RecruitingNot ApplicableNCT06405516

Platelet Function After Cardiac Surgery.

Platelet Count and Function After Usage of Two Different Cell Saver Devices During Cardiac Surgery: a Randomized Controlled Multi-center Equivalence Trial.


Sponsor

Insel Gruppe AG, University Hospital Bern

Enrollment

40 participants

Start Date

Jun 12, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Intraoperative cell salvage is commonly used in cardiac surgery to reduce the administration of allogeneic red blood cells and thus improve the outcome for the patient. When processing the salvaged blood, however, a large part of the patient's plasma is washed out. This is a disadvantage with regard to an optimal coagulation situation after cardiac surgery. There are currently various cell saver systems on the market. According to the manufacturers, the plasma is returned to the patient in different quantities as part of the processing procedure. Thus, it can be assumed that in addition to red blood cells, platelets (part of plasma) are retransfused and contribute to an optimized coagulation. Unfortunately, there is a lack of studies in this regard in the cardiac surgery population. The investigators aim to study the performance of two different cell saver devices regarding preservation of platelet number and function.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Age \>18 years
  • Elective high risk cardiac surgery with cardiopulmonary bypass usage
  • Cardiopulmonary bypass time \> 120 minutes
  • Written informed consent

Exclusion Criteria2

  • Preoperative use of oral or intravenous anti-coagulants or antiplatelet agents (except aspirin)
  • Inability to understand and sign the informed consent form (e.g. language problems, dementia, mental disorders).

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Interventions

DEVICEAutologous blood cell salvage with in-house device

In addition to standard procedures in this patient population, study participants will receive point-of-care analysis of platelet function and coagulation (laboratory analysis and viscoelastic tests, if not already provided by the responsible anesthesiologist) based on the clinical situation, at different time points before and after retransfusion of processed cell salvage blood.

DEVICEAutologous cell salvage with i-Sep SAME device

In addition to standard procedures in this patient population, study participants will receive point-of-care analysis of platelet function and coagulation (laboratory analysis and viscoelastic tests, if not already provided by the responsible anesthesiologist) based on the clinical situation, at different time points before and after retransfusion of processed cell salvage blood.


Locations(1)

Department of Anesthesiology and Pain Medicine

Bern, Switzerland

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NCT06405516


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