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Effect of tranexamic acid and aprotinin in absolute blood loss in pediatric neurosurgery

Evaluation of therapeutic safety and efficacy of tranexamic acid or aprotinin in absolute blood loss and transfusion in pediatric patients undergoing craniosynostosis surgery

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20200705048023N1
Enrollment
90
Registered
2020-07-07
Start date
2020-07-22
Completion date
Unknown
Last updated
2020-07-13

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

Conditions

craniosynostosis.

Interventions

Intervention 1: Intervention group: Tranexamic acid. Intervention 2: Intervention group: Aprotinin. Intervention 3: Control group: No intervention.

Sponsors

Tehran University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
2 Months to 2 Years

Inclusion criteria

Inclusion criteria: ? Age between 2 months and 2 years, both sex ? Single or multi-suture craniosynostosis including metopic, sagittal, unicoronal, and bicoronal synostoses ? Syndromic or non-syndromic craniosynostosis ? Hemoglobin level of equal or more than 13 mg/dl ? Patient’s parents or legal guardian agreement to sign the informed consent form

Exclusion criteria

Exclusion criteria: ? Indication for endoscopic craniosynostosis surgery ? History of coagulopathies or hemoglobinopathies in patient or first degree family (hemophilia, abnormal PT, PTT, INR tests, afibrinogenemia, congenital coagulatory factor deficiencies) ? Craniofacial surgeries ? Craniosynostosis recurrence ? Secondary craniosynostosis ? Abnormal renal function tests including abnormal BUN and Cr for age or family history of hereditary renal disease as polycystic kidney ? Allergy to Aprotinin, tested 30 minutes pre operation with 0.1 dose of therapeutic dose ? Congenital heart disease

Design outcomes

Primary

MeasureTime frame
Intraoperative and postoperative blood loss and blood transfusion and intervention-related mortality will be considered as primary outcomes. Timepoint: during the surgery, 4 and 24 hours after surgery. Method of measurement: The amount of blood loss as the result of surgery, intraoperative or postoperative.Estimation or calculation with formula.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactZahra Ebrahim soltani

Tehran University of Medical Sciences

zahra_esoltani@yahoo.com+98 21 4421 0127

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026