Deep venous thrombosis, myocardial infarction, cerebral infarction, bleeding MedDRA version: 19.0 Level: PT Classification code 10062354 Term: Ischaemic heart disease prophylaxis System Organ Class: 10042613 - Surgical and medical procedures MedDRA version: 19.0 Level: LLT Classification code 10023024 Term: Ischaemic heart disease System Organ Class: 100000004849
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients admitted for elective CABG operation at the Thoracical Surgery Deparment at Rigshospitalet. 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 75 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 75
Exclusion criteria
Exclusion criteria: Age < 18 years, reoperations, acute operations (<24 timer), lack of pausation of trombcyte inhibitors 4 days prior to operation, requirement for another trombocyteinhibitor than ASA, weight under 60 kg or above 100 kg, lack of informed conset, treatment with vitamin-K antagonist or NOAC, liver insufficiency, kidney insufficiency, gout, pregnancy, treatment with other anticoagulants, participation in another study, allergy to the IMPs, haemorrhagic diathesis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective of this trial is to quantify a possible effect of the change in treatment regimen from ASA to ASA+Clexane on the haemostatic and fibrinolytic system, demonstrated by changes in TEG and Multiplate analyses.;Secondary Objective: Registration of symptomatic trombo-embolic complications og of clinical bleeding episodes within 30 days in the study groups.;Primary end point(s): TEG-analysis: reaction time(R), minutes Multiplate: ASPI test, U ;Timepoint(s) of evaluation of this end point: Blood sample at 9.00 A.M. each postoperative day for 3 days | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Bleeding complications: SAGM-usage, plasma usage, thrombocyte usage, reporeration for bleeding (along with specified cause), GI-bleeding Trombo-embolic complications: CNS injury, AMI, reoperation for AMI Number of patients in each study group experiencing a SUSAR;Timepoint(s) of evaluation of this end point: Noted in case report form during admission and followed up 30 days post operation. | — |
Countries
Denmark
Contacts
Rigshospitalet