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NCT05763446: TRADIFEG

Predictive Factors for Massive Transfusion During Liver Transplantation

Recruiting now Last updated 10 March 2023
What this trial tests

trial in Liver Transplant; Complications in 400 participants. Currently enrolling.

Timeline
31 July 2021
Primary endpoint
31 July 2026
31 October 2026

Quick facts

Lead sponsorFondazione Policlinico Universitario Agostino Gemelli IRCCS
StatusRecruiting now
Study typeOBSERVATIONAL
Enrollment400
Start date31 July 2021
Primary completion31 July 2026
Estimated completion31 October 2026
Sites2 locations across Italy

Conditions studied

Sponsor

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Who can join

18 and older, any sex, with Liver Transplant; Complications. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Liver transplantation (LT) is the treatment of choice for patients with end-stage liver disease (1). LT is often associated with severe intraoperative blood loss and the literature has had a great interest in clarifying the predictive factors for transfusion requirements during this surgery. Despite the advances in surgical techniques, graft preservation, and anesthetic management achieved over the past two decades, intraoperative bleeding and blood component consumption during LT are still issues of current interest. The requirement for blood components is highly variable between different transplant centers and ranges from none to many units of red blood cells (RBC), plasma, and platelets per patient. Bleeding associated with LT is multifactorial. Among the pre-transplantation factors, portal hypertension and coagulation defects are of great importance. The latter can develop or amplify during the anaepatic and/or neohepatic phase due to the absence of hepatic metabolic function, hyperfibrinolysis or platelet sequestration in the graft. In the literature, the higher transfusion requirement (HTR) is associated with worse postoperative outcomes, with an increase in both the length of stay in the intensive care unit (ICU) and in hospital, and mortality.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for Liver Transplant; Complications

Currently open trials in the same condition.

Other Fondazione Policlinico Universitario Agostino Gemelli IRCCS trials

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Data sources for this page

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