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This registry will capture real-world clinical use patterns and associated clinical outcomes with the use of CytoSorb for the removal of antithrombotic agents.
The STAR Registry will collect patient-level clinical data on antithrombotic removal with CytoSorb. The decision to use CytoSorb in this clinical setting is based on the clinical rationale of mitigating the high risk of bleeding events that is directly linked to the presence of the antithrombotic agent. This registry is to capture real-world clinical use patterns and associated clinical outcomes with the use of CytoSorb. Data of retrospective and prospective patients will be included in the registry. Safety will be assessed by collection of (at least possibly) device-related adverse events. Data collection is done up to 30 days post-operation.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CytoSorb | Device | Sorbent hemoperfusion system |
| Measure | Description | Time Frame |
|---|---|---|
| Bleeding complications including requirements for transfusions and other blood products | Assessed until postoperative day (POD) 3, date of ICU discharge, or date of death, whatever comes first; on average 3 days |
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Inclusion Criteria:
Exclusion Criteria:
• Use of CytoSorb for purpose other than antithrombotic removal
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All patients undergoing invasive management, including surgery, who receive CytoSorb therapy for antithrombotic removal as part of their routine clinical care can be included in this registry
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Cindy Rechner, PhD | Contact | +49 30 654 99 145 | star@cytosorbents.com | |
| Robert Wilke | Contact | +49 30 654 99 145 | star@cytosorbents.com |
| Name | Affiliation | Role |
|---|---|---|
| Michael Schmoeckel, Prof, MD | LMU Klinikum Großhadern | Principal Investigator |
| Robert Storey, Prof, BSc | University of Sheffield | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitätsklinikum Graz | Recruiting | Graz | Austria |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38709456 | Result | Schmoeckel M, Thielmann M, Hassan K, Geidel S, Schmitto J, Meyer AL, Vitanova K, Liebold A, Marczin N, Bernardi MH, Tandler R, Lindstedt S, Matejic-Spasic M, Wendt D, Deliargyris EN, Storey RF. Intraoperative haemoadsorption for antithrombotic drug removal during cardiac surgery: initial report of the international safe and timely antithrombotic removal (STAR) registry. J Thromb Thrombolysis. 2024 Aug;57(6):888-897. doi: 10.1007/s11239-024-02996-x. Epub 2024 May 6. | |
| 40933270 |
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| Medizinische Universität Innsbruck | Recruiting | Innsbruck | Austria |
|
| Klinikum Klagenfurt am Wörthersee | Recruiting | Klagenfurt | Austria |
|
| Medical University of Vienna | Recruiting | Vienna | Austria |
|
| Centre Hospitalier Universitaire de Liège | Recruiting | Liège | Belgium | Belgium |
|
| OLV ziekenhuis Aalst VZW | Recruiting | Aalst | Belgium |
|
| Cliniques Universitaires Saint-Luc | Recruiting | Brussels | Belgium |
|
| University Hospital Ghent | Recruiting | Ghent | Belgium |
|
| Evangelisches Herzzentrum Coswig | Recruiting | Coswig | Germany |
|
| Herzchirurgische Klinik Erlangen | Recruiting | Erlangen | Germany |
|
| Universitätsklinikum Essen | Recruiting | Essen | Germany |
|
| Asklepios Kliniken Hamburg GmbH | Recruiting | Hamburg | Germany |
|
| Medizinische Hochschule Hannover | Recruiting | Hanover | Germany |
|
| Universitätsklinikum Heidelberg - Klinik für Herzchirurgie | Recruiting | Heidelberg | Germany |
|
| Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Herz- und Gefäßchirurgie | Recruiting | Kiel | Germany |
|
| Herzzentrum Leipzig and Helios Health Institute GmbH Leipzig | Recruiting | Leipzig | Germany |
|
| Artemed Klinikum München Süd GmbH & Co. KG | Recruiting | Munich | Germany |
|
| LMU Klinikum Großhadern | Recruiting | Munich | Germany |
|
| Deutsches Herzzentrum München | Recruiting | München | Germany |
|
| Klinikum Nürnberg | Recruiting | Nuremberg | Germany |
|
| Klinikum Oldenburg AöR | Recruiting | Oldenburg | Germany |
|
| Krankenhaus der Barmherzigen Brüder Trier | Recruiting | Trier | Germany |
|
| Universitätsklinikum Ulm | Recruiting | Ulm | Germany |
|
| Skåne University Hospital Lund | Recruiting | Lund | Sweden |
|
| Hôpitaux Universitaires Genève | Recruiting | Geneva | Switzerland |
|
| Stadtspital Zürich Clinic for Cardiac Surgery | Recruiting | Zurich | 8063 | Switzerland |
|
| Universitätsspital Zürich | Recruiting | Zurich | Switzerland |
|
| Blackpool Teaching Hospitals NHS Foundation Trust/ Blackpool Victoria Hospital | Recruiting | Blackpool | United Kingdom |
|
| Royal Brompton & Harefield Clinical Group (part of Guy's and St Thomas' NHS Foundation TRUST) | Recruiting | London | United Kingdom |
|
| Sheffield Teaching Hospitals NHS Foundation Trust | Recruiting | Sheffield | United Kingdom |
|
| Derived |
| Schmitto J, De Somer F, Thielmann M, Marczin N, Ruhparwar A, Meyer AL, Hagl C, Matejic-Spasic M, Wendt D, Fan W, Deliargyris EN, Storey RF, Schmoeckel M. Intraoperative antithrombotic drug removal during heart transplantation: A case series from the International Safe and Timely Antithrombotic Removal (STAR) registry. JHLT Open. 2025 Aug 20;10:100369. doi: 10.1016/j.jhlto.2025.100369. eCollection 2025 Nov. |
| 40044567 | Derived | Storey RF, Hassan K, Meyer AL, Eberle T, deNeve N, Thielmann M, Bernardi MH, Marczin N, Guenther U, Panholzer B, Maechler H, Hunter S, Matejic-Spasic M, Wendt D, Deliargyris EN, Schmoeckel M. Early CABG with intraoperative hemoadsorption in patients on ticagrelor: Real-world data from the international Safe and Timely Antithrombotic Removal (STAR) registry. Cardiovasc Revasc Med. 2026 Jan;82:50-56. doi: 10.1016/j.carrev.2025.02.015. Epub 2025 Feb 28. |
| 39833891 | Derived | Schmoeckel M, Thielmann M, Vitanova K, Eberle T, Marczin N, Hassan K, Liebold A, Lindstedt S, Machler G, Matejic-Spasic M, Wendt D, Deliargyris EN, Storey RF. Direct-acting oral anticoagulant removal by intraoperative hemoadsorption in CABG and/or single valve surgery: interim analysis of the International Safe and Timely Antithrombotic Removal (STAR) registry. J Cardiothorac Surg. 2025 Jan 20;20(1):74. doi: 10.1186/s13019-024-03326-1. |
| ID | Term |
|---|---|
| D016063 | Blood Loss, Surgical |
| D019106 | Postoperative Hemorrhage |
| ID | Term |
|---|---|
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007431 | Intraoperative Complications |
| D011183 | Postoperative Complications |
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