Antithrombotic Therapy in Patients Undergoing CIED Surgery - HEMATOMA NO MORE Registry

NCT ID: NCT03067909

Last Updated: 2019-02-08

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

Total Enrollment

1450 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-05-31

Study Completion Date

2018-12-31

Brief Summary

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Hundreds of thousands patients undergo implantation or replacement of cardiac implantable electronic devices (CIEDs) annually in Europe, and up to 50% of these subjects receive antiplatelet agents or oral anticoagulants. Antithrombotic therapy increases the risk of developing pocket hematoma which in turn is associated with an increased risk of potentially fatal device-related infections when clinically significant. Aim of the registry is to retrospectively (pilot local registry in Tuscany) and prospectively (multicenter national registry in Italy) investigate the different strategies for the management of antithrombotic therapy and the related complication rates (1-month and 12-months) in patients undergoing CIED surgery in a real-world setting. The registry will also provide data on the economic impact of different management strategies and complications.

Detailed Description

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Conditions

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Device Related Infection Antithrombotic Drugs Cardiac Arrhythmia Surgery--Complications Hematoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients undergoing CIED surgery

Patients with standard indications to CIED implantations/replacements receiving concomitant antithrombotic therapy (either or both antiplatelet agents and/or anticoagulants).

CIED surgery

Intervention Type OTHER

Interventions

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CIED surgery

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with standard indications to CIED surgery being treated with antiplatelet agents and/or anticoagulants (any commercially available device or approved and marketed drug can be included).
* Patients able to provide written informed consent
* Patients willing to attend the planned follow-up visits

Exclusion Criteria

* Patient with life expectancy less than 12 months as per investigator's judgement
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Azienda Ospedaliera Universitaria Senese

OTHER

Sponsor Role lead

Responsible Party

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Valerio Zacà

Principal Investigator, Cardiology Consultant, Arrhythmology Unit, Cardiothoracic and Vascular Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Valerio Zacà, MD

Role: PRINCIPAL_INVESTIGATOR

AOU Senese

Locations

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AOU Senese

Siena, , Italy

Site Status

Countries

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Italy

References

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Zaca V, Breschi M, Mandorli A, Panchetti L, Ricciardi G, Viani S, Notarstefano P. Rationale, study design, and pilot phase of tHE Management of AntiThrOMbotic therApy (HEMATOMA) in patients undergoing electrophysiological device surgery: Italian National Multicenter Observational REgistry. J Cardiovasc Med (Hagerstown). 2017 Nov;18(11):897-899. doi: 10.2459/JCM.0000000000000534.

Reference Type BACKGROUND
PMID: 28594654 (View on PubMed)

V Zaca', A Angeletti, C Baiocchi, M Bertini, M Biffi, P Busacca, M Iori, M Mezzetti, M Nesti, P Notarstefano; P3213 Real-world periprocedural management of antithrombotic therapy in patients undergoing electrophysiological device surgery: preliminary results of the HEMATOMA NO MORE, European Heart Journal, Volume 39, Issue suppl_1, 1 August 2018, ehy563.P3213, https://doi.org/10.1093/eurheartj/ehy563.P3213

Reference Type BACKGROUND

Other Identifiers

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HNM_V1

Identifier Type: -

Identifier Source: org_study_id

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