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Thromboelastometry in Liver Transplantation

Not Applicable
Conditions
Coagulopathy
Liver Transplant Disorder
Interventions
Other: Fibrinogen and/or platelets administration
Registration Number
NCT03011827
Lead Sponsor
Hospital Clinic of Barcelona
Brief Summary

Thromboelastometry better assess coagulation than standard coagulation test in patients undergoing ortothopic liver transplantation. In a post-hoc analysis from a randomized study recently conducted by our group, presurgical values of MA10 Extem \< 35 mm are highly predictive of RBC administration , with no further improvement over MA10 Extem \>40 mm ; suggesting that MA10 Extem between 35-40 would be the optimal range to manage blood product administration. The aim of the study is to validate this result in a prospective cohort of patients submitted to ortothopic liver transplantation.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
65
Inclusion Criteria
  • Presurgical hemoglobin < 13 d/L and clot firmness at 10 minutes Extem < 35 mm
Exclusion Criteria
  • Previous thrombosis
  • Antithrombotic treatment
  • No consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Prospective cohortFibrinogen and/or platelets administrationFibrinogen and/or platelet administration
Primary Outcome Measures
NameTimeMethod
Red blood cell transfusionuntil 24h after liver transplant
Secondary Outcome Measures
NameTimeMethod
Thrombosis28 days after liver transplant

Thrombosis will be assessed clinically and confirmed by ultrasonographic exam

Trial Locations

Locations (2)

Hospital Universitari de Bellvitge

🇪🇸

L'Hospitalet de Llobregat, Barcelona, Spain

Hospital de Cruces

🇪🇸

Bilbao, Spain

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