Clinical Efficacy of Tranexamic Acid and ε-Aminocaproic Acid in Reducing Blood Loss Following Total Knee Replacement
Status: | Completed |
---|---|
Conditions: | Arthritis, Osteoarthritis (OA) |
Therapuetic Areas: | Rheumatology |
Healthy: | No |
Age Range: | 18 - 90 |
Updated: | 4/21/2016 |
Start Date: | January 2014 |
End Date: | December 2015 |
A Randomized Controlled Trial of Tranexamic Acid and ε-Aminocaproic Acid to Reduce Blood Loss Following Total Knee Arthroplasty
Tranexamic acid (TXA) and ε-aminocaproic acid (EACA) are two drugs shown to limit blood loss
following major surgery, from cardiac to orthopedic procedures. Yet compared to tranexamic
acid (TXA), research on the clinical impact of ε-aminocaproic acid (EACA) in total knee
arthroplasty (TKA) is limited. The primary aim of this study is to determine whether TXA and
EACA provide similar blood decreasing effects following TKA or whether one drug provides a
superior effect over the other in reducing patients' blood loss.
following major surgery, from cardiac to orthopedic procedures. Yet compared to tranexamic
acid (TXA), research on the clinical impact of ε-aminocaproic acid (EACA) in total knee
arthroplasty (TKA) is limited. The primary aim of this study is to determine whether TXA and
EACA provide similar blood decreasing effects following TKA or whether one drug provides a
superior effect over the other in reducing patients' blood loss.
Inclusion Criteria:
- Persons aged 18 - 90 years who are scheduled to undergo a unilateral total knee
replacement surgery
Exclusion Criteria:
- Non-English speaking individuals
- Individuals with a history of deep vein thrombosis or pulmonary embolism within one
year
- Individuals with a history of coagulopathy
- Heart stent within one year
- Pre-operative autologous blood donation
- Unwilling or unable to take Coumadin for deep vein thrombosis (DVT) prophylaxis
- Received nonsteroidal anti-inflammatory drug (NSAID) or platelet antiaggregant
treatment within five days prior to surgery
- Pre-operative creatinine greater than 1.5mg/dL
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