Coronary Bypass and Artotic Leaflet Surgery : Heparin Low Dose vs Full Dose
APPACHES
A Prospective Study of Coronary Artery Bypass Graft and/or Aortic Valve Replacement With Conventional Versus Half Heparin Dose Under Closed and Coated Extra Corporeal Circulation System (MECC) - APPACHES Study.
1 other identifier
interventional
238
1 country
1
Brief Summary
The purpose of this study is to demonstrate superiority on postoperative bleeding from the use of a heparin half dose compared to a conventional dose, under mini-extra corporeal circulation, without increased risk to the patient.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Jun 2008
Longer than P75 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 8, 2008
CompletedFirst Posted
Study publicly available on registry
April 14, 2008
CompletedStudy Start
First participant enrolled
June 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2013
CompletedMay 7, 2013
May 1, 2013
4.7 years
April 8, 2008
May 6, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Blood loss
Peroperative and postoperative until redon's suction drainage ablation
Secondary Outcomes (4)
Blood transfusion
Per & postoperative
Use of intropic drugs (posology)
Postoperative
Kidney function(urea, creatininemia)
Postoperative
Peroperative hemodynamic data
Peroperative
Study Arms (2)
2
EXPERIMENTALCardiac surgery with Mini Extra Corporeal Circulation (MECC). Heparin low dose (150 UI/Kg).
1
ACTIVE COMPARATORCardiac surgery with Mini Extra Corporeal Circulation (MECC). Heparin Full Dose (300 UI/Kg)
Interventions
Loading heparin dose of 150 IU / kg to achieve an ACT (activating clotting time) target more than 240 seconds.
Loading heparin dose of 300 IU / kg to achieve an ACT (activating clotting time) target more than 400 seconds.
Eligibility Criteria
You may qualify if:
- single or multiple coronary bypass
- written and informed consent
- repair or replacement of artic leaflet
- platelet suppressive agents stopped since at least 7 days
- anticoagulants stopped since at least 3 days
You may not qualify if:
- Thoracic surgery antecedent
- ASA 4
- carotid stenosis \> 75%
- Hb \< 10,5 g/l
- chronic hepatic failure
- thromboembolic antecedent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Cardiac Surgery Dpt (University Hospital)
Bordeaux, 33000, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Xavier ROQUES, PhD
University Hospital, Bordeaux
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 8, 2008
First Posted
April 14, 2008
Study Start
June 1, 2008
Primary Completion
February 1, 2013
Study Completion
March 1, 2013
Last Updated
May 7, 2013
Record last verified: 2013-05