ROTEM-based Optimization of Anticoagulation Regimens in Lung Transplantation
NCT06779162 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 65
Last updated 2025-01-16
Summary
Extracorporeal membrane oxygenation (ECMO) is now a standard component of intraoperative support during lung transplantation, requiring anticoagulation management, typically with unfractionated heparin (UFH). While monitoring methods such as Activated Partial Thromboplastin Time (aPTT), Activated Partial Thromboplastin Time Ratio (aPTTr), Anti-Factor Xa Activity (anti-Xa), and Activated Clotting Time (ACT) are commonly used, a reliable bedside method remains elusive due to the unreliability of ACT at low UFH doses. This study evaluates the correlation among these monitoring methods and investigates the potential of the ROTEM Clotting Time INTEM/HEPTEM ratio (I/Hr) as a bedside alternative.
Conditions
- Anticoagulation
- Lung Transplantation
- Viscoelastic Properties
- Unfractionated Heparin
Sponsors & Collaborators
-
University Hospital, Motol
lead OTHER
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-01-01
- Primary Completion
- 2024-12-31
- Completion
- 2024-12-31
Countries
- Czechia
Study Locations
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