery pressure (mPAP) measured 24 hours after the end of surgeryClinicalTrials.gov
SecondaryPulmonary Vascular Resistance (PVR)• before skin incision • at the end of surgery • 4 hours after of surgery • 24 hours after of surgery • 48 hours after of surgery • 72 hours after of surgeryPulmonary vascular resistanceClinicalTrials.gov
SecondaryPulmonary Artery Pulsatility Index (PAPI)• before skin incision • at the end of surgery • 4 hours after of surgery • 24 hours after of surgery • 48 hours after of surgery • 72 hours after of surgery
Pulmonary artery pulsatility index. PAPi = (PASP - PADP) / RAP (PASP - PADP): Pulmonary Artery Pulse Pressure. This is the difference between the pressure in the pulmonary artery when the heart contracts (systolic) and relaxes (diastolic). RAP: Right Atrial Pressure.
ClinicalTrials.gov
SecondaryPulmonary Artery Pressure (PAP)• before skin incision • at the end of surgery • 4 hours after of surgery • 24 hours after of surgery • 48 hours after of surgery • 72 hours after of surgeryPulmonary artery pressureClinicalTrials.gov
SecondaryArterial Blood Pressure (ABP)• before skin incision • at the end of surgery • 4 hours after of surgery • 24 hours after of surgery • 48 hours after of surgery • 72 hours after of surgeryArterial blood pressureClinicalTrials.gov
SecondaryCentral Venous Pressure (CVP)• before skin incision • at the end of surgery • 4 hours after of surgery • 24 hours after of surgery • 48 hours after of surgery • 72 hours after of surgeryCentral venous pressureClinicalTrials.gov
SecondaryCardiac Index (CI)• before skin incision • at the end of surgery • 4 hours after of surgery • 24 hours after of surgery • 48 hours after of surgery • 72 hours after of surgeryCardiac indexClinicalTrials.gov
SecondarySystemic Vascular Resistance (SVR)• before skin incision • at the end of surgery • 4 hours after of surgery • 24 hours after of surgery • 48 hours after of surgery • 72 hours after of surgerySystemic vascular resistanceClinicalTrials.gov
SecondaryRight Ventricular Stroke Work Index (RVSWI)• before skin incision • at the end of surgery • 4 hours after of surgery • 24 hours after of surgery • 48 hours after of surgery • 72 hours after of surgeryRight ventricular stroke work indexClinicalTrials.gov
SecondaryPulmonary Capillary Wedge Pressure (PAWP)• before skin incision • at the end of surgery • 4 hours after of surgery • 24 hours after of surgery • 48 hours after of surgery • 72 hours after of surgeryPulmonary capillary wedge pressureClinicalTrials.gov
SecondaryEjection fraction• before skin incision • at the end of surgery • 24 hours after surgery • 48 hours after surgery • 72 hours after surgeryEjection fraction (EF) of both the right and left ventricles (LVEF and RVEF)ClinicalTrials.gov
SecondaryRight Ventricular End-Diastolic Volume (RVEDV)• before skin incision • at the end of surgery • 24 hours after surgery • 48 hours after surgery • 72 hours after surgeryRight ventricular end diastolic volumeClinicalTrials.gov
SecondaryRight Ventricular systolic pressure (RVSP)• before skin incision • at the end of surgery • 24 hours after surgery • 48 hours after surgery • 72 hours after surgeryRight ventricular systolic pressureClinicalTrials.gov
SecondaryFractional area change (FAC) of the right ventricle• before skin incision • at the end of surgery • 24 hours after surgery • 48 hours after surgery • 72 hours after surgeryFractional area change (FAC) of the right ventricleClinicalTrials.gov
SecondaryTricuspid annular plane systolic excursion (TAPSE)• before skin incision • at the end of surgery • 24 hours after surgery • 48 hours after surgery • 72 hours after surgeryTricuspid annular plane systolic excursionClinicalTrials.gov
SecondaryRight ventricular free-wall longitudinal strain (RV FW LS)• before skin incision • at the end of surgery • 24 hours after surgery • 48 hours after surgery • 72 hours after surgeryRight ventricular free-wall longitudinal strainClinicalTrials.gov
SecondaryQuantitative troponin I level• before skin incision• 24 hours after the end of surgery• 48 hours after surgeryQuantitative concentration of troponin IClinicalTrials.gov
SecondaryVasoactive Inotropic Support• before skin incision • at the end of surgery • 4 hours after surgery • 24 hours after surgery • 48 hours after surgery • 72 hours after surgery
In the perioperative period, the Vasoactive-Inotropic Score (VIS) will be calculated using the following formula: VIS = dobutamine (mcg/kg/min) + dopamine (mcg/kg/min) + (100 × epinephrine (mcg/kg/min) + (100 × norepinephrine (mcg/kg/min)) + (10 × milrinone (mcg/kg/min))
ClinicalTrials.gov
SecondaryResidual Pulmonary HypertensionFrom the end of surgery up to 72 hours postoperatively
Number of participants with residual pulmonary hypertension, defined as postoperative mean pulmonary artery pressure (mPAP) \> 25 mm Hg, measured by right heart catheterization in the postoperative period (up to 72 hours after surgery).
ClinicalTrials.gov
SecondaryIncidence of reperfusion pulmonary edemaFrom the end of surgery up to 72 hours postoperatively
Number of participants who develop pulmonary edema within 24 hours following pulmonary endarterectomy (PEA), confirmed by chest X-ray or chest CT and clinical criteria (including dyspnea, hypoxemia, and bilateral infiltrates), characterized by the presence of frothy secretions in the endotracheal tube (ETT), asymmetric opacities on chest X-ray, and an oxygenation index (PaO₂/FiO₂) \< 300 mm Hg in the early postoperative period (up to 72 hours)
ClinicalTrials.gov

Outcomes 0

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured asSource

Results by group 0

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnitsSource

Participant flow 0

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits countedSource

Adverse events 0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEventsSource

Adverse event totals 0

The totals the trial posted for each group.

TotalGroupAffectedAt riskSource

Papers 19

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
15083767BACKGROUNDPubMed
18570382BACKGROUNDPubMed
18981240BACKGROUNDPubMed
21335128BACKGROUNDPubMed
26028638BACKGROUNDPubMed
26252755BACKGROUNDPubMed
26826181BACKGROUNDPubMed
27052413BACKGROUNDPubMed
29979110BACKGROUNDPubMed
30052230BACKGROUNDPubMed
30545968BACKGROUNDPubMed
33541611BACKGROUNDPubMed
36028254BACKGROUNDPubMed
36722588BACKGROUNDPubMed
37051026BACKGROUNDPubMed
37051490BACKGROUNDPubMed
38302154BACKGROUNDPubMed
39036117BACKGROUNDPubMed
39209473BACKGROUNDPubMed

Grants 0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource

Trial comparisons 0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource

Tests 0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

TestNamed asSource

Source 5

FieldValueSource
Releasetrials-2026-11-12-0.4.0ClinicalTrials.gov
Release manifest SHA-2560f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4ClinicalTrials.gov
Registry capture2026-11-12ClinicalTrials.gov
Results copy, AACT2026-03-23ClinicalTrials.gov
NIH clinical studies file2026-11-13ClinicalTrials.gov

The same record as JSON

Release trials-2026-11-12-0.4.0

ClinicalTrials.gov's posted results, through CTTI's AACT: ClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299 ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

ClinicalTrials.gov: none stated ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

NIH RePORTER's clinical studies and project files: Public domain (NIH RePORTER)