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Thromboelastometry better assess coagulation than standard coagulation test in patients undergoing ortothopic liver transplantation. In a post-hoc analysis from a randomized study recently conducted by our group, presurgical values of MA10 Extem < 35 mm are highly predictive of RBC administration , with no further improvement over MA10 Extem >40 mm ; suggesting that MA10 Extem between 35-40 would be the optimal range to manage blood product administration. The aim of the study is to validate this result in a prospective cohort of patients submitted to ortothopic liver transplantation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prospective cohort | Experimental | Fibrinogen and/or platelet administration |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fibrinogen and/or platelets administration | Other | Fibrinogen and/or platelets administration to maintain clot amplitude at 10 minutes of the thromboelastometry between 35-40 mm along liver transplant procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Red blood cell transfusion | until 24h after liver transplant |
| Measure | Description | Time Frame |
|---|---|---|
| Thrombosis | Thrombosis will be assessed clinically and confirmed by ultrasonographic exam | 28 days after liver transplant |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Annabel Blasi, MD, PhD | Contact | +34679500857 | ablasi@clinic.ub.es |
| Name | Affiliation | Role |
|---|---|---|
| Annabel Blasi, MD, PhD | Hospital Clinic Barcelona. IDIBAPS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitari de Bellvitge | Recruiting | L'Hospitalet de Llobregat | Barcelona | Spain |
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| ID | Term |
|---|---|
| D020141 | Hemostatic Disorders |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D006474 | Hemorrhagic Disorders |
| D006402 | Hematologic Diseases |
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| Hospital de Cruces | Not yet recruiting | Bilbao | Spain |
|
| D006425 |
| Hemic and Lymphatic Diseases |