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Reload of high dose statin may have potential for preventing deep vein thrombosis (DVT) in patients on statin undergoing total knee replacement arthroplasty.
A body of evidence have been reported that reloading of atorvastatin have efficacy in reducing periprocedural myocardial infarction and contrast induced nephropathy. These effects are considered to be mainly due to their antioxidant anti-thrombotic and anti-inflammatory property.
We, therefore, hypothesize that high dose atorvastatin re-loading may prevent DVT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Atorvastatin + enoxaparine arm | Experimental | High dose atorvastatin arm before index surgery+ conventional enoxaparin |
|
| Conventional Enoxaprin | Active Comparator | Conventional Enoxaparin before 12hr and on 1-7th day after index surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High dose Atorvastatin+enoxaparin | Drug | High dose atorvastatin 80mg/day for 7days after index surgery (total knee replacement arthroplasty, TKRA). At the same time Enoxaparin 40mg SQ/day 12hr before TKRA and from 1day to 7day after TKRA should be administered. |
| Measure | Description | Time Frame |
|---|---|---|
| Development of deep vein thrombosis diagnosed and confirmed by CT angiography at lower extremities | 7days after index surgery |
| Measure | Description | Time Frame |
|---|---|---|
| D-dimer, lipid panel (Total cholesterol, TG, HDL, LDL), hsCRP, CK, transaminase, ALP | 7days, 1month, 2month after index surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sang-Ho Jo, MD | Contact | 82-31-380-3722 | sophi5@medimail.co.kr |
| Name | Affiliation | Role |
|---|---|---|
| Sang-Ho Jo, MD | Hallym University Medical Center | Principal Investigator |
| Sang-Ho Jo, MD | Hallym University Medical Center | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hallym University Sacred Heart Hospital, Department of Cardiology and Orthopedic Surgery | Recruiting | Anyang-si | Gyeonggi-do | 431-070 | South Korea |
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| ID | Term |
|---|---|
| D013927 | Thrombosis |
| ID | Term |
|---|---|
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D017984 | Enoxaparin |
| ID | Term |
|---|---|
| D006495 | Heparin, Low-Molecular-Weight |
| D006493 | Heparin |
| D006025 | Glycosaminoglycans |
| D011134 | Polysaccharides |
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| Enoxaparin | Drug | Enoxaparin 40mg SQ/day 12hr before TKRA and on day 1 to day7 after TKRA should be administered. |
|
| D002241 |
| Carbohydrates |