Autologous Whole Blood Management for Transfusion Reduction in Adult Cardiac Surgery Patients
NCT05889494 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 64
Last updated 2026-03-18
Summary
The goal of this pilot trial is to test a protocol for a planned Canada-wide clinical trial looking at whether or not the use of a patients own blood works as good as the current standard of care using donated blood products to reduce blood loss in adult patients having heart surgery.
The main questions this study aims to answer are:
* Is the protocol practical, effective, and efficient.
* Does the use of a patients own blood lower the following: bleeding, the amount donated blood products given, and complications.
Participants will be separated into two groups by a process that is like flipping a coin. One group will donate blood to themselves in the operating room and get their own blood back after surgery. The other group will be given blood products donated by other humans to treat the bleeding after heart surgery.
Researchers will compare both groups to see if patients that get their own blood have fewer donated blood products given at time of heart surgery and have less complications after surgery.
Conditions
- Postoperative Hemorrhage
- Postoperative Anemia
- Postoperative Blood Loss
Interventions
- OTHER
-
Autologous Whole Blood Management
Intraoperative high volume autologous whole blood withdrawal with re-transfusion following weaning from CPB.
- OTHER
-
Standard Care involving allogenic and/or derivative transfusion.
Therapeutic treatment of CPB-induced coagulopathy using donated allogenic blood products including plasma, platelets, and cryoprecipitate and/or derivative administration using prothrombin complex and fibrinogen concentrates.
Sponsors & Collaborators
-
University Hospital Foundation
collaborator OTHER -
Alberta Innovates Health Solutions
collaborator OTHER -
EPICORE Centre
collaborator UNKNOWN -
University of Alberta
lead OTHER
Principal Investigators
-
Angela R Neufeld, MD · University of Alberta
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2025-03-24
- Primary Completion
- 2026-01-27
- Completion
- 2026-02-26
Countries
- Canada
Study Locations
More Related Trials
-
Study of INS50589 Intravenous Infusion in Subjects Undergoing Coronary Artery Bypass Grafting (CABG) Involving Cardiopulmonary Bypass
NCT00316212 ·Status: TERMINATED ·Phase: PHASE2
-
Albumin Utilization in Adult Cardiac Surgical Patients : A Multicentre Prospective Cohort Study
NCT06395480 ·Status: ACTIVE_NOT_RECRUITING
-
Evaluation of Pro-Inflammatory Leukocyte Activity in Patients Undergoing Cardiac Surgery
NCT04299828 ·Status: RECRUITING
-
Cell Salvage and Retrograde Autologous Priming
NCT04792814 ·Status: COMPLETED
-
Biomarker and Thrombogenicity Assessment in Cardiopulmonary Bypass Surgery Utilizing Acute Normovolemic Hemodilution
NCT03326323 ·Status: COMPLETED
-
Randomized Trial of a Liberal Versus a Restrictive Transfusion Strategy in Elderly Cardiac Surgery Patients
NCT00318227 ·Status: COMPLETED ·Phase: NA
-
Effect of Erythropoietin (EPO) in Kidney After Cardiac Surgery
NCT00654992 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Feasibility Study of BMAC Enhanced CABG
NCT01074099 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Nitrite Mediated Cardioprotection During Coronary Artery Bypass Surgery
NCT01098409 ·Status: UNKNOWN ·Phase: PHASE2
-
Autologous Fresh Whole Blood and Coagulation Following Cardiopulmonary Bypass in Infants
NCT00006186 ·Status: COMPLETED ·Phase: NA
-
Processed Residual Pump Blood in Cardiac Surgery: The PRBC Trial
NCT01173822 ·Status: COMPLETED ·Phase: NA
-
A Study of the Effect of Blinding in a Trial of Blood Filtration During Heart Surgery
NCT00246779 ·Status: COMPLETED ·Phase: PHASE1
-
The Internal Thoracic Artery Skeletonization Study: A Paired, Within-Patient Comparison
NCT00265499 ·Status: COMPLETED ·Phase: NA
-
Two Different Tranexamic Acid Regimens in Coronary Artery Bypass Surgery
NCT05994989 ·Status: COMPLETED
-
The Epidemiology of Bleeding and Clotting in Patients Undergoing Heart Transplantation, Coronary Artery Bypass Graft Surgery,or Implantation of Left Ventricular Assist Devices
NCT01481012 ·Status: TERMINATED
-
Comparison of Three Management Strategies for Post Cardiac Surgery Bleeding
NCT00188747 ·Status: COMPLETED ·Phase: PHASE4
-
Cryoballoon Pulmonary Vein Isolation Including Associated Esophageal Effects
NCT02998866 ·Status: COMPLETED ·Phase: NA
-
The Effect of Ultra-Fast-Track Cardiac Anesthesia in Coronary Artery Bypass Grafting Surgery
NCT07207421 ·Status: COMPLETED ·Phase: NA
-
Long-acting Parasternal Blocks for Analgesia After Cardiac Surgery
NCT05191745 ·Status: COMPLETED ·Phase: PHASE3
-
Fibrinogen and Bleeding After Cardiac Surgery
NCT00968045 ·Status: COMPLETED ·Phase: PHASE2
-
Management of Bleeding Following Cardiopulmonary Bypass
NCT00672516 ·Status: COMPLETED
-
Comparing Blood Loss, RBC Transfusions and Inflammatory Marker Changes Among Methods of CPB
NCT01083914 ·Status: COMPLETED
-
Periareolar Approach in Minimally Invasive Cardiac Surgery
NCT04726488 ·Status: UNKNOWN ·Phase: NA
-
Study of the Use of a Single Dose of Erythropoietin to Treat Acute Myocardial Ischemia
NCT00524901 ·Status: COMPLETED ·Phase: PHASE2
-
Proximal Versus Distal Segments of No-Touch Saphenous Vein Grafts
NCT04284956 ·Status: UNKNOWN ·Phase: NA