Biocompatible Versus Non-coated Extracorporeal Circuits in Cardiac Surgery

NCT ID: NCT06612060

Last Updated: 2025-05-28

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

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-01

Study Completion Date

2024-12-31

Brief Summary

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The aim of the present strudy is to investigate whether the use of biocompatible extracorporeal circulation circuits with a special hydrophilic polymer coating without heparin causes a reduction in the activation of the coagulation mechanism and the formation of microthrombi in the circuit tubing. A total of 50 patients undergoing cardiac surgery with extracorporeal circulation will be randomized in two groups using a computer-generated algorithm. The first group (study group) will undergo cardiac surgery with a specialized biocompatible circuit with a hydrophilic coating, while the control group will be operated with the conventional non-coated extracorporeal circulation circuit. During the period of extracorporeal circulation, blood samples will be taken at predetermined times which will be analyzed with the ELISA technique to determine the levels of prothrombin fragments 1+2 (F1+2), thrombin/antithrombin complex (TAT) as well as platelet factor P-selectin. Moreover, sections of the circuit tubes will be examined under electron microscopy for quantitative evaluation of microthrombi detected on the walls. The expected outcome of the study is to establish, with the use of specific biochemical markers and electron microscopy the protective effect of biocompatible coated extracorporeal circulation circuits on the coagulation mechanism and platelet activation.

Detailed Description

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Conditions

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Cardiac Surgery Requiring Cardiopulmonary Bypass Extracorporeal Circulation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Coated circuit

Cardiac surgery with a specialized biocompatible extracorporeal circulation circuit with a hydrophobic coating.

Group Type EXPERIMENTAL

Cardiac surgery with the use of extracorporeal circulation

Intervention Type PROCEDURE

All randomized patients will undergo open heart surgery with the use of extracorporeal circulation. Criteria for randomization: i) age between 18 and 80 years and ii) elective procedure.

Non-coated circuit

Cardiac surgery with the conventional non-coated extracorporeal circulation circuit.

Group Type ACTIVE_COMPARATOR

Cardiac surgery with the use of extracorporeal circulation

Intervention Type PROCEDURE

All randomized patients will undergo open heart surgery with the use of extracorporeal circulation. Criteria for randomization: i) age between 18 and 80 years and ii) elective procedure.

Interventions

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Cardiac surgery with the use of extracorporeal circulation

All randomized patients will undergo open heart surgery with the use of extracorporeal circulation. Criteria for randomization: i) age between 18 and 80 years and ii) elective procedure.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Planned surgery

Exclusion Criteria

* Need for emergency surgery
* Serious hematological condition causing anemia, thrombocytopenia, etc.
* Receiving immunosuppressive treatment
* Inability to obtain consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Polychronis Antonitsis

OTHER

Sponsor Role lead

Responsible Party

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Polychronis Antonitsis

Associate Professor of Cardiac Surgery

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Isaak Keremidis, MScP

Role: PRINCIPAL_INVESTIGATOR

Aristotle University Of Thessaloniki

Polychronis Antonitsis, MD, PhD

Role: STUDY_CHAIR

Aristotle University of Theesaloniki School of Medicine

Kali Makedou, MD, PhD

Role: STUDY_DIRECTOR

Aristole University of Thessaloniki School of Medicine

Theodora Papamitsou, MD, PhD

Role: STUDY_DIRECTOR

Aristotle University Of Thessaloniki

Locations

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Interbalkan Hospital

Thessaloniki, Thessaloniki, Greece

Site Status

Countries

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Greece

References

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Gore S, Andersson J, Biran R, Underwood C, Riesenfeld J. Heparin surfaces: Impact of immobilization chemistry on hemocompatibility and protein adsorption. J Biomed Mater Res B Appl Biomater. 2014 Nov;102(8):1817-24. doi: 10.1002/jbm.b.33154. Epub 2014 Apr 8.

Reference Type BACKGROUND
PMID: 24711209 (View on PubMed)

Modrau IS, Halle DR, Nielsen PH, Kimose HH, Greisen JR, Kremke M, Hvas AM. Impact of minimally invasive extracorporeal circulation on coagulation-a randomized trial. Eur J Cardiothorac Surg. 2020 Jun 1;57(6):1145-1153. doi: 10.1093/ejcts/ezaa010.

Reference Type BACKGROUND
PMID: 32011717 (View on PubMed)

Teligui L, Dalmayrac E, Mabilleau G, Macchi L, Godon A, Corbeau JJ, Denomme AS, Bouquet E, Boer C, Baufreton C. An ex vivo evaluation of blood coagulation and thromboresistance of two extracorporeal circuit coatings with reduced and full heparin dose. Interact Cardiovasc Thorac Surg. 2014 Jun;18(6):763-9. doi: 10.1093/icvts/ivu011. Epub 2014 Mar 14.

Reference Type BACKGROUND
PMID: 24632424 (View on PubMed)

Other Identifiers

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BALANCE_CTS

Identifier Type: -

Identifier Source: org_study_id

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