Heparin and protamine interaction

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Complement activation during cardiopulmonary bypass by heparin-protamine interaction.

Circulating concentrations of split products of the third complement factor (C3c and C3d) were measured in five patients before, during and after cardiopulmonary bypass. In all patients, C3d concentrations increased significantly in samples obtained after the administration of protamine sulphate. Similarly, circulating C3c was seen only in those samples obtained immediately after protamine admi...

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High incidence of antibodies to protamine and protamine/heparin complexes in patients undergoing cardiopulmonary bypass.

Protamine is routinely used to reverse heparin anticoagulation during cardiopulmonary bypass (CPB). Heparin interacts with protamine to form ultralarge complexes that are immunogenic in mice. We hypothesized that patients exposed to protamine and heparin during CPB will develop antibodies (Abs) to protamine/heparin (PRT/H) complexes that are capable of platelet activation. Specimens from a rece...

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Protamine immobilization and heparin adsorption on the protamine-bound cellulose fiber membrane.

Immobilization of protamine to the inner lumen of cellulose hollow fibers has been shown useful in preventing both heparin- and protamine-induced complications during an extracorporeal blood circulation procedure. The current study examined the effects of variables on the immobilization of protamine to cyanogen bromide (CNBr)-activated cellulose hollow fibers. The degree of protamine immobiliza...

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Hemolysis and alimentary lipemia; effects of incubation, heparin, and protamine.

ITTLE ATTENTION has been paid to the observation of Longimui and Johnsontm that an alimentary lipemia may be responsible for increased fragility of erythrocytes. The possibility that the hemolysis may also occur in vivo is suggested by Loewy, et al.,2 who demonstrated that the output of bile pigment increased in dogs receiving high fat diets. More recently, Creditor3 has observed that hemolysis...

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Poly-L-lysine amplification of protamine immobilization and heparin adsorption.

We previously reported the development of a cellulose fiber based blood filter device containing immobilized protamine (termed protamine filter) that could be used to control both heparin- and protamine-induced complications during extracorporeal therapy. To achieve enhanced heparin adsorption on the fibers, we examined the possibility of utilizing the poly-L-lysine based amplification method t...

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ژورنال

عنوان ژورنال: Canadian Journal of Anaesthesia

سال: 1998

ISSN: 0832-610X,1496-8975

DOI: 10.1007/bf03012453