Concentrates containing factor IX could improve haemostasis under conditions of thrombocytopenia: studies in an in vitro model

Autor: A M Galan, M. R. Hernández, J. Aznar-Salatti, Juan Carlos Reverter, Gines Escolar, J. Bozzo, M. Pino, Antonio Ordinas, M Vinas
Rok vydání: 2002
Předmět:
Zdroj: Vox Sanguinis. 82:113-118
ISSN: 0042-9007
DOI: 10.1046/j.1423-0410.2002.00157.x
Popis: Background and Objectives We explored the effect on haemostasis of different factor IX (FIX) concentrates under thrombocytopenic conditions using an in vitro perfusion technique. Materials and Methods A moderate experimental thrombocytopenia (25 000–30 000 platelets/µl) was induced by means of a filtration procedure in blood anticoagulated with low-molecular-weight heparin. The effects of three different FIX concentrates – a prothrombin complex concentrate (PCC), an intermediate-purity concentrate (FIX/X), and a high-purity concentrate (HPFIX) – on platelet deposition and fibrin formation on subendothelium were assessed at two different shear rates (600/second and 1200/second). Activation of the coagulation system was monitored through assessment of prothrombin activation fragment 1 + 2 (F1 + 2). Results Fibrin deposition increased after addition of FIX concentrates, but only showed a significant increase in experiments performed after incubation of PCC at the lower shear rate (600/second) (64·25 ± 9·61% vs. control 31·22 ± 8·02%; P
Databáze: OpenAIRE