Patients undergoing elective coronary artery bypass grafting MedDRA version: 21.1 Level: LLT Classification code 10068176 Term: Coronary artery bypass graft System Organ Class: 100000004865
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: elective coronary artery bypass grafting Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 70 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 130
Exclusion criteria
Exclusion criteria: *urgent operation *reoperation *concomitant cardiac surgery in addition to CABG *antithrombotic or anticoagulant medication other than aspirin *biological disease-modifying anti-inflammatory drugs *per oral glucocorticoids *LVEF 1.2; CRP > 20 mg/l
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Comparison of the effect of two heparin doses (300 IU/kg vs. 600 IU/kg) on perioperative bleeding;Secondary Objective: Comparison of the effect of two heparin doses (300 IU/kg vs. 600 IU/kg) on *consumption of blood products ( packed red blood cells, thrombocytes, fresh frozen plasma) *perioperative myocardial injury *laboratory parameters of coagulation, platelet function and inflammation;Primary end point(s): perioperative bleeding intraoperatively and ad 18 hours postoperatively;Timepoint(s) of evaluation of this end point: indicated above | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): *consumption of blood products ( packed red blood cells, thrombocytes, fresh frozen plasma) intraoperatively and ad 18 hours postoperatively *perioperative myocardial injury (creatinine kinase MB-fraction on the first postoperative morning) *laboratory parameters of coagulation (including TEM at time-points 1, 4-6), platelet function (including MEA at time-points 1, 4-6 and inflammation in blood samples at 6 time-points: 1) preoperatively; 2) 20 min on CPB; 3) before aortic declamping; 4) 10 min after aortic declamping; 5) 30 min after protamine administration; 6) 3 hours after protamine administration;Timepoint(s) of evaluation of this end point: indicated above | — |
Countries
Finland