Insertion Technique in Large Volume Paracentesis

NCT ID: NCT02310165

Last Updated: 2014-12-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-07-31

Study Completion Date

2014-06-30

Brief Summary

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The purpose of this study is to compare two different methods that are used for inserting the needle during paracentesis. One method is called the "coaxial insertion technique" and the other is called the "z-tract technique". Researchers would like to see which method is better and leads to less problems like oozing from the needle insertion site and pain during the procedure. Both methods are approved and currently used methods for doing a paracentesis at the University of Virginia. Which method is used generally depends on physician preference. There have been no studies done to date that compare these two methods for needle insertion.

Detailed Description

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Conditions

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Cirrhosis

Keywords

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Paracentesis Ascites

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Z-tract Insertion Technique

For this technique, the skin is pulled 2 cm downward before the paracentesis needle is inserted and advanced.

Group Type OTHER

Z-tract Insertion Technique

Intervention Type PROCEDURE

Coaxial Insertion Technique

For this technique, the needle is directly inserted to minimize the distance between he cutaneous tissue and ascites

Group Type OTHER

Coaxial Insertion Technique

Intervention Type PROCEDURE

Interventions

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Z-tract Insertion Technique

Intervention Type PROCEDURE

Coaxial Insertion Technique

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age 18 years and older
* Agreement to participate
* Patients with cirrhosis (confirmed by liver biopsy or clinically diagnosed) and ascites
* Patients presenting to UVA Digestive Health Clinic for a scheduled therapeutic paracentesis who do not have any contraindications to the procedure
* Ability to be reliably contacted by phone 24 hours following paracentesis

Exclusion Criteria

* Prisoners
* Non-english speaking
* Paracentesis with less than 5 liters of ascitic fluid removed. (If this occurs, the specific subject encounter will be removed from the study but the subject may be included if at their next regularly scheduled paracentesis 5 liters or greater of ascitic fluid is removed.)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Virginia

OTHER

Sponsor Role lead

Responsible Party

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Amy Rubin, MD

Department of Gastroenterology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Amy Rubin, MD

Role: PRINCIPAL_INVESTIGATOR

University of Virginia

Locations

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University of Virginia

Charlottesville, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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16842

Identifier Type: -

Identifier Source: org_study_id