Increased platelet, leukocyte, and endothelial cell activity are associated with increased coagulability in patients after total knee arthroplasty

Autor: Kyoko Kageyama, Satoru Hashimoto, Masayuki Shibasaki, Yasufumi Nakajima, Toshiki Mizobe
Rok vydání: 2007
Předmět:
Zdroj: Journal of Thrombosis and Haemostasis. 5:738-745
ISSN: 1538-7836
Popis: Summary. Background: Orthopedic surgery, especially total knee and total hip arthroplasty, is considered a risk factor for peri-operative venous thromboembolism. Objectives: This study evaluates how accelerated inflammatogenic cellular interactions and the subsequent production of tissue factor and CD40 ligand play an important role in the pathogenesis of venous thromboembolism. Patients and methods: Twenty-four patients undergoing total knee arthroplasty were randomly assigned to groups with (Ti; n = 12) and without (Tn; n = 12) pneumatic tourniquet inflation. Results: Numbers of leukocyte-platelet aggregates, especially those comprising monocytes-platelets in central venous blood from the Ti group, were increased during the peri-operative period (P
Databáze: OpenAIRE