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Hemorrhage clinical trials

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NCT ID: NCT02247128 Completed - Stroke Clinical Trials

Antiplatelet Therapy for Patients Undergoing Transcatheter Aortic Valve Implantation

POPular-TAVI
Start date: January 2014
Phase: Phase 4
Study type: Interventional

At present, a variety of antithrombotic regimens are prescribed in the early postprocedure period after transcatheter aortic valve implantation (TAVI). Dual antiplatelet therapy (DAPT) using aspirin and a thienopyridine in the initial period after TAVI is the recommended strategy; however, mono antiplatelet therapy using aspirin is suggested not to be inferior. In patients with atrial fibrillation (AF) or another indication for oral anticoagulation (OAC), no recommendations on best treatment regimen currently exist although triple therapy (OAC + DAPT) is best avoided due to increased bleeding risk. We hypothesise that the omission of clopidogrel in the first 3 months after TAVI is safer and not less beneficial than the addition of clopidogrel to aspirin (cohort A) or OAC (cohort B).

NCT ID: NCT02245802 Completed - Clinical trials for Bleeding Peptic Ulcer

Multicenter Validation on Predicting Mortality for Patients With Bleeding Peptic Ulcers

Start date: August 2010
Phase: N/A
Study type: Observational

This study aimed to validate CU prediction model on mortality for patients with high risk bleeding peptic ulcers after therapeutic endoscopy.

NCT ID: NCT02241044 Completed - Bleeding Ulcers Clinical Trials

Argon Plasma Coagulation for Bleeding Peptic Ulcers

Start date: October 2010
Phase: Phase 4
Study type: Interventional

Background: A second endoscopic method added to injection therapy is recommended for high-risk bleeding peptic ulcers. Many endoscopic devices have been proved as useful hemostatic instruments, whereas the hemostatic efficacy of argon plasma coagulation (APC) has not been widely investigated. Aim: This study was designed to know whether additional APC treatment could influence the hemostatic efficacy after endoscopic injection therapy in treating high-risk bleeding ulcers. Methods: From October 2010 to January 2012, eligible patients who had high-risk bleeding ulcers were admitted to our hospital. They prospectively randomly underwent either APC therapy plus distilled water injection or distilled water injection alone. Pantoprazole infusion was conducted during the fasting period after endoscopy and orally for 8 weeks to encourage ulcer healing. Episodes of rebleeding were retreated with endoscopic combination therapy. Patients who did not benefit from retreatment underwent emergency surgery or transarterial embolization (TAE).

NCT ID: NCT02238470 Completed - Ischemic Stroke Clinical Trials

Intracerebral Hemorrhage Due to Oral Anticoagulants: Prediction of the Risk by Magnetic Resonance

HERO
Start date: April 2012
Phase:
Study type: Observational [Patient Registry]

The purpose of this study is to determine whether Magnetic Resonance Imaging may predict the risk of Intracerebral Hemorrhage for patients with ischemic stroke who receive indefinite oral anticoagulation

NCT ID: NCT02235311 Terminated - Clinical trials for Upper Gastrointestinal Bleed

Optimal Dose of Proton Pump Inhibitors Following an Upper Gastrointestinal Bleed

Start date: October 2014
Phase: N/A
Study type: Interventional

Despite recommendations from clinical practice guidelines to discharge patients from the hospital on once daily proton pump inhibitors after acute management of UGIB, clinical practice is to use twice daily proton pump inhibitor therapy. The objective of this study will be to assess whether or not once daily pantoprazole is non-inferior to twice daily pantoprazole in ulcer healing with a dose of once daily versus twice daily proton-pump inhibitor following an upper gastrointestinal bleed. Additionally, this study will observe for any potential difference in safety for once daily versus twice daily proton pump inhibitors.

NCT ID: NCT02231411 Completed - Clinical trials for Intraventricular Hemorrhage

Neonatal Resuscitation With Intact Cord

NRIC
Start date: August 2014
Phase: N/A
Study type: Interventional

The purpose of this study is to examine whether providing ventilation during delayed umbilical cord clamping provides greater placental transfusion and improved hemodynamic transition at birth.

NCT ID: NCT02229513 Completed - Clinical trials for Postpartum Hemorrhage

Uterine Cooling During Cesarean Delivery to Reduce Blood Loss and Incidence of Postpartum Hemorrhage

Start date: July 2013
Phase: N/A
Study type: Interventional

The objective of the study is to demonstrate whether cooling the uterine smooth muscle during cesarean section (following delivery of the fetus) will promote better uterine contraction and involution resulting in lower blood loss, use of fewer uterotonic medications, and fewer hysterectomies following cesarean section. The investigators suspect that it may.

NCT ID: NCT02229292 Completed - Clinical trials for Intraoperative Bleeding

Prevention of Intraoperative Bleeding and Postoperative Swelling in Orthognathic Surgery Through the Use of Tranexamic Acid

TXA2014-15
Start date: August 19, 2014
Phase: Phase 4
Study type: Interventional

Purpose of the study: - To evaluate the effect of tranexamic acid (TXA) of intraoperative blood loss in patients subjected to bi-maxillary orthognathic surgery - To evaluate the potential effect of TXA on fibrin structure - To evaluate the potential effect of TXA of binding of plasminogen to fibrin - To evaluate the potential effect of TXA on postoperative edema formation. Hypothesis: H0: Intraoperative bleeding cannot be significantly reduced by preoperative administration of tranexamic acid H0,1: Postoperative edema cannot be significantly reduced by preoperative administration of tranexamic acid

NCT ID: NCT02227992 Completed - Hemorrhage Clinical Trials

The EVARREST® Paediatric Mild/Moderate Liver and Soft Tissue Bleeding Study

Start date: July 1, 2014
Phase: Phase 3
Study type: Interventional

The objective of this study is to evaluate the safety and effectiveness of EVARRESTâ„¢ Sealant Matrix (EVARRESTâ„¢ Fibrin Sealant Patch) (EVARRESTâ„¢) in controlling mild or moderate soft tissue & parenchymal bleeding during open hepatic, abdominal, pelvic, retroperitoneal, and thoracic (non-cardiac) surgery in paediatric patients.

NCT ID: NCT02227706 Completed - Hemorrhage Clinical Trials

The Paediatric EVICEL® Soft Tissue and Parenchymal Organ Bleeding Study

Start date: August 1, 2014
Phase: Phase 3
Study type: Interventional

To evaluate the safety and effectiveness of EVICEL® Fibrin Sealant (Human) as an adjunct to achieve haemostasis during surgery in paediatric patients.