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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0019134,
umls-concept:C0026336,
umls-concept:C0034493,
umls-concept:C0086296,
umls-concept:C0162577,
umls-concept:C0185125,
umls-concept:C0205191,
umls-concept:C0205276,
umls-concept:C0302148,
umls-concept:C0332157,
umls-concept:C0507850,
umls-concept:C0699493,
umls-concept:C0871261,
umls-concept:C1167622,
umls-concept:C1280500,
umls-concept:C1515655,
umls-concept:C1533691,
umls-concept:C1704608,
umls-concept:C1704632,
umls-concept:C1706817,
umls-concept:C2911692
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pubmed:issue |
4
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pubmed:dateCreated |
1994-10-5
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pubmed:abstractText |
Experimentally, heparin inhibits mechanisms that promote fibrosis, neointimal cellular proliferation, and thrombin bound to fibrin at the surface of intraluminal thrombus, but only in relatively high concentrations. A preliminary hypothesis was tested and confirmed in vitro that initial binding of 3H-heparin to mechanically injured porcine aorta is concentration-dependent over a 1,000-50,000 units/ml range (r = 0.9). The hypothesis was then tested in vitro that thermal exposure during contact of heparin to arterial tissue and to clot would enhance binding of the drug. 3H-heparin binding to clot, whole blood particulates, and washed erythrocytes was markedly enhanced by exposure to temperatures > 70 degrees C. Thermal exposure (80 degrees C x 40 s) also enhanced tissue persistence of the drug within porcine aorta subjected to a shear rate of 1,100(-1) in an annular Baumgartner chamber perfused with normal saline at 37 degrees C for 48 h. Heparin in vitro anticoagulant activity persisted after thermal exposure and binding to tissues. A new method was developed for local application of a heparin film that provides a maximum concentration with a tolerable systemic dose during an angioplasty procedure. In an in vivo rabbit model of mural fibrosis after iliac artery angioplasty, the 1-month mean angiographic luminal diameter loss (23% compared to the acute postangioplasty result by computer image analysis) in response to conventional balloon angioplasty (BA) and laser balloon angioplasty (LBA) was the same (P > 0.05). Local application of a heparin film (3,000 units at a concentration > 100,000 units/g), however, reduced the mean % loss in diameter 1 month after LBA (12%), but not after BA (29%), compared to arteries subjected to angioplasty without local heparin (P < .05). The results are consistent with the hypothesis that thermal energy enhances heparin binding to tissues and that local application of a heparin film favorably modulates arterial luminal responses to LBA, but not to BA, in this animal model.
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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 |
0196-8092
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
14
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
329-46
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:8078383-Angioplasty, Balloon,
pubmed-meshheading:8078383-Angioplasty, Balloon, Laser-Assisted,
pubmed-meshheading:8078383-Animals,
pubmed-meshheading:8078383-Aorta,
pubmed-meshheading:8078383-Arteries,
pubmed-meshheading:8078383-Arteriosclerosis,
pubmed-meshheading:8078383-Blood Coagulation,
pubmed-meshheading:8078383-Erythrocyte Membrane,
pubmed-meshheading:8078383-Heparin,
pubmed-meshheading:8078383-Hot Temperature,
pubmed-meshheading:8078383-Humans,
pubmed-meshheading:8078383-Rabbits,
pubmed-meshheading:8078383-Swine,
pubmed-meshheading:8078383-Thrombosis
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pubmed:year |
1994
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pubmed:articleTitle |
Effects of thermal exposure on binding of heparin in vitro to the arterial wall and to clot and on the chronic angiographic luminal response to local application of a heparin film during angioplasty in an in vivo rabbit model.
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pubmed:affiliation |
Department of Medicine, Harper Hospital, Detroit, Michigan.
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pubmed:publicationType |
Journal Article,
In Vitro,
Research Support, U.S. Gov't, P.H.S.
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