Using heparin to improve success after finger replantation
Official title: Prospective Study on the Role of Intravenous Unfractionated Heparin Following Digital Replantation and Revascularization
Run by Centre hospitalier de l'Université de Montréal (CHUM) · NCT04725201 · Data updated 2026-11-12
This study is testing if giving heparin through an IV can help improve the chances of success for people who have had their fingers amputated and are getting them reattached.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 14 Years and up |
| Sex | All |
| Enrollment | 188 (estimated) |
| Sponsor | Centre hospitalier de l'Université de Montréal (CHUM) Academic / other |
| Locations | 1 site (Montreal, Quebec) |
| Status | Recruiting |
| Started | May 24, 2021 |
| Main results expected | March 1, 2027 |
| Study ends | May 1, 2027 |
| Registry record updated | April 2, 2026 |
| Trial ID | NCT04725201 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are individuals who have undergone traumatic digital amputation and are accepted into the replantation program at the Centre hospitalier de l'Université de Montréal.
✕Probably not a fit
Patients on anticoagulants or with contraindications for heparin, as well as those with more severe injuries, will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study investigates the effectiveness of intravenous unfractionated heparin in enhancing the success rates of digital replantation and revascularization in patients who have experienced traumatic finger amputations. Participants will receive a continuous intravenous drip of heparin to assess its impact on the viability of the replanted digit compared to those who do not receive the treatment. The study will also evaluate potential postoperative complications associated with heparin use, such as bleeding and thrombocytopenia, while considering various patient factors like smoking status and comorbidities.
Why it matters
Potential benefit: If successful, this approach could significantly improve the outcomes of finger replantation surgeries, leading to better recovery and functionality for patients.
How similar studies have gone: While the use of heparin in this specific context is novel, similar studies in other surgical fields have shown promising results with anticoagulant therapies.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * All replantation and revascularization patients who are accepted into the CEVARMU program at the Centre hospitalier de l'Université de Montréal Exclusion Criteria: * Patients on anticoagulants, other than ASA, prior to admission (i.e. Coumadin, Eliquis, Pradaxa, Plavix, or similar medications) * Patients with a contraindication for heparin (e.g. coagulopathy, acute ulcers, thrombocytopenia, severe liver damage, shock) * Patients who suffered an amputation in the level of the carpal tunnel and proximal to it * Patients who experienced a degloving injury
Where it's running
-
Chum
Montreal, Quebec, Canada Recruiting
Study contacts
- Principal investigator: Bruno Mastropasqua, MD FRCSC — Université de Montréal
- Study coordinator: Linda M Zhu
- Email: linda.zhu@mail.mcgill.ca
- Phone: 5148908000
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.