Prophylaxis of Venous Thromboembolism After Bariatric Surgery
Study Details
Study Description
Brief Summary
This study is a prospective evaluation of the relationship between lean body weight and anti-Xa activity and 5700 International Units (IU) nadroparin 4 hours after subcutaneous administration in morbidly obese patients after bariatric surgery.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Detailed Description
There is no guideline for postoperative thromboembolic prevention in morbidly obese patients.
The investigators goal is to examine which dose of nadroparin is effective.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Nadroparin patients above 140 kg will receive a dose of 2850 IU nadroparine pre-operatively, anti-Xa factor will be determined 3 days after nadroparin use. After surgery patients receive 5700 IU nadroparin (our standard treatment). Three days after surgery and 4 weeks after surgery anti-Xa factor will be measured again. |
Drug: Nadroparin
Patients receive before surgery 3 days 2850 IU nadroparin. anti-Xa levels will be measured. After surgery they receive 5700 IU for 4 weeks as standard care in our hospital. 3 days and 4 weeks after surgery anti-Xa levels will be measured again.
Other Names:
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Outcome Measures
Primary Outcome Measures
- anti-Xa activity 4 hours after subcutaneous administration of 5700 IU nadroparin [4 hours]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Approval for Roux-en-Y gastric bypass
-
Total body weight > 140 kg
Exclusion Criteria:
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Renal impairment (GFR < 30ml/min and/ or serum creatinin > 150 micromol/ml)
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Coagulation disorders
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Use of vitamin K antagonists (such as acenocoumarol) pregnancy
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Rijnstate Hospital | Arnhem | Wagnerlaan 55 | Netherlands | 6800 TA |
Sponsors and Collaborators
- Rijnstate Hospital
Investigators
- Principal Investigator: F.J. Berends, MD, PhD, Rijnstate Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Frax001
- 2012-002816-19