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| Name | Class |
|---|---|
| St. Joseph's Healthcare Hamilton | OTHER |
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This study will examine the degree of blood thinning (platelet function) in patients coming for non-cardiac surgery on antiplatelet agents using platelet function tests called thromboelastography (TEG) and platelet mapping assay (PMA) and major cardiac complications that occur any time after surgery (perioperative).
Patients who have had stents in their coronary arteries (PCI) have to stay on antiplatelet agents to prevent clotting of their stents. These patients often require non-cardiac surgery (NCS) at some stage after their PCI. The rate of major cardiac complications (MACE)in this population is very high and it is unclear why they are at higher risk than the general population. It is possible their antiplatelet is not adequate, or that surgery causes them to be more clot prone. This is a prospective, multicentre observational study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with PCI on blood thinners | Patients have a coronary stent and are taking anti-clotting (anti-platelet) drug and are having non-cardiac surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blood drawn | Procedure | Blood samples will be taken once in the preoperative clinic and once again at the end of the surgery in the post anesthetic care unit to do the TEG and PMA tests. |
| Measure | Description | Time Frame |
|---|---|---|
| Relationship between platelet function and MACE during the perioperative period | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Association of MACE with perioperative platelet function as measured by TEG and PMA | 1 month |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who have PCI have to stay on antiplatelet agents to prevent clotting of their stents. These patients often require NCS at some stage after their PCI.
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| Name | Affiliation | Role |
|---|---|---|
| Summer Syed, M.D. | Hamilton Health Sciences Corporation | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hamilton Health Sciences | Hamilton | Ontario | L8L 2X2 | Canada | ||
| London Health Sciences Centre |
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| London |
| Ontario |
| N6A 5A5 |
| Canada |
| University Health Network | Toronto | Ontario | M5G 2C4 | Canada |