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Prognosis Related to Induced Thrombopenia With Heparin Under Venoarterial ECMO in Reanimation

Completed
Conditions
Heparin-induced Thrombocytopenia
Registration Number
NCT03979625
Lead Sponsor
Central Hospital, Nancy, France
Brief Summary

Thrombocytopenia is a frequent and serious adverse event in patients treated with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for refractory cardiogenic shock. Similarly to postcardiac surgery patients, heparin-induced thrombocytopenia (HIT) could represent the causative underlying mechanism. However, the epidemiology as well as related mortality regarding HIT and VA-ECMO remains largely unknown. The investigators aimed to define the prevalence and associated 90-day mortality of HIT diagnosed under VA-ECMO.This retrospective study included patients under VA-ECMO from 20 French centers between 2012 and 2016.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
39
Inclusion Criteria
  • Age ≥ 18 years
  • Patient hospitalized in intensive care for a cardiovascular failure requiring the setting up of an ECMO-VA
  • ECMO-VA duration ≥ 3 days
  • HIT confirmed by immunological tests
  • Patient affiliated to a Social Security scheme
Exclusion Criteria
  • Known antecedent of TIH prior to cannulation
  • Pregnant woman
  • ECMO-VA following cardiopulmonary arrest or septic shock

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Death90 days after inclusion
Secondary Outcome Measures
NameTimeMethod
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