Anticoagulant Therapy During Pacemaker Implantation
NCT00479362 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 447
Last updated 2012-09-17
Summary
There are no established guidelines regarding interruption of warfarin anticoagulant therapy prior to surgical implantation of cardiac pacemakers. Continuing the anticoagulant could potentially result in increased bleeding complications from the implantation surgery, whereas discontinuing the anticoagulant could predispose the patient to blood clots and strokes. In this study we intend to randomly assign warfarin-treated patients either into interrupted or continued warfarin therapy prior to pacemaker implantation with the purpose of establishing the rate of complication in these groups. Our hypothesis is that a cardiac pacing device can be safely implanted without discontinuation of the anticoagulant therapy.
Conditions
- Hemorrhage
- Thrombosis
- Embolism
Interventions
- DRUG
-
Warfarin
Warfarin is either interrupted or uninterrupted prior to device implantation
- DRUG
-
Aspirin is continued without interruption prior to device implantation
- DEVICE
-
Permanent pacemaker
Devices are implanted tailored each patient's clinical condition and need following local practices, national and international guidelines.
- DEVICE
-
Implantable Cardioverter-defibrillator
Devices are implanted tailored each patient's clinical condition and need following local practices, national and international guidelines.
Sponsors & Collaborators
-
Satakunta Central Hospital
collaborator OTHER -
Oulu University Hospital
collaborator OTHER -
Tampere University Hospital
collaborator OTHER -
University of Turku
lead OTHER
Principal Investigators
-
Juhani Airaksinen, MD · University of Turku, Turku University Hospital
-
Petri Korkeila, MD · Turku University Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2005-09-30
- Primary Completion
- 2012-09-30
- Completion
- 2012-09-30
Countries
- Finland
Study Locations
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