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Anticoagulation and Activation - Comparison in Continuous Renal Replacement Therapy

Withdrawn
Conditions
Kidney Replacement Disorder
Registration Number
NCT01276392
Lead Sponsor
Klinik für Anästhesiologie
Brief Summary

Actual clinical practice predominantly makes use of heparin (systemically) or citrate regionally as anticoagulation in the extracorporeal circulation for renal replacement therapy. We aim to find out if different anticoagulation strategies may lead to different levels of platelet activation and whole blood coagulation. Regarding coagulation activation, it remains uncertain if there is an advantage for one of these methods. However, it is of major interest to minimize the risk of any additional clotting activation via extracorporeal circulation in these usually critically ill patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Age > 18 years, acute renal failure with need for continuous veno-venous renal replacement therapy
Exclusion Criteria
  • Age < 18 years, pregnancy, contraindications for one of the two anticoagulation methods, missing informed consent or disagreement in the progress of the study

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Filter life time of continuous renal replacement therapyIndividual time point, standardized

Filter life time measured in hours of duration of continuos renal replacement therapy, filter life time end, when system clotts.

Secondary Outcome Measures
NameTimeMethod
Activation of coagulationbeginning of hemodialysis, 1,2,4,12,24,28,72 hours after start of hemodialysis

blood samples for multiplate, rotem and systemic coagulation paramters

Trial Locations

Locations (1)

Interdisciplinary Operative Intensive Care Unit, University Hospital Duesseldorf

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Duesseldorf, NRW, Germany

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