Blood Loss, Surgical
Conditions
Keywords
intraoperative bleeding, aortic-valve replacement, aortic stenosis, Von Willebrand, HEAMATE
Brief summary
Evaluation of efficacy by determination of transfusion requirements and safety by determination of adverse events in administration of Von Willebrand factor concentrate F VIII (Haemate).
Interventions
intravenous infusion of Haemate (dosage dependent on body weight)
intravenous infusion of 0.9%NaCl-Solution
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with isolated valvular aortic stenosis or combined aortic-valve defect with prevailing stenosis with severe bleeding during aortic-valve replacement * Caucasian * written informed consent (Classification of bleeding as normal, moderate or excessive by the surgeon.Classification as excessive leads to recruitment)
Exclusion criteria
* active endocarditis * history suggestive for inherited oe acquired bleeding disorder * concomitant coronary heart disease * agents impairing platelet function up to 14 days before surgery * Pregnancy * inherited platelet function * known intolerance against HAEMATE HS * previous thromboembolic complications * Hepatitis B, C or HIV infection * previous chemotherapy * emergency surgery within the last 7 days * weight \< 50 kg and \> 100 kg
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| intra- and postoperative transfusion requirements of packed red cells, platelet concentrates and fresh frozen plasma according to defined transfusion thresholds | begin of surgery and 48h after administration of medication |
Secondary
| Measure | Time frame |
|---|---|
| Assessment of adverse events and viral safety | 1.perioperative 2. during hospital admission 3. within 90 days after surgery |
Countries
Germany