Intensive Versus Standard Hemodialysis CVC Dysfunction Protocol
NCT02474810 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 35
Last updated 2024-08-21
Summary
Central venous catheters (CVCs) are used for vascular access by approximately 56% of our 380 hemodialysis (HD) patients at the Capital Health Renal Program. The major complication of these catheters includes thrombosis and infection. Catheter locking solutions such as recombinant tissue plasminogen activator (rt-PA), Alteplase (Cathflo®) are used to treat and prevent clotting of the catheter during HD treatments and during the interdialytic period. Evidence to guide the use of rt-PA is limited. This quality assurance project will compare the effectiveness and cost of an intensive versus a standard catheter dysfunction protocol for rt-PA in HD patients.
Conditions
- Chronic Renal Insufficiency
Interventions
- DRUG
-
Alteplase
Alteplase for CVC dysfunction.
Sponsors & Collaborators
-
Nova Scotia Health Authority
lead OTHER
Principal Investigators
-
Jo-Anne S Wilson, PharmD · Nova Scotia Health Authority
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-01-31
- Primary Completion
- 2015-07-31
- Completion
- 2015-09-30
Countries
- Canada
Study Locations
More Related Trials
-
Study Comparing High Cut-off Haemofiltration With Standard Haemofiltration in Acute Renal Failure
NCT00912184 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Renal Denervation in Patients With Chronic Heart Failure & Renal Impairment Clinical Trial
NCT01392196 ·Status: TERMINATED ·Phase: NA
-
Prolonged Hemodialysis Catheter Survival With Copolymer Coating and Rt-PA
NCT01670474 ·Status: UNKNOWN ·Phase: PHASE4
-
Coupling Between Clotting Characteristics in Chronic Hemodialysis Patients and the Hemodialyzer Patency
NCT05440201 ·Status: COMPLETED ·Phase: NA
-
Catheter Dysfunction Rate in Patients Undergoing Kidney Replacement Therapy. Evaluation of the Safety and Efficacy of Anti-reflux Valves Without Heparin Lock Solution
NCT06259266 ·Status: WITHDRAWN ·Phase: NA
-
Efficacy of Twice Weekly Hemodialysis in Patients With Residual Kidney Function
NCT03874117 ·Status: COMPLETED ·Phase: NA
-
Impact of Clotting on Dialyzer Efficiency
NCT04746391 ·Status: COMPLETED ·Phase: NA
-
Citrate Anticoagulation vs. Heparin-Coated Dialyzers
NCT00395824 ·Status: COMPLETED ·Phase: PHASE3
-
Evaluation of a Simplified Protocol for Regional Citrate Anticoagulation in Continuous Venovenous Hemodiafiltration
NCT00583765 ·Status: COMPLETED
-
Renal Denervation in End Stage Renal Disease Patients With Refractory Hypertension
NCT00753116 ·Status: COMPLETED ·Phase: PHASE1
-
Comparison of Effectiveness and Complications of Catheter Lock Solutions in Non-tunneled Hemodialysis Catheters
NCT04772209 ·Status: COMPLETED ·Phase: NA
-
Cohort Study Comparing Short Daily Hemodialysis (HD) With Conventional HD
NCT00182156 ·Status: WITHDRAWN
-
Effect of Nephral 400 ST Dialysis Membrane on Coagulation in Hemodialysis
NCT00594607 ·Status: COMPLETED ·Phase: NA
-
Impact of Catheter Design on Catheter Survival in Chronic Hemodialysis Patients
NCT01649102 ·Status: COMPLETED ·Phase: PHASE4
-
Heparin Free Haemodialysis With Haemodialyzers "VIE" Versus "EVODIAL"
NCT01221337 ·Status: COMPLETED ·Phase: NA
-
Anticoagulation in Chronic Hemodialysis Patients Versus Hemodialyzer Fiber Patency, Bleedings and Quality of Life
NCT05365542 ·Status: COMPLETED
-
Comparison of High-Flow Hemodialysis Catheters Placed From the Left Internal Jugular Vein(R12-022)
NCT03523260 ·Status: WITHDRAWN ·Phase: NA
-
Stent vs. Angioplasty for Treatment of Thrombosed AV Grafts: Long-Term Outcomes
NCT00496639 ·Status: UNKNOWN ·Phase: NA
-
Prophylactic Antibiotic Treatment in Hemodialysis
NCT05248620 ·Status: RECRUITING ·Phase: NA
-
Hemodynamics in Chronic Hemodialysis Patients Undergoing Isolated Ultrafiltration Compared to Conventional Hemodialysis
NCT05642156 ·Status: RECRUITING ·Phase: NA
-
Prophylactic Antimicrobial Catheter Lock
NCT00571259 ·Status: COMPLETED ·Phase: PHASE4
-
Observational Study of Citrate Based Dialysis in Pediatric Patients Receiving Hemodialysis
NCT01590550 ·Status: COMPLETED
-
Hemodynamic and Respiratory Tolerance of Intermittent Hemodialysis in Critically Ill Patients
NCT04444765 ·Status: COMPLETED
-
Oral Anticoagulation in Haemodialysis Patients
NCT02886962 ·Status: TERMINATED ·Phase: PHASE4
-
REtrospective Analysis on the Use of COvered Stents for the Treatment of the Dysfunctional Vascular Access
NCT04897828 ·Status: UNKNOWN