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Effects of Low Dose Aspirin Pre-treatment on Platelet Activation Undergoing Off-pump Coronary Artery Bypass Surgery

Seoul National University logo

Seoul National University

Status

Completed

Conditions

Coronary Artery Disease

Treatments

Drug: aspirin continuation
Drug: aspirin discontinuation

Study type

Interventional

Funder types

Other

Identifiers

NCT02209909
OPCAB_ASA_PLT activation

Details and patient eligibility

About

Platelet activation after off pump coronary artery bypass (OPCAB) surgery may affect thrombus formation. The purpose of this study is to assess the effects of preoperative continuation of aspirin on platelet activation after off pump coronary artery bypass surgery.

Full description

Patients undergoing OPCAB surgery will be randomized to continue preoperative aspirin or discontinue aspirin before surgery.

Platelet activation can be evaluated by measuring platelet p-selectin using flowcytometry. In this study, we will compare platelet-activated markers and conventional coagulation tests.

Enrollment

48 patients

Sex

All

Ages

20 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • age : 20-80
  • elective OPCAB
  • informed consent

Exclusion criteria

  • coagulation disorder
  • emergency operation, re-operation
  • co-existing valvular disease
  • less than 6 months after cerebral vascular accident
  • heparin induced thrombocytopenia
  • heparin resistance
  • menstrual phase
  • preoperative cardiopulmonary bypass, continuous veno-veno hemofiltration, intra-aortic balloon pump application
  • less than 12 months after myocardiac infarction
  • less than 10 days after unstable angina
  • less than 30 days after percutaneous coronary intervention
  • less than 6 wks after bare metal stent insertion
  • less than 12 months after drug eluting stent insertion

Trial design

48 participants in 2 patient groups

aspirin continuation
Experimental group
Description:
Intervention : Low-dose aspirin (\< 100mg/day) is used before OPCAB surgery in the aspirin continuation group.
Treatment:
Drug: aspirin continuation
aspirin discontinuation
Experimental group
Description:
Intervention: Low-dose aspirin is stopped more than 4 days before OPCAB surgery in the aspirin discontinuation group.
Treatment:
Drug: aspirin discontinuation

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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