Thrombin Generation and Platelet Activation in CRS/HIPEC
NCT03034850 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 27
Last updated 2017-01-27
Summary
Cytoreductive surgery (CRS) with hyperthermic intraperitoneal peroperative chemotherapy (HIPEC), indicated for patients with peritoneal metastases from digestive or gynecological malignancies alike, demonstrates a considerable impact on hemostatic metabolism, both on platelet and on coagulation level. The potential hemostatic interference in CRS and HIPEC is phase dependent. This study demonstrates the combined use of ROTEM (rotational thromboelastometry), PACT (platelet activation test) and CAT (thrombin generation test) assays during CRS and HIPEC with a follow-up of 7 days postoperative.
Conditions
- Mesothelioma; Peritoneum
- Pseudomyxoma Peritonei
- Peritoneal Carcinomatosis
Interventions
- PROCEDURE
-
CRS/HIPEC
The generic surgical approach involved peritonectomy procedures and visceral resections called CRS as described by Sugarbaker (1995). Peritoneal disease burden was assessed using the perito- neal cancer index (PCI), which scores 13 intra-abdominal sites on a scale of 0 (no disease) to 3 (lesion size \> 5 cm), thus giving a range of possible scores from 0 to 39. The same team performed the surgical procedure of all included patients. Before connection to the patient, the circuit was filled with dextrose 5% (2 L/m2 body surface area) and warmed to 37°C.
Sponsors & Collaborators
-
Ziekenhuis Oost-Limburg
lead OTHER
Principal Investigators
-
Sven Van Poucke, MD · Ziekenhuis Oost-Limburg
Eligibility
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-04-30
- Primary Completion
- 2016-07-31
- Completion
- 2016-07-31
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