Type of study:Prospective, single-center, non-therapeutic, of routine care No randomization, no modifications of the usual care, study results are not available for the physicians in charge of the patient. Objectives: * The main objective of this study is to evaluate the ability of the thromboelastogram (ROTEM®) to detect clotting disorders related to pancreas-kidney transplantation, comparing ROTEM ® profiles during the perioperative period of two different types of transplantation (kidney alone and simultaneous pancreas-kidney) * The secondary objectives are: 1. To assess the incidence and type of coagulation disorders during the perioperative period of these two types of transplantation 2. To study correlation values between thrombolelastogram and standard coagulation parameters Population study: * Evaluated group: 40 pancreas-kidney recipients * Control group: 80 kidney recipients * Recruitment periods: 24 months * Patient Monitoring: 48 hours * Total duration of the study: 36 months. * Ethics: Study of routine care. Oral and written information given to patients. Validation of the study protocol by the local ethics committee (CPP Sud Est II: Protocol No. HCL / P 2012.727)
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SCREENING
Masking
DOUBLE
Enrollment
152
Anesthesiology and Critical Care Medicine, Edouard Herriot Hospital, Hospices Civils de Lyon
Lyon, France
Thromboelastogram (ROTEM®) channels (APTEM, EXTEM, INTEM, FIBTEM) monitoring
Time frame: preoperative period
Thromboelastogram (ROTEM®) channels (APTEM, EXTEM, INTEM, FIBTEM) monitoring
Time frame: 45 min after transplant unclamp
Thromboelastogram (ROTEM®) channels (APTEM, EXTEM, INTEM, FIBTEM) monitoring
Time frame: Intensice Care Unit admission
Thromboelastogram (ROTEM®) channels (APTEM, EXTEM, INTEM, FIBTEM) monitoring
Time frame: 24 hours
Thromboelastogram (ROTEM®) channels (APTEM, EXTEM, INTEM, FIBTEM) monitoring
Time frame: 48 hours
standard coagulation parameters
Time frame: preoperative period
standard coagulation parameters
Time frame: 45 min after transplant unclamp
standard coagulation parameters
Time frame: Intensice Care Unit admission
standard coagulation parameters
Time frame: 24 hours
standard coagulation parameters
Time frame: 48 hours
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