Page last updated: 2024-11-05

tranexamic acid and Vascular Diseases

tranexamic acid has been researched along with Vascular Diseases in 14 studies

Tranexamic Acid: Antifibrinolytic hemostatic used in severe hemorrhage.

Vascular Diseases: Pathological processes involving any of the BLOOD VESSELS in the cardiac or peripheral circulation. They include diseases of ARTERIES; VEINS; and rest of the vasculature system in the body.

Research Excerpts

ExcerptRelevanceReference
"Tranexamic acid can reduce bleeding in patients undergoing elective surgery."5.14Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2) A randomised, placebo-controlled trial. ( McDonald, AH; Strachan, GG; Williams, EW; Williams-Johnson, JA, 2010)
"We randomly assigned adults with major trauma who were at risk for trauma-induced coagulopathy to receive tranexamic acid (administered intravenously as a bolus dose of 1 g before hospital admission, followed by a 1-g infusion over a period of 8 hours after arrival at the hospital) or matched placebo."3.30Prehospital Tranexamic Acid for Severe Trauma. ( Bernard, SA; Burns, B; Cameron, PA; Dicker, B; Forbes, AB; Gantner, DC; Gruen, RL; Hurford, S; Maegele, M; Martin, CA; Mazur, SM; McArthur, CJ; Medcalf, RL; Mitra, B; Murray, LJ; Myles, PS; Ng, SJ; Pitt, V; Rashford, S; Reade, MC; Swain, AH; Trapani, T; Young, PJ, 2023)

Research

Studies (14)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (7.14)18.2507
2000's1 (7.14)29.6817
2010's2 (14.29)24.3611
2020's10 (71.43)2.80

Authors

AuthorsStudies
Ker, K1
Mansukhani, R1
Shakur-Still, H1
Arribas, M1
Beaumont, D1
Roberts, I1
Gruen, RL1
Mitra, B1
Bernard, SA1
McArthur, CJ1
Burns, B1
Gantner, DC1
Maegele, M1
Cameron, PA1
Dicker, B1
Forbes, AB1
Hurford, S1
Martin, CA1
Mazur, SM1
Medcalf, RL1
Murray, LJ1
Myles, PS1
Ng, SJ1
Pitt, V1
Rashford, S1
Reade, MC1
Swain, AH1
Trapani, T1
Young, PJ1
Taccone, FS1
Citerio, G1
Stocchetti, N1
Cook, R1
Lyon-Maris, J1
Martin, R1
Solla, DJF1
Rubiano, AM1
Teixeira, MJ1
de Andrade, AF1
Paiva, WS1
Reynard, C1
Berg, PVD1
Body, R1
Kolias, AG1
Horner, D1
Menon, DK1
Wilson, M1
Hutchinson, PJ1
Bourn, S1
Dodds, N1
Schober, P1
Mascha, EJ1
Loer, SA1
Schwarte, LA1
Bossers, SM1
Goursaud, S1
Gaberel, T1
Williams-Johnson, JA1
McDonald, AH1
Strachan, GG1
Williams, EW1
Iplikcioglu, AC1
Berkman, MZ1
McCormick, PA1
Ooi, H1
Crosbie, O1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Tranexamic Acid for the Treatment of Significant Traumatic Brain Injury: an International Randomised, Double Blind Placebo Controlled Trial[NCT01402882]Phase 312,737 participants (Actual)Interventional2012-07-31Completed
The Effect of Tranexamic Acid (TXA) on Blood Loss and Transfusion Rates in Burn Wound Surgery - A Randomized, Double-Blinded Placebo-Controlled Trial[NCT02753816]25 participants (Actual)Interventional2016-04-30Terminated (stopped due to Study enrollment and goals unable to be reached.)
A Large Randomised Placebo Controlled Trial Among Trauma Patients With, or at Risk of, Significant Haemorrhage, of the Effects of Antifibrinolytic Treatment on Death and Transfusion Requirement[NCT00375258]Phase 320,211 participants (Actual)Interventional2005-05-31Completed
Tranexamic Acid in Knee Joint Surgery - a Randomised Controlled Trial[NCT02278263]Phase 4150 participants (Actual)Interventional2014-12-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Blood Transfusion Rates, Defined Nominally (Binary) as Having at Least One Transfusion

To determine the impact of perioperative administration of Tranexamic Acid on transfusion rates in major burn surgeries. (NCT02753816)
Timeframe: First burn surgery to hospital discharge

InterventionPatients with 1 or more transfusions (Number)
Tranexamic Acid2
Placebo3

Effect of Tranexamic Acid on the Total Length of Hospital Admission for a Large (350 cm2) Burn Injury

To determine the impact of Tranexamic Acid on total hospital length of stay by comparing the hospital admission date and the hospital discharge date. This determination will take into account current burn size and location, procedures performed and their effect on wound healing and skin graft survival. (NCT02753816)
Timeframe: Hospital admission to hospital discharge

InterventionDays (Median)
Tranexamic Acid23
Placebo9

Intraoperative Blood Loss in mL

To determine the impact of perioperative administration of Tranexamic Acid on blood loss in major burn surgeries. (NCT02753816)
Timeframe: Intraoperative, average 122 minutes

InterventionmL (Median)
Tranexamic Acid100
Placebo325

Blood Loss

"The loss of haemoglobin (Hb) was then estimated according to the formula:~Hb(loss) = Blood volume (BV) x (Hbi-Hbe) x 0.001+Hbt~where Hb (loss) (g) is the amount of Hb lost, Hbi (g/L) the Hb concentration before surgery, Hbe (g/L) is the Hbe concentration on the third day after surgery, and Hbt (g) is the total amount of allogeneic Hb transfused. A unit of banked blood is considered to contain a minimum of 40g Hb (Blood component data sheet, New Zealand Blood Services [NZBS]). All units of blood are processed and stored in a nationally standardised manner. The blood loss (ml) was related to the patient's preoperative Hb value (g/L):~Blood loss =1000 x Hb(loss) /Hbi" (NCT02278263)
Timeframe: Post operative day 3

Interventionmls (Mean)
Control1090
Intraarticular716
Systemic746

Length of Stay (LOS)

Day of surgery is counted as Day 0. (NCT02278263)
Timeframe: Average length of stay is expected to be 3 to 5 days

Interventiondays (Median)
Control4
Topical4
Systemic4

Number of Participants Receiving Allogenic Blood Transfusion

"Those patients receiving blood products. Standardised protocol is as follows:~The criterion for transfusion of blood products will be a haemoglobin < 80g/L or a haemoglobin <100g/L in a patient with ischaemic heart disease or with significant symptomatology" (NCT02278263)
Timeframe: Participants will be followed for the duration of their hospital stay expected to be an average of 3-5 days

InterventionParticipants (Count of Participants)
Control2
Topical1
Systemic0

Perioperative Fluid Administration

Intravenous fluid (excluding blood transfusion) given during and first 24 hours after surgery (NCT02278263)
Timeframe: Day 1

Interventionmls (Mean)
Control1765
Topical1613
Systemic1807

Number of Participants Experiencing Symptomatic Venothromboembolic (VTE) Disease

Rates of deep vein thrombosis (DVT) and pulmonary embolus (PE) in each group recorded as a percentage (NCT02278263)
Timeframe: Postoperatively within 30 days after surgery

,,
InterventionParticipants (Count of Participants)
DVTPE
Control00
Systemic01
Topical02

Range of Active Flexion

Range of motion measured in degrees on postoperative days 1-3 (NCT02278263)
Timeframe: Days 1-3

,,
Interventiondegrees (Mean)
Day 1Day 2Day 3
Control577175
Systemic587278
Topical657582

Range of Passive Flexion

Range of motion measured in degrees for postoperative days 1 to 3 (NCT02278263)
Timeframe: Days 1-3

,,
Interventiondegrees (Mean)
Day 1Day 2Day 3
Control657682
Systemic688087
Topical748187

Reviews

1 review available for tranexamic acid and Vascular Diseases

ArticleYear
Tranexamic acid for gastrointestinal bleeding: can a reduction in the risk of death be discounted? A systematic review and meta-analysis of individual patient data from 64 724 bleeding patients.
    BMJ open, 2023, 02-22, Volume: 13, Issue:2

    Topics: Antifibrinolytic Agents; Female; Gastrointestinal Hemorrhage; Humans; Pregnancy; Tranexamic Acid; Va

2023

Trials

3 trials available for tranexamic acid and Vascular Diseases

ArticleYear
Prehospital Tranexamic Acid for Severe Trauma.
    The New England journal of medicine, 2023, Jul-13, Volume: 389, Issue:2

    Topics: Adult; Antifibrinolytic Agents; Australia; Blood Coagulation Disorders; Emergency Medical Services;

2023
Effects of tranexamic acid on death, disability, vascular occlusive events and other morbidities in patients with acute traumatic brain injury (CRASH-3): a randomised, placebo-controlled trial.
    Lancet (London, England), 2019, 11-09, Volume: 394, Issue:10210

    Topics: Adult; Aged; Antifibrinolytic Agents; Brain Injuries, Traumatic; Drug Administration Schedule; Femal

2019
Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2) A randomised, placebo-controlled trial.
    The West Indian medical journal, 2010, Volume: 59, Issue:6

    Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; Cause of Death; Chi-Square Distribution; Female;

2010
Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2) A randomised, placebo-controlled trial.
    The West Indian medical journal, 2010, Volume: 59, Issue:6

    Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; Cause of Death; Chi-Square Distribution; Female;

2010
Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2) A randomised, placebo-controlled trial.
    The West Indian medical journal, 2010, Volume: 59, Issue:6

    Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; Cause of Death; Chi-Square Distribution; Female;

2010
Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2) A randomised, placebo-controlled trial.
    The West Indian medical journal, 2010, Volume: 59, Issue:6

    Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; Cause of Death; Chi-Square Distribution; Female;

2010
Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2) A randomised, placebo-controlled trial.
    The West Indian medical journal, 2010, Volume: 59, Issue:6

    Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; Cause of Death; Chi-Square Distribution; Female;

2010
Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2) A randomised, placebo-controlled trial.
    The West Indian medical journal, 2010, Volume: 59, Issue:6

    Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; Cause of Death; Chi-Square Distribution; Female;

2010
Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2) A randomised, placebo-controlled trial.
    The West Indian medical journal, 2010, Volume: 59, Issue:6

    Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; Cause of Death; Chi-Square Distribution; Female;

2010
Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2) A randomised, placebo-controlled trial.
    The West Indian medical journal, 2010, Volume: 59, Issue:6

    Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; Cause of Death; Chi-Square Distribution; Female;

2010
Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2) A randomised, placebo-controlled trial.
    The West Indian medical journal, 2010, Volume: 59, Issue:6

    Topics: Adult; Antifibrinolytic Agents; Blood Transfusion; Cause of Death; Chi-Square Distribution; Female;

2010

Other Studies

10 other studies available for tranexamic acid and Vascular Diseases

ArticleYear
Is tranexamic acid going to CRASH the management of traumatic brain injury?
    Intensive care medicine, 2020, Volume: 46, Issue:6

    Topics: Antifibrinolytic Agents; Brain Injuries; Brain Injuries, Traumatic; Humans; Tranexamic Acid; Vascula

2020
Tranexamic acid is safe to use following mild-to-moderate traumatic brain injury.
    BMJ (Clinical research ed.), 2020, 03-11, Volume: 368

    Topics: Antifibrinolytic Agents; Brain Injuries, Traumatic; Humans; Technology Assessment, Biomedical; Trane

2020
Tranexamic acid for traumatic brain injury.
    Lancet (London, England), 2020, 07-18, Volume: 396, Issue:10245

    Topics: Antifibrinolytic Agents; Brain Injuries; Brain Injuries, Traumatic; Humans; Tranexamic Acid; Vascula

2020
Tranexamic acid for traumatic brain injury.
    Lancet (London, England), 2020, 07-18, Volume: 396, Issue:10245

    Topics: Antifibrinolytic Agents; Brain Injuries; Brain Injuries, Traumatic; Humans; Tranexamic Acid; Vascula

2020
Tranexamic acid for traumatic brain injury.
    Lancet (London, England), 2020, 07-18, Volume: 396, Issue:10245

    Topics: Antifibrinolytic Agents; Brain Injuries; Brain Injuries, Traumatic; Humans; Tranexamic Acid; Vascula

2020
Tranexamic acid for traumatic brain injury.
    Lancet (London, England), 2020, 07-18, Volume: 396, Issue:10245

    Topics: Antifibrinolytic Agents; Brain Injuries; Brain Injuries, Traumatic; Humans; Tranexamic Acid; Vascula

2020
Tranexamic acid for traumatic brain injury.
    Lancet (London, England), 2020, 07-18, Volume: 396, Issue:10245

    Topics: Antifibrinolytic Agents; Brain Injuries; Brain Injuries, Traumatic; Humans; Tranexamic Acid; Vascula

2020
Tranexamic acid for traumatic brain injury.
    Lancet (London, England), 2020, 07-18, Volume: 396, Issue:10245

    Topics: Antifibrinolytic Agents; Brain Injuries; Brain Injuries, Traumatic; Humans; Tranexamic Acid; Vascula

2020
The effect of short-term antifibrinolytic therapy on experimental vasospasm.
    Surgical neurology, 2003, Volume: 59, Issue:1

    Topics: Animals; Antifibrinolytic Agents; Femoral Artery; Male; Microscopy, Electron; Rats; Rats, Sprague-Da

2003
Tranexamic acid for severe bleeding gastric antral vascular ectasia in cirrhosis.
    Gut, 1998, Volume: 42, Issue:5

    Topics: Aged; Antifibrinolytic Agents; Female; Gastrointestinal Hemorrhage; Humans; Liver Cirrhosis; Stomach

1998