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Desmopressin in Acquired von Willebrand Syndrome caused by Aortic Valve Stenosis - Desmopressin in Acquired von Willebrand Syndrome

Conditions
Acquired type 2A von Willebrand syndrome is common in patients with severe aortic valve stenosis (AS). It originates from the mechanical obstruction of blood flow and the consecutive proteolysis of von vWF (von Willebrand factor) as it passes through the stenotic valve. Type 2A von Willebrand syndrome (vWS) is characterized by the loss of the largest multimers of vWF, which are the most effective in platelet-mediated hemostasis under conditions of high shear stress.
Registration Number
EUCTR2005-004559-36-AT
Lead Sponsor
Abteilung für Herz-Thorax-Gefäß Anästhesie & Intensivmedizin (HTG)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
60
Inclusion Criteria

?Signed informed consent form before trial-related activities
?Patients undergoing elective bioprosthetic aortic valve replacement

?Left ventricular ejection fraction > 40%

?Patients aged ? 18 and ? 90 years

?Prolonged closure time PFA-100 (ADP)> 170 (s).

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) no
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

?Participation in another clinical trial
?Incompetence to give consent (language and comprehension)
?Active endocarditis
?Association with coronary artery disease
?Multivalvular disease
?Antiplatelet treatment that could not be stopped 7 days before surgery
?Pregnancy or child-bearing potential
?BMI > 40 kg/m2
?Serum creatinine > 1.5 mg/dL
?Known hypersensitivity towards DDAVP

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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