Liver Transplantation, Blood Loss
Conditions
Keywords
liver, anemia, transplantation
Brief summary
The aim of this study is to investigate whether therapy with intravenous iron carboxymaltose in patients with iron deficiency anemia (IDA) listed for orthotopic liver transplantation (OLT) increases hemoglobin concentrations and reduces intraoperative transfusion of packed red blood cells (PRBCs). The investigators hypothesize that therapy with intravenous iron will increase hemoglobin concentrations and reduce intraoperative transfusion of PRBCs in patients with IDA listed for OLT.
Interventions
see above
see above
Sponsors
Study design
Eligibility
Inclusion criteria
* patients listed for OLT with positive screening for IDA
Exclusion criteria
* Age \<18 years * Hemochromatosis * Iron utilization disorders * Non-IDA * Therapy with erythropoietin-stimulating agents or intravenous iron within 4 weeks prior to screening * Previous allergic reactions against intravenous iron formulations * Transfusion within 2 weeks prior to screening * Complete portal vein thrombosis * High-urgency OLT * Pregnancy * Sepsis or severe infection * Immunosuppressive therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hemoglobin at OLT | 6 months | Change in hemoglobin concentrations from baseline until before induction of anesthesia for OLT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Transfusion requirement | 6 months | Transfusion of PRBCs during and within the first 24 hours following OLT |
| Hemoglobin after 4 weeks | 4 weeks | Change in hemoglobin concentrations from baseline until 4 weeks after initiation of therapy |
Countries
Austria