study to see the effect of post operative systemic anticoagulation in patients undergoing post traumatic medium sized vessel repair.
- Conditions
- Injury of brachial artery,
- Registration Number
- CTRI/2025/02/079981
- Lead Sponsor
- Aiims
- Brief Summary
Those Patients Who Will be Operated for definitive arterial repair will be included in the study considering in lusion and exclusion criteria, informed consent will be obtained, patient will be randomised in two groups, both groups will receive intra-op bolus heparin 80IU/KG Body weight. In post op period, group A will receive maintenance i.v heparin 18 IU/KG For 3 days while group B will not receive any systemic Anticoagulation in post op period.colour Doppler will be scheduled at post op day 2 and 5 OR Earlier in case of absent peripheral pulse in operated limb.
Outcome measures: patency of the repaired artery as measured by Doppler Study at an interval of 48 hours and 5th post op day or at the time of discharge whichever is later.
Signs of bleeding requiring re-exploration or blood products transfusion.
Re-exploration will be decided after consultation with treating faculty.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Not Yet Recruiting
- Sex
- All
- Target Recruitment
- 205
Patients with medium size vessel injury(4-8mm) includes Axillary artery, Brachial Artery,Femoral artery and Popliteal artery.
- Patients with head injuries.
- Pregnant Females.
- Patients already on Anticoagulation.
- Venous/Prosthetic graft repair.
- Contraindication of Anticoagulation due to associated injuries/Co-morbidities including CAD, Ischaemic heart disease, Stroke, Coagulopathies etc.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To assess the effect of post operative systemic anticoagulation in terms of patency of medium size peripheral arterial repair in a vascular trauma To assess the effect of post operative systemic anticoagulation in terms of patency of medium size peripheral arterial repair in a vascular trauma on post operative day 02 and just bedore discharge or on day 05 whichever is later
- Secondary Outcome Measures
Name Time Method To assess complications like Post operative bleeding
Trial Locations
- Locations (1)
Jai Prakash Narayan Apex Trauma Center, Aiims
🇮🇳Central, DELHI, India
Jai Prakash Narayan Apex Trauma Center, Aiims🇮🇳Central, DELHI, IndiaDr Ram Krishna KumarPrincipal investigator7992208030rkk14519891@gmail.com