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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1991-2-4
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pubmed:abstractText |
Several laboratories have found canine platelet aggregometry predictive of thrombotic potential in vascular grafts. Adenosine diphosphate (ADP) is a frequently used agonist, often at unspecified or differing concentrations. This study was designed to evaluate the predictive value of ADP-induced platelet aggregometry and the validity of the methodology. Platelet aggregometry in response to 2 x 10(-5) M ADP was assayed in 70 dogs. Twenty-six percent were aggregators, 51% were non-aggregators, and 20% were indeterminant. All dogs were then treated with aspirin and dipyridamole. Vascular prostheses were implanted bilaterally (aorto-iliac) and anti-platelet therapy continued for two weeks. Dose-response to ADP was studied at three concentrations in 20 dogs. At 2 x 10(-5) 1/20 aggregated, at 4 x 10(-5) 3/19 aggregated and at 2 x 10(-4) 15/20 aggregated. Time between samples and study was evaluated in 11 dogs, with 2/11 changing from non-aggregator to aggregator at two or three hours. Daily reproducibility was studied in 70 dogs, 14 of which changed aggregation status between days. Patency was 58/68 (85%) for non-aggregators, 23/34 (68%) for aggregators (p = 0.038). Platelet aggregometry has significant predictive value for graft patency but methodology must be specified and standardized.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0021-9509
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
31
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
712-8
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:2262494-Adenosine Diphosphate,
pubmed-meshheading:2262494-Animals,
pubmed-meshheading:2262494-Aspirin,
pubmed-meshheading:2262494-Blood Vessel Prosthesis,
pubmed-meshheading:2262494-Dipyridamole,
pubmed-meshheading:2262494-Dogs,
pubmed-meshheading:2262494-Dose-Response Relationship, Drug,
pubmed-meshheading:2262494-Evaluation Studies as Topic,
pubmed-meshheading:2262494-Graft Occlusion, Vascular,
pubmed-meshheading:2262494-Platelet Aggregation,
pubmed-meshheading:2262494-Platelet Count,
pubmed-meshheading:2262494-Predictive Value of Tests,
pubmed-meshheading:2262494-Prognosis,
pubmed-meshheading:2262494-Reproducibility of Results
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pubmed:articleTitle |
The validity of canine platelet aggregometry in predicting vascular graft patency.
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pubmed:affiliation |
Department of Surgery, Loyola University Medical Center, Maywood, Illinois.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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