Bleeding Prediction in Patients Following Cardiac Surgery Using Whole Blood Aggregometry and Thromboelastometry
Recruitment status was Recruiting
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Purpose
Use of whole blood impedance aggregometry and rotational thromboelastometry can reveal useful data about platelet function and viscoelastic properties of blood clot in patients undergoing cardiac surgery.
The purpose of this study is to clarify whether it is possible to predict patients on excessive risk of perioperative bleeding using whole blood impedance aggregometry and rotational thromoelastometry.
Antiplatelet therapy is the cornerstone in treatment of patients with coronary artery disease. Another research goal is to determine the degree of response to antiplatelet therapy before and after surgery and to investigate whether patients by level of response to antiplatelet therapy before surgery have a higher risk of perioperative bleeding.
| Condition |
|---|
|
Heart Disease Coronary Artery Disease Aortic Valve Disease Mitral Valve Disease |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Bleeding Prediction in Patients Undergoing Cardiac Surgery Using Whole Blood Impedance Aggregometry and Rotational Thromboelastometry |
- Chest tube output in first 24 hours [ Time Frame: 24 hours after surgical procedure ] [ Designated as safety issue: No ]
- Allogenic blood products transfusion [ Time Frame: 7 days after surgery including the day of surgery ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 400 |
| Study Start Date: | August 2009 |
| Estimated Study Completion Date: | March 2012 |
| Estimated Primary Completion Date: | January 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Patients undergoing elective cardiac surgery
Patients undergoing elective cardiac surgery will be enrolled in study. Data about antiplatelet therapy ingestion prior to surgery will be included.
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
All patients undergoing elective cardiac surgery with cardiopulmonary bypass are enrolled in study.
Inclusion Criteria:
- > 18 years old
- Elective cardiac surgery patients
- Coronary artery disease
- Aortic valve disease
- Mitral valve disease
- Ascendent aorta aneurysm
- Combine coronary and valve disease
- Cardiac surgery procedures using cardiopulmonary bypass
Exclusion Criteria:
- Missing consent
- Patients with emergent cardiac surgical procedures
- Patients on antiplatelet therapy other than aspirin or clopidogrel
- Patients with inaccurate antiplatelet therapy administration documentation
- Missing data
- Off-pump procedures
- Patients younger than 18 years old
- Patients with severe mental disorders
- Intrinsic coagulopathy
Contacts and Locations| Croatia | |
| University hospital center Zagreb- Rebro | Recruiting |
| Zagreb, Croatia, 10000 | |
| Contact: Mate Petricevic, M.D. 0038512367529 petricevic.mate@gmail.com | |
| Contact: Bojan Biocina, M.D., Ph.D 0038512367529 bbiocina@gmail.com | |
| Principal Investigator: Mate Petricevic, M.D. | |
| Principal Investigator: | Mate Petricevic, M.D. | University hospital center Zagreb- Rebro |
| Study Chair: | Bojan Biocina, M.D., Ph.D. | University hospital center Zagreb - Rebro |
More Information
No publications provided
| Responsible Party: | Petricevic Mate, M.D., University hospital center Zagreb- Rebro |
| ClinicalTrials.gov Identifier: | NCT01281397 History of Changes |
| Other Study ID Numbers: | Project code: 198-1980976-097 |
| Study First Received: | January 19, 2011 |
| Last Updated: | January 21, 2011 |
| Health Authority: | Croatia: Ministry of Science, Education and Sports |
Keywords provided by University of Zagreb:
|
cardiac surgery aggregometry thromboelastometry |
platelet function bleeding antiplatelet therapy |
Additional relevant MeSH terms:
|
Coronary Artery Disease Myocardial Ischemia Coronary Disease Heart Diseases Hemorrhage Heart Valve Diseases |
Cardiovascular Diseases Arteriosclerosis Arterial Occlusive Diseases Vascular Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on May 23, 2013