The Utility of Thromboelastography in Cirrhotic Patients Undergoing Endoscopic Procedures
NCT02990273 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1
Last updated 2021-01-22
Summary
Cirrhosis results in decreased synthesis of both procoagulants and anticoagulants resulting in "rebalanced homeostasis". However, conventional blood tests (platelets/ INR levels) that are performed prior to invasive procedures do not accurately reflect the coagulation changes that occur in cirrhotics, resulting in unnecessary transfusion of blood products. Thromboelastography (TEG) is a global hemostasis assessment tool that is being used in surgery (including liver transplant) to help guide blood product transfusion in the operating room. The investigators would like to compare the use of TEG vs. INR/platelets to help guide blood product transfusion in cirrhotic patients undergoing inpatient endoscopy. The investigators will evaluate to see if there is a decrease in prophylactic blood transfusions prior to endoscopy when using TEG.
Conditions
- Cirrhosis, Coagulopathy
Interventions
- BIOLOGICAL
-
Blood transfusion
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Tinsay Woreta · Johns Hopkins University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-01-31
- Primary Completion
- 2021-01-19
- Completion
- 2021-01-19
More Related Trials
-
Preemptive TIPS for Variceal Bleeding in Cirrhotic Patients With Occlusive Portal Vein Thrombosis
NCT06122753 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Transjugular Intrahepatic Portosystemic Shunt (TIPS) for Prevention of Variceal Rebleeding in Cirrhotic Patients With Portal Vein Thrombosis
NCT01326949 ·Status: COMPLETED ·Phase: NA
-
Impact on Morbidity and Mortality of Prophylactic Dosing of Low Molecular Heparin in Child-Pugh B Cirrhotic Patients
NCT02271295 ·Status: SUSPENDED ·Phase: PHASE3
-
Comparison of Underdilated Versus Standard TIPS in Preventing Variceal Rebleeding in Patients With Cirrhosis
NCT07253389 ·Status: RECRUITING ·Phase: NA
-
Goal-Directed Hemostatic Resuscitation Trial in ACLF Induced Coagulopathy
NCT05124041 ·Status: COMPLETED ·Phase: NA
-
Thrombin Generation Test in Patient With Liver Cirrhosis
NCT02484534 ·Status: COMPLETED
-
Global Coagulation Assessment in Portal Vein Thrombosis and Budd-Chiari Syndrome
NCT05123326 ·Status: RECRUITING
-
Assessment of Coagulation Profile and Haematopoietic Responses in Patients With Acute-on-chronic Liver Failure During Systemic Inflammatory Response (SIRS) and Sepsis
NCT02307409 ·Status: COMPLETED
-
Global Coagulation Assessment in Cirrhosis and ACLF
NCT04332484 ·Status: COMPLETED
-
Portal Vein Thrombosis in Cirrhosis
NCT02275585 ·Status: WITHDRAWN
-
Mechanism of TIPS to Improve Sarcopenia
NCT06794853 ·Status: RECRUITING
-
Band Ligation Versus Transjugular Intrahepatic Portosystemic Stent Shunt (TIPS) in Cirrhotics With Recurrent Variceal Bleeding Non Responding to Medical Therapy
NCT00570973 ·Status: COMPLETED ·Phase: PHASE4
-
The Use of Transient Elastography to Predict Clinical Decompensation in Patients With Early Cirrhosis
NCT02258048 ·Status: WITHDRAWN
-
Rotational Thromboelastometry Versus Conventional Haemostatic Tests in Children With Decompensated Cirrhosis Undergoing Invasive Procedures.
NCT05734001 ·Status: RECRUITING ·Phase: NA
-
Early Use of TIPSS in Patients With Cirrhosis and Variceal Bleeding
NCT02377141 ·Status: COMPLETED ·Phase: NA
-
Effect of Portal Vein Thrombosis on the Prognosis of Liver Cirrhosis
NCT02335580 ·Status: COMPLETED
-
TIPS vs Endoscopic Therapy for Variceal Rebleeding in Cirrhotic Patients With Portal Vein Thrombosis
NCT02485184 ·Status: UNKNOWN ·Phase: NA
-
Dynamic Liver Tests in Liver Disease
NCT02782247 ·Status: COMPLETED
-
The Effect of Anticoagulation in Cirrhotic Patients With Portal Vein Thrombosis:A Multicenter RCT
NCT02630095 ·Status: UNKNOWN ·Phase: PHASE4
-
Effects of Platelet Mimicking Nanoparticles in Patients With Cirrhosis
NCT06050993 ·Status: COMPLETED
-
Terlipressin vs. Somatostatin in Cirrhotic Patients With Acute Gastrointestinal Bleeding and Acute Kidney Injury
NCT07252401 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Rotational Thromboelastometry (ROTEM™) Guided Transfusion for Elective Procedures in Patients With Cirrhosis (REduCe): An Open Label Randomized Controlled Trial.
NCT05698134 ·Status: UNKNOWN ·Phase: NA
-
Prospective Validation of a Plasma Transfusion Dosing Algorithm in Patients With Chronic Liver Disease
NCT02366845 ·Status: COMPLETED ·Phase: PHASE4
-
Prevalence and Predictive Factors of Portal Vein Thrombosis in Patients With Cirrhosis
NCT02069457 ·Status: COMPLETED
-
Portal Pressure Effects of Phlebotomy Combined to Vasopressin Use in Cirrhotic Patients Undergoing Liver Transplantation
NCT04472312 ·Status: COMPLETED