Cardiac Disease Clinical Trial
Official title:
Comparison of Activated Coagulation Time Between Hemochron Jr and ACT Plus During Cardiac Surgery for Patient Using Acute Normovolemic Hemodilution
This study aimed to compare 2 activated clotting time analysers (Hemochron Jr vs. ACT Plus).
Measurement of activated clotting time (ACT) is a standard method for anticoagulation
monitoring. Especially in cardiac surgery, heparin is usually used as anticoagulant and
protamine is used to reverse anticoagulation effect at the end of surgery. ACT method
defines the time until a clot is formed in a test tube after triggering of internal pathway
coagulation using blood activating agents (eg. kaolin).
Acute normovolemic hemodilution (ANH) consists of withdrawing patient's blood volume early
in the operative period and concurrent infusion of crystalloid or colloid to maintain
intravascular volume, and is used in cardiac surgery. ANH is known to affect hemostasis in
some studies.
Assuming that accurate monitoring of coagulation therapy is important to prevent both
thrombotic and hemorrhagic complications, we compared ACT results from 2 analysers
(Hemochron Jr and ACT Plus) in patients undergoing cardiac surgery using ANH.
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Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Subject), Primary Purpose: Diagnostic
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