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Prognostic Efficacy of Low-Molecular-Weight Heparin Bridging Anticoagulation Based on Thrombotic Risk Stratification After Cardiac Valve Surgery and Dynamic Changes in Anti-Xa Activity

Prognostic Efficacy of Low-Molecular-Weight Heparin Bridging Anticoagulation Based on Thrombotic Risk Stratification After Cardiac Valve Surgery and Dynamic Changes in Anti-Xa Activity

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600123606
Enrollment
Unknown
Registered
2026-04-28
Start date
2026-05-01
Completion date
Unknown
Last updated
2026-05-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Postoperative thrombophilia after cardiac valve surgery

Interventions

The moderate-to-low thrombotic-risk non-bridging group:Anticoagulation with warfarin
The moderate-to-low thrombotic-risk bridging group:Anticoagulation with warfarin bridged by low-molecular-weight heparin
The high thrombotic-risk non-bridging group:Anticoagulation with warfarin
The high thrombotic-risk bridging group:Anticoagulation with warfarin bridged by low-molecular-weight heparin

Sponsors

Hainan General Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: Patients undergoing cardiac valve replacement surgery in the Department of Cardiac Surgery, Hainan General Hospital.

Exclusion criteria

Exclusion criteria: 1. Patients with renal failure (serum creatinine > 150 µmol/L); 2. Pregnant women; 3. Patients receiving LMWH for less than 2 days postoperatively; 4. Patients with other hematological diseases; 5. Patients with poor compliance, unable to adhere to follow-up visits or scheduled blood sampling during hospitalization; 6. Participants in other drug trials; 7. Patients with contraindications to warfarin or low-molecular-weight heparin.

Design outcomes

Primary

MeasureTime frame
Anti-FXa level;Antithrombin activity;International Normalized Ratio;Thrombotic events;

Secondary

MeasureTime frame
Bleeding events;

Countries

China

Contacts

Public ContactDanna Wu

Hainan General Hospital

wudannachangchang@163.com+86 898 6862 2576

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: May 16, 2026