Residual Plasminogen Activator Inhibitor Activity After Venous Stasis as a Criterion for Hypofibrinolysis : A Study in 83 Patients With Confirmed Deep Vein

نویسندگان

  • Egbert K.O. Kruithof
  • Jacqueline Conard
  • Michel M. Samama
چکیده

In eighty-three patients with confirmed deep vein thrombosis, the fibrinolytic system was studied before and after a 1 0-minute venous occlusion. Blood was collected at least 3 months after the last acute episode. and PAl-i antigen and activity. as well as tissue-type plasminogen activator (t-PA) antigen. urokinase-type plasminogen activator (uPA) antigen. and fibrinolytic activity were measured in these samples. During venous stasis. plasminogen activator inhibitor (PAl) activity decreased in almost all patients (81 of 83). from a median value of 8.2 to 2.9 U/mI (P < .001 . Wilcoxon signed-rank test). Because PAl-i antigen augmented from a median value of 16 to 19.2 ng/mL (P < .001 ). the decline in PAl activity was attributed to an increase in t-PA antigen from a median value of 10 to 21.7 ng/mL (P < .001 ). Neutralization of PAl activity thus reflects the patient’s capacity to overcome basal inhibitory potential through t-PA release. Based on residual PAl

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Residual plasminogen activator inhibitor activity after venous stasis as a criterion for hypofibrinolysis: a study in 83 patients with confirmed deep vein thrombosis.

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تاریخ انتشار 2005