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Bleeding clinical trials

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NCT ID: NCT06211699 Completed - Clinical trials for Postoperative Complications

Effect of Clips Versus Omentopexy on Postoperative Bleeding

Start date: July 1, 2023
Phase: N/A
Study type: Interventional

In this prospective randomized study, patients were divided into two groups: clips group and omentopexy group. The groups were compared in terms of postoperative decrease in hemoglobin and hematocrit values, preoperative and peroperative blood pressure values, duration of surgery, number of patients requiring erythrocyte suspension (ES) transfusion, length of hospital stay, hospital readmissions in the first 30-days postoperatively and early postoperative complications.

NCT ID: NCT06187831 Recruiting - Bleeding Clinical Trials

Bleeding Events Before vs After Lowering Departmental Platelet Transfusion Trigger

OBS-PLATE
Start date: February 26, 2024
Phase:
Study type: Observational [Patient Registry]

Central venous catheters are essential when administering treatment for hematological conditions. Many patients have a decreased platelet count which increases the risk for bleeding complications. Baarle et al. recently published a randomized controlled study where withholding prophylactic platelet transfusions before CVC placement in patients with a platelet count of 10,000 to 50,000 per cubic millimeter did not meet the predefined margin for non-inferiority for postprocedural bleeding events (PMID: 37224197). However, bleedings grade 2 (defined as bleeding that requires external compression) were included despite lacking clinical significance. The aim of the present study is to investigate whether lowering the preprocedural platelet transfusion trigger from 50x10^9/L to 10x10^9/L for insertions of central venous catheters remains safe with regards to postprocedural bleeding events of grade 3-4.

NCT ID: NCT06170619 Not yet recruiting - Bleeding Clinical Trials

Obsidio™ Conformable Embolic Registry

OCCLUDE
Start date: May 2024
Phase:
Study type: Observational [Patient Registry]

OCCLUDE is a prospective, post-approval, open-label, single arm, multi-center US registry of patients who undergo embolization with Obsidio™ Conformable Embolic. The purpose of this Registry is to assess effectiveness and safety outcomes of subjects who undergo embolization with Obsidio.

NCT ID: NCT06147531 Not yet recruiting - Cardiac Surgery Clinical Trials

Delayed Cold-Stored Platelets -PLTS-1

PLTS-1
Start date: April 2024
Phase: Phase 2
Study type: Interventional

PLTS-1 is a multicentre, randomized, controlled, pilot trial, using a conventional, parallel group, two-armed design at 2 cardiac surgery centres in Canada. The study is designed to assess the feasibility of a future, definitive RCT to determine the non-inferiority of cold-stored platelets compared to conventional platelets with respect to hemostatic effectiveness (total number of allogeneic blood products transfused within 24 hours after CPB), as well as safety.

NCT ID: NCT06145191 Recruiting - Bleeding Clinical Trials

Prophylactic Tranexamic Acid Versus Adrenaline During Flexible Bronchoscopy

TAVA2
Start date: December 18, 2023
Phase: N/A
Study type: Interventional

Endobronchial bleeding is a common complication of bronchoscopy. Major bleeding, although rare, can be life threatening and often requires advanced therapeutic interventional pulmonary procedures which are not widely available. Minor bleeding can negatively impact outcomes such as diagnostic yield, sample size and bronchoscopy duration. Both adrenaline and tranexamic acid are successfully used topically for hemostasis during diagnostic bronchoscopy. The aim of this study is to evaluate the efficacy of prophylactically applied adrenaline and tranexamic acid in bleeding prevention during diagnostic bronchoscopy.

NCT ID: NCT06111261 Not yet recruiting - Bleeding Clinical Trials

Initial Resuscitation With Albumin in Hemorrhagic Shock to Reduce Positive Fluid Balance

ABSOLUTE
Start date: November 15, 2023
Phase: N/A
Study type: Interventional

This study is designed to evaluate the effect of early albumin transfusion within massive transfusion protocol on fluid balance and reduced requirement of transfusion.

NCT ID: NCT06086444 Recruiting - Bleeding Clinical Trials

Tranexamic Acid in Abdominoplasty.

Start date: October 17, 2023
Phase: Phase 4
Study type: Interventional

The investigators prepared a novel tranexamic acid (TXA) study designed to estimate the quantity of blood loss in patients undergoing abdominoplasty surgery. This study aims to quantify blood loss during abdominoplasty with and without TXA. The central hypothesis is that TXA administration reduces blood loss and fibrinolysis in patients undergoing abdominoplasty surgery.

NCT ID: NCT06000423 Recruiting - Bleeding Clinical Trials

Tranexamic Acid to Reduce Contraceptive-related Bleeding Side Effects

Start date: January 23, 2024
Phase: Phase 4
Study type: Interventional

This randomized double blinded trial seeks to determine whether tranexamic acid (TXA) is an efficacious treatment for contraceptive induced menstrual changes (CIMC) including irregular, bothersome bleeding caused by the etonogestrel subdermal contraceptive implant (ENG implant). Participants will be randomized into the TXA treatment arm or a placebo. They will begin taking the medication after three consecutive days of bleeding. Participants will track their bleeding using an automated text message service

NCT ID: NCT05997914 Not yet recruiting - Stroke Clinical Trials

Storytelling for Reducing Gap in Anticoagulation Use in African Americans With Atrial Fibrillation

Start date: March 2024
Phase: N/A
Study type: Interventional

The overall goal of this study is to evaluate the effectiveness of a previously developed storytelling intervention on anticoagulation (AC) initiation/persistence in African American and Black patients with atrial fibrillation/flutter. The investigators hope to gain knowledge that may help treat atrial fibrillation or flutter and lower stroke and adverse cardiovascular event risks for African American and Black patients by increasing the use of blood thinning medications known as anticoagulants.

NCT ID: NCT05997446 Recruiting - Stroke Clinical Trials

Amulet™ ADVANCE LAA

Start date: July 12, 2023
Phase:
Study type: Observational

This is a prospective, multicenter, observational study intended to characterize real-world outcomes on the commercially available Amulet device in the United States. The study will enroll approximately 1000 subjects at up to 50 US clinical sites. Subjects will be followed through 24 months in accordance with each site's standard care practices.