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Thrombin generation after abrupt cessation versus weaning over eight hours of continuous infusion of unfractionated heparin in intensive care unit patients after discontinuation of continuous venovenous haemofiltratio

Completed
Conditions
Venovenous haemofiltration
Haematological Disorders
Haematological procedures
Registration Number
ISRCTN33216118
Lead Sponsor
Academic Medical Centre (AMC) (The Netherlands)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
20
Inclusion Criteria

1. Patients scheduled to stop treatment with continuous venovenous haemofiltration (CVVH) because they no longer require it (physicians discretion/local protocol)
2. Age more than 18 years
3. At least 48 hours of CVVH treatment with concomitant continuous infusion of unfractionated heparin (UFH)
4. At least 36 hours of continuous UFH infusion in the last 48 hours prior to inclusion

Exclusion Criteria

1. Patients with known coagulation disorders
2. Patients receiving any anti-coagulant treatment for reasons other than CVVH

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Thrombin-antithrombin complexes (TATc)
Secondary Outcome Measures
NameTimeMethod
1. Activated partial thromboplastin time (aPTT)<br>2. Anti-factor Xa (anti-Xa)<br>3. Factor VII/VIIa<br>4. Tissue factor (TF)<br>5. Tissue factor pathway inhibitor (TFPI)-antigen<br>6. TFPI activity<br>7. Protein C/activated protein C (aPC)<br>8. Activated protein C sensitivity ratio (aPC-sr)<br>9. Prothrombin fragment 1.2, ETP (endogenous thrombin potential)<br>10. Fibrin monomers<br>11. Soluble thrombomodulin<br>12. Plasmin-a2-anti-plasmin complexes (PAPc)<br>13. Plasminogen-activator inhibitor (PAI)
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