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Unfractioned heparin is usually given in a defined dosage during transfemoral TAVI. Activated Clotting Time (ACT) is usually used to measure the heparin effect. ACT-analysis is easy to perform at the bedside, but susceptible to interference effects. At the end of the procedure, protamine is given to reverse eventual residual heparin effect. An overdose of protamine can impair the coagulation itself. The investigators want to analyse the effect of a partial heparin reversal by ROTEM Analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients undergoing transfemoral TAVI | Patients receiving 125 U/kg unfractioned heparin for periprocedural anticoagulation and 500U Protamine / 1000U Heparin at the end of the procedure |
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| Measure | Description | Time Frame |
|---|---|---|
| Primary endpoint | Variability of the ROTEM CT(INTEM) after partial heparin reversal | Periprocedural |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with severe aortic valve stenosis undergoing transfemoral TAVI as best option
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Patrick Mayr, MD | Contact | +498912180 | mayrp@dhm.mhn.de | |
| Michael Joner, Prof | Contact | +498912180 | joner@dhm.mhn.de |
| Name | Affiliation | Role |
|---|---|---|
| Patrick Mayr | Deutsches Herzzentrum München | Principal Investigator |
| Michael Joner | Deutsches Herzzentrum München | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Deutsches Herzzentrum München des Freistaates Bayern, Technische Universität München | Munich | Bavaria | D80636 | Germany |
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| ID | Term |
|---|---|
| D001024 | Aortic Valve Stenosis |
| ID | Term |
|---|---|
| D000082862 | Aortic Valve Disease |
| D006349 | Heart Valve Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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Blood Samples
| D014694 |
| Ventricular Outflow Obstruction |