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Assessment of primary hemostasis by PFA-100 analysis in a tertiary care center.
Ortel, T L; James, A H; Thames, E H; Moore, K D; Greenberg, C S.
Afiliación
  • Ortel TL; Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA. orte001@mc.duke.edu
Thromb Haemost ; 84(1): 93-7, 2000 Jul.
Article en En | MEDLINE | ID: mdl-10928477
We evaluated the utility of the PFA-100 platelet function analyzer in identifying disorders in platelet function and/or von Willebrand factor (vWF) in patients with various systemic disorders being followed at a tertiary care center. Closure times were determined with collagen/ ADP (CADP) and collagen/epinephrine (CEPI) cartridges for 305 patients, and abnormal results were further evaluated with platelet aggregometry and vWF analysis. Prolonged CADP and/or CEPI closure times were identified in 114 patients (37.3%), but most were isolated prolonged CEPI closure times predominantly due to aspirin therapy (79 patients). Prolonged CADP closure times were most frequently due to qualitative platelet defects and/or decreased vWF levels. Prolonged CADP closure times were encountered most frequently in patients with sickle cell disease and were associated with a decreased hematocrit. This study demonstrated that the PFA-100 analyzer can accurately assess vWF-dependent platelet function and detect other platelet defects under high shear stress in complex patient populations.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicio Ambulatorio en Hospital / Pruebas de Función Plaquetaria / Enfermedades de von Willebrand / Trastornos de las Plaquetas Sanguíneas / Hospitales Universitarios Tipo de estudio: Evaluation_studies / Incidence_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: Thromb Haemost Año: 2000 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicio Ambulatorio en Hospital / Pruebas de Función Plaquetaria / Enfermedades de von Willebrand / Trastornos de las Plaquetas Sanguíneas / Hospitales Universitarios Tipo de estudio: Evaluation_studies / Incidence_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: Thromb Haemost Año: 2000 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania