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Bleeding clinical trials

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NCT ID: NCT02635230 Recruiting - Stroke Clinical Trials

What is the Optimal antiplatElet and Anticoagulant Therapy in Patients With Oral Anticoagulation Undergoing revasculariSaTion 2.

WOEST 2
Start date: June 2014
Phase:
Study type: Observational [Patient Registry]

The optimal antithrombotic therapy for patients with atrial fibrillation (AF) with a CHA2DS2-VASc score ≥1 with concomitant acute coronary syndrome (ACS) or revascularisation by percutaneous coronary intervention (PCI) with stenting, is still unknown. For these patients current North American and European guidelines recommend a triple therapy strategy, including vitamin K antagonists (VKA), aspirin and clopidogrel. A major drawback of this triple therapy strategy is a significant increase in the risk of major bleeding. Furthermore, the ommitance of aspirin and the introduction of more potent P2Y12 inhibitors as well as the non-vitamin K oral anticoagulants (NOAC), created numerous new antithrombotic treatment strategies for these patients with overlapping conditions. To date, evidence on the risks and benefits of these new antithrombotic treatment strategies is lacking. The WOEST 2 Registry aims to improve medical care for patients with AF and/or a heart valve prosthesis ánd undergoing coronary revascularisation through a better understanding of their demographics, antithrombotic management and related in-hospital and long-term outcomes. The WOEST 2 Registry will provide data to support benchmarking of antithrombotic treatment patterns and patient outcomes. Objective: To assess the different management patterns and related in-hospital and long-term safety and efficacy outcomes of combined use of chronic oral anticoagulation and a P2Y12 inhibitor in patients with atrial fibrillation and/or a heart valve prosthesis undergoing coronary revascularisation.

NCT ID: NCT02354885 Recruiting - Bleeding Clinical Trials

TXA in the EMS on the Helicopter and the Ambulance

TXASRZREGA
Start date: December 2014
Phase: Phase 4
Study type: Interventional

Coagulopathy in trauma increases mortality and morbidity. Early administration of tranexamic acid (TXA) seems to improve survival and outcome. Thus this study evaluates the administration of TXA on scene by the emergency medical services (EMS) or by the crew of a rescue helicopter in multiple trauma patients or isolated traumatic brain injury (TBI). Coagulopathy will be assessed by standard laboratory tests as well as thromboelastometry.

NCT ID: NCT02279186 Recruiting - Bleeding Clinical Trials

Effectiveness of Intravenous Tranexamic Acid in Reducing Blood Loss During and After Cesarean Section

Start date: September 2014
Phase: Phase 4
Study type: Interventional

In this study, the efficacy and safety of tranexamic acid in the reducing the blood loss during and after elective LSCS will be investigated.

NCT ID: NCT02264730 Recruiting - Bleeding Clinical Trials

ClotFoam as an Adjunct to Hemostasis in Abdominal Surgery - Liver Bleeding is Encountered

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

Phase 1 Single-Arm Study Evaluating ClotFoam as an Adjunct to Hemostasis in Abdominal Surgery in Which Liver Bleeding is Encountered.

NCT ID: NCT02033954 Recruiting - Bleeding Clinical Trials

Evaluation of Peripheral EOS for the Peripheral Embolization Treatment to Rapidly OccluDe Venous or Arterial BleEding

OCCLUDE-II
Start date: July 2014
Phase: N/A
Study type: Observational [Patient Registry]

To collect confirmatory data in support of the safety and performance of the ArtVentive Medical Group Endoluminal Occlusion System.

NCT ID: NCT01321788 Recruiting - Clinical trials for Venous Thromboembolism

Venous Thromboembolism Prophylaxis Post Cesarean Section

PROCS
Start date: January 2011
Phase: N/A
Study type: Observational

Pregnancy is associated with an overall 5-10 fold increased risk of venous thromboembolism (VTE). VTE remains the most common cause of maternal death in the developed world. It is up to 10 times more common in pregnant women than non-pregnant women of comparable age. More than a third of pregnancy-related VTE occurs during the six weeks after delivery. When compared with vaginal delivery, cesarean delivery further increases the risk of pregnancy associated VTE by three-fold.

NCT ID: NCT01098617 Recruiting - Bleeding Clinical Trials

Antihemostatic Therapy and Endoscopic Biliary Sphincterotomy Induced Bleeding

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

The aim of the study is to observe the effects of antihemostatic therapy including nonsteroidal antiinflammatory, anticoagulant and antiaggregant therapy and other patient and procedure related factors on the risk of endoscopic biliary sphincterotomy induced bleeding.

NCT ID: NCT01065324 Recruiting - Bleeding Clinical Trials

Balloon-assisted Enteroscopy and Bacteria

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

1. Balloon-assisted enteroscopy (BAE) is a new tool to investigate small intestinal diseases. 2. Deep enteroscopy made possible by balloon expansion and manipulation of small intestines. 3. However, whether intestinal barrier injured during BAE predispose patients to bacteremia or clinical relevant infection is not studied. 4. We will also examine relevant patient factors.

NCT ID: NCT00778492 Recruiting - Bleeding Clinical Trials

Thrombelastogram in Patients Receiving Antiplatelet Medication Undergoing Cardiac Surgery

Start date: May 2008
Phase: N/A
Study type: Observational

Study Objective is to correlate the results of preoperative platelet mapping derived from modified TEG with clinically significant postoperative bleeding and consumption of blood products.

NCT ID: NCT00709046 Recruiting - Bleeding Clinical Trials

High Dose Versus Standard Dose Proton Pump Inhibitor (PPI) in High-risk Bleeding Peptic Ulcers After Combined Endoscopic Treatment

Start date: January 2008
Phase: N/A
Study type: Interventional

The study was designed to evaluate the efficacy an adjuvant use of standard dose or high dose of proton pump inhibitor after combined endoscopic hemostasis therapy.