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TerminatedPhase 4

ACT Guided Heparinization During Open Abdominal Aortic Aneurysm Repair.

Reason given: Futility

Key facts

Phase
Phase 4

This trial has no sites in United States.

It has sites in 2 countries. Choose a country to see its sites.

Trial details

Who runs it
Dijklander Ziekenhuis
Trial code
NCT04061798
Record updated
6 February 2025
Original description
Aim of the ACTION-1 study is to determine whether ACT guided heparinization decreases thrombo-embolic complications (TEC) and mortality after elective open AAA surgery, without causing more bleeding complications.Read full original descriptionShow less

ACTION-1: ACT Guided Heparinization During Open Abdominal Aortic Aneurysm Repair, a Randomised Trial.

Aim of the ACTION-1 study is to determine whether ACT guided heparinization decreases thrombo-embolic complications (TEC) and mortality after elective open AAA surgery, without causing more bleeding complications.

Inclusion: Able to speak and read in local language of trial hospital; Patients older than 18 years scheduled for elective, open repair of an iliac or abdominal aortic aneurysm distal of the Superior Mesenteric Artery (SMA) (DSAA segment C); Implantation of a tube or bifurcation prosthesis; Trans-abdominal or retroperitoneal surgical approach of aneurysm; Able and willing to provide written informed consent.

Exclusion: Previous open or endovascular intervention on the abdominal aorta (previous surgery on other parts of the aorta or iliac arteries is not an exclusion criterion); Acute open AAA surgery; History of coagulation disorders, heparin induced thrombocytopenia (HIT), allergy for heparin or thrombocyte pathology; Connective tissue disorders; Inflammatory, mycotic or infected aneurysms; Allergy for protamine or fish protein; Impaired renal function with EGFR below 30 ml/min; Dual anti-platelet therapy, which cannot be discontinued; Not able to provide written informed consent; Hybrid interventions; Life expectancy less than 2 years.

ClinicalTrials.gov NCT04061798