MedPath

Thromboelastography During Surgery for Malignant Pleural Mesothelioma

Conditions
Coagulopathy
Mesothelioma
Interventions
Procedure: Blood draw for TEG analysis
Registration Number
NCT01912547
Lead Sponsor
Brigham and Women's Hospital
Brief Summary

Surgery for malignant pleural mesothelioma is complex and prolonged, and may involve significant blood loss with considerable blood and product transfusion. Thromboelastography (TEG) is a global assay of coagulation that uses whole blood to produce a tracing that records kinetic changes in clot formation. This study aims provide a better understanding of the coagulation profile of these patients, and will form the basis of a TEG-based transfusion algorithm for future surgeries for mesothelioma.

Detailed Description

Thromboelastography can provide more in-depth and quicker analysis of the complex coagulation processes during surgery

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Adult male or female patients undergoing elective surgery for malignant pleural mesothelioma
Exclusion Criteria
  • Unwilling or unable to provide consent
  • History of bleeding disorder
  • On medications that may affect hemostasis

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Blood draw for TEG analysisBlood draw for TEG analysisTEG analysis of blood from patients at different points in time
Primary Outcome Measures
NameTimeMethod
Coagulation profile during extrapleural pneumonectomy or pleurectomySurgical period (4-6 hours)

Reaction time, alpha angle, maximum amplitude and clot lysis from thromboelastography give a better picture of coagulation at different phases of surgery

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Brigham and Women's Hospital

🇺🇸

Boston, Massachusetts, United States

© Copyright 2025. All Rights Reserved by MedPath