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Safety and Efficacy of Argatroban Applicated in Anticoagulation of V-V ECMO

Not Applicable
Completed
Conditions
Respiratory Failure
Interventions
Registration Number
NCT04925167
Lead Sponsor
Beijing Chao Yang Hospital
Brief Summary

Unfractionated heparin is most common in the anticoagulation management of V-V ECMO. However, many side effects of unfractionated heparin, such as HIT, antithrombin deficiency, etc seriously affects the prognosis of patients. Argatroban is kind of direct thrombin inhibitors, which could be used used as an alternative anticoagulant of unfractionated heparin when HIT or antithrombin deficiency, etc. At present, there is no power enough evidence for the application of argatroban in V-V ECMO. This study aims to evaluat the safety and effectiveness of argatroban in the anticoagulation management of V-V ECMO compared with unfractionated heparin.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • age older than 18 years old; received V-V ECMO because of sevever respiratory failure
Exclusion Criteria
  • anticoagulant contraindications; Confirmed or suspected, or previously diagnosed with heparin induced thrombocytopenia; Cerebral infarction or suspected patients; Patients with severe liver dysfunction; Allergic to heparin or argatroban; hemophilia; Unwilling or unable to complete the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
UFH groupunfractionated heparinPatients received UFH for anticoagulation during V-V ECMO.
argatroban groupArgatrobanPatients received argatroban for anticoagulation during V-V ECMO.
Primary Outcome Measures
NameTimeMethod
incidence of ECMO related thrombotic events14 days

the incidence of ECMO related thrombotic events, such as membrane oxygenator or tube thrombosis.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Bing Sun

🇨🇳

Beijing, Beijing, China

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