Usefulness of Thromboelastography as a Predictor of Prognosis in Patients Undergoing Surgery for Glial Tumors and of the Risk of Postoperative Thromboembolic Disease (GliTEM)
Thromboelastometry values: EXTEM CT, MCF, α-angle below the lower limit of normal. Measurement obtained after anesthetic induction. - PT, aPTT, fibrinogen, platelet count. - Thrombin generation. -
Thromboelastometry values: EXTEM CT, MCF, α-angle below the lower limit of normal. Measurement obtained after anesthetic induction. - PT, aPTT, fibrinogen, platelet count. - Thrombin generation. -: * Molecular markers: including Next-Generation Sequencing (Oncomine Comprehensive Assay v3 or Oncomine Precision Assay) when available.
* MGMT promoter methylation status.
Study summary
The objective of our study is to investigate the clinical significance of thromboelastometric values in the development of thrombotic events and survival in patients with glial tumors, to reduce thromboembolic complications and optimize oncological treatment.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Patients undergoing surgical excision or biopsy with a diagnostic impression of glial tumor who provide written informed consent
Exclusion Criteria:
* Patients under 18 years of age.
* Emergency surgery.
* Patients receiving antiplatelet or anticoagulant treatment.
* Patients with known hematologic diseases associated with coagulation abnormalities. Examples include:
* Congenital or acquired platelet function disorders.
* Congenital deficiency of protein C or protein S.
* Deficiency of coagulation factors II, V, VII, X, XII.
* Glanzmann thrombasthenia.
* Hemophilia A, B, or C.
* Idiopathic thrombocytopenic purpura (ITP).
* von Willebrand disease (types I, II, and III).
* Systemic diseases that cause significant coagulation time alterations:
* Prothrombin time \< 60%.
* Activated partial thromboplastin time (aPTT) \> 50 seconds.
* Patients with suspected glial or neuroglial tumor in the context of long-standing epilepsy
Primary outcome measure(s)
Thromboembolic events — 3 months post-surgery Any newly developed thrombotic event (or acute worsening of a previous one) occurring within: Pulmonary embolism, stroke, venous trombosis
Thromboembolic events — first postoperative month Any thromboembolic events
Trial sites (1)
Facility
City
Region
Status
Hospital Clínic Barcelona
Barcelona
Spain
Recruiting
More Fundacion Clinic per a la Recerca Biomédica trials in Spain
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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