Platelets as Regulators of Inflammation in Cardiac Surgery
NCT02568410 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 99
Last updated 2019-05-23
Summary
Platelets are increasingly recognized as a potent and ubiquitously present source of inflammatory activation. Importantly, antiplatelet therapy has been shown to significantly reduce major adverse events such as renal injury in cardiac surgery patients. However, in current practice, concerns of excessive bleeding-not platelet activation and thrombosis-shape clinical decisions.
The investigators have recently seen, that a significant drop in platelet numbers following cardiac surgery is associated with increased mortality and risk of acute kidney injury. The investigators hypothesize that such thrombocytopenia is a result of excessive perioperative platelet activation and resultant release of inflammatory and tissue injurious signals by activated platelets. Platelet activation will be characterized during and after cardiac surgery and examine its correlation with inflammatory responses and perioperative end-organ injury.
Conditions
- Systemic Inflammatory Response Syndrome
- Acute Kidney Injury
Interventions
- PROCEDURE
-
coronary artery bypass grafting using cardiopulmonary bypass
no study intervention. Study cohort will undergo coronary artery bypass grafting using cardiopulmonary bypass according to standard practices at DUMC
Sponsors & Collaborators
- collaborator OTHER
- lead OTHER
Principal Investigators
-
jorn karhausen, md · Duke University
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-10-31
- Primary Completion
- 2019-05-31
- Completion
- 2019-05-31
Countries
- United States
Study Locations
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