The Current Role of Platelet Function Testing in Clinical Practice.

Autor: Mason GA; Department of Haematology and Transfusion Medicine, Royal North Shore Hospital, Sydney, New South Wales, Australia., Rabbolini DJ; Lismore Cancer and Haematology Unit, Lismore Base Hospital, Lismore, New South Wales, Australia.; The University of Sydney Northern Clinical School and the Rural Clinical School, Sydney, Australia.
Jazyk: angličtina
Zdroj: Seminars in thrombosis and hemostasis [Semin Thromb Hemost] 2021 Oct; Vol. 47 (7), pp. 843-854. Date of Electronic Publication: 2021 Jun 15.
DOI: 10.1055/s-0041-1728786
Abstrakt: Platelet dysfunction, whether hereditary or acquired, may increase an individual's risk of spontaneous, posttraumatic, or postoperative bleeding. Conversely, increased platelet reactivity on antiplatelet agents following vascular (in particular, coronary vascular) intervention may increase the risk of thrombosis and adverse vascular events. The aim of platelet function testing is to identify and characterize platelet dysfunction in these settings to inform bleeding/ thrombosis risk and guide perioperative prophylactic management strategies. A vast array of screening and diagnostic tests is available for this purpose. The successful clinical application of platelet function tests depends on the knowledge of their analytical strengths and limitations and the correct extrapolation of derived results to a particular clinical scenario. This review critically appraises traditional and contemporary platelet function testing focusing on their role in clinical practice.
Competing Interests: None declared.
(Thieme. All rights reserved.)
Databáze: MEDLINE