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Continuous Renal Replacement Therapy in the Setting of Orthotopic Liver Transplant

Not Applicable
Withdrawn
Conditions
Acute Kidney Injury
End Stage Kidney Disease
Liver Disease
Chronic Kidney Disease
Interventions
Procedure: Renal replacement therapy
Registration Number
NCT01619449
Lead Sponsor
University of Chicago
Brief Summary

To evaluate the efficacy of continuous renal replacement therapy (CRRT) during orthotopic liver transplantation (OLT) in clearing excess solutes and improving acid-base parameters. The investigators hypothesize that the use of intra-operative CRRT in OLT recipients is associated with increased solute removal and improved acid-base statues when compared to controls who do not receive CRRT

Detailed Description

as above

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Age 18 or older and able to sign consent (or surrogate)
  • Receiving liver or combined liver-kidney transplant
  • eGFR < or equal to 40 ml/min immediately prior to transplant or currently on any form of renal replacement therapy for acute kidney injury or end-stage renal disease
  • Pre-operative potassium of < or equal to 5.5 mEq/L
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Exclusion Criteria
  • Pre-operative hemoglobin < or equal to 7 g/dL
  • Pre-operative weight > or equal to 125 kig
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Renal replacement therapyRenal replacement therapyLiver transplant recipients who receive continuous renal replacement therapy intra-operatively.
No CRRTRenal replacement therapyThis arm consists of standard of care without CRRT in the OR for OLT
Primary Outcome Measures
NameTimeMethod
Solute ClearanceIntra-operative time

To compare the clearance of solutes (ie. potassium, lactate, creatinine and blood urea nitrogen) by CRRT in renally impaired OLT recipients to OLT recipients who do not receive CRRT

Secondary Outcome Measures
NameTimeMethod
Renal function and patient outcomes1 year post-operatively

To compare long-term maintenance of renal function (12 months) and other health outcomes in OLT recipients who received CRRT versus OLT recipients who did not receive OLT

Trial Locations

Locations (1)

University of Chicago Medicine

🇺🇸

Chicago, Illinois, United States

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