Intravenous Continuous LMWH Seems to Be Safe Alternative to UFH in VV ECMO Patients
NCT06010446 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 43
Last updated 2025-02-25
Summary
Unfractionated heparin (UFH) is worldwide anticoagulation used and recommended anticoagulation in patients with ECMO support. However, it is accompanied with incidence of bleeding or thrombotic compliaction at about 40-60% and high mortality. Because ECMO produce primary haemosthasis pathology, there is a theory that prophylaxis of thrombosis with low molecular weight heparin (LMWH) e.g. Enoxaparin might be sufficient to prevent ECMO throbosis and thrombosis development in patients.
We decided to performed retrospective observation study and analysis of data, from may 2019 until august 2023, in all patients who were put on VV ECMO and to analysis incidence of bleeding, thrombotic and neurologic complications.
Conditions
- Refractory Respiratory Failure
Interventions
- OTHER
-
No intervention, just retrospective analysis of data.
Sponsors & Collaborators
-
University Hospital, Motol
lead OTHER
Principal Investigators
-
Miroslav Durila, prof. · Department of anesthesiology and intensive care medicine, Motol Hospital
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-05-15
- Primary Completion
- 2023-08-15
- Completion
- 2023-08-15
Countries
- Czechia
Study Locations
More Related Trials
-
Impact of Continuous Veno-venous Hemodiafiltration on Efficacy of Administration of Prophylactic Doses of Enoxaparin or Fondaparinux in Critically Ill Patients.
NCT04671160 ·Status: UNKNOWN
-
Anti-factor Xa Based Venous Thromboembolism Prophylaxis
NCT05221879 ·Status: COMPLETED ·Phase: NA
-
Weight-Based Enoxaparin Dosing and Real-Time Dose Adjustment in Orthopaedic Trauma
NCT03339349 ·Status: COMPLETED ·Phase: PHASE2
-
Strategies for Anticoagulation During Venovenous ECMO
NCT04997265 ·Status: COMPLETED ·Phase: NA
-
Thromboprophylaxis in Critically Ill Patients
NCT00437697 ·Status: TERMINATED ·Phase: PHASE4
-
Enoxaparin Metabolism in Reconstructive Surgery Patients
NCT02411292 ·Status: COMPLETED ·Phase: PHASE2
-
Adjusted Value of Thromboprophylaxis in Hospitalized Obese Patients: A Comparative Study of Two Regimens of Enoxaparin
NCT01707732 ·Status: COMPLETED ·Phase: PHASE3
-
Evaluating Dose Regimen of Intravenous Unfractionated Heparin and Low Molecular Weight Heparin in Critical Ill Patients Versus Critical Ill COVID-19 Patients Using Anti-Xa Levels.
NCT05224388 ·Status: COMPLETED
-
New Anticoagulation Strategies of VV-ECMO
NCT03497338 ·Status: WITHDRAWN
-
Nadroparin for the Initial Treatment of Pulmonary Thromboembolism
NCT00796692 ·Status: COMPLETED ·Phase: PHASE4
-
Monitoring Anticoagulation in Patients on ECMO for Severe Lung Failure
NCT06038682 ·Status: COMPLETED
-
Twice Daily Enoxaparin Prophylaxis in Reconstructive Surgery Patients
NCT02687204 ·Status: COMPLETED ·Phase: PHASE1
-
Safety and Efficacy of Argatroban Applicated in Anticoagulation of V-V ECMO
NCT04925167 ·Status: COMPLETED ·Phase: NA
-
Venous Thromboembolic Prophylaxis After Trauma: Three Times a Day Unfractionated Heparin Versus Twice a Day Enoxaparin
NCT01729559 ·Status: COMPLETED ·Phase: PHASE4
-
A Novel Strategy of ECMO Management Using Nafamostat for Regional Combined With Low Intensity Systematic Anticoagulation
NCT06676085 ·Status: RECRUITING ·Phase: NA
-
Extended Low-Molecular Weight Heparin VTE Prophylaxis in Thoracic Surgery
NCT02334007 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Comparison of Low-Molecular-Weight Heparin (LMWH) and Unfractionated Heparin (UFH) in Combination With Thrombolytic Treatment of Acute Massive Pulmonary Thromboembolism
NCT01956955 ·Status: UNKNOWN ·Phase: PHASE4
-
Enoxaparin Versus Unfractionated Heparin in Subjects Who Present to the Emergency Department With Acute Coronary Syndrome (RESCUE)
NCT00077818 ·Status: COMPLETED ·Phase: PHASE4
-
Anti Xa Monitoring Low Molecular Weight Heparin on Prevention of Venous Thromboembolism
NCT05382481 ·Status: UNKNOWN ·Phase: NA
-
Real-time Anti-Factor Xa Measurements in Surgical Patients to Examine Enoxaparin Metabolism and Optimize Enoxaparin Dose
NCT02704052 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Concentration-effect Relationship of Enoxaparin for Thromboembolic Prevention
NCT04520620 ·Status: WITHDRAWN ·Phase: PHASE4
-
Individual Dose Adjustment of Low-molecular-weight-heparin by Thromodynamics Test.
NCT04710732 ·Status: TERMINATED ·Phase: PHASE4
-
Comparative Study of the Hemorrhagic Risk in Patients Over 75 Years of Age Taking Enoxaparin
NCT05150314 ·Status: UNKNOWN
-
Thrombelastography Based Dosing of Enoxaparin
NCT00990236 ·Status: COMPLETED ·Phase: NA
-
Chemoprophylaxis Plus Early Ambulation
NCT03862755 ·Status: COMPLETED ·Phase: PHASE4