Journal of Vascular Surgery
Volume 47, Issue 5 , Pages 1033-1038 , May 2008

Endogenous heparin activity is decreased in peripheral arterial occlusive disease

  • Venugopal K. Shankar, FRCS(Ed)

      Affiliations

    • Corresponding Author InformationReprint requests: V. K. Shankar, University of Oxford, Nuffield Department of Surgery, Level 6, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK.
  • ,
  • Ashok Handa, FRCS(Eng)
  • ,
  • Linda Hands, MS, FRCS

Received 20 May 2007 ,Accepted 12 November 2007.

  • Image Result

    Baseline (native) thromboelastography of a venous sample from control subjects. A, Current amplitude; Angle, acceleration of fibrin buildup and cross-linking (clot strengthening); CI, coagulation inde

    Baseline (native) thromboelastography of a venous sample from control subjects. A, Current amplitude; Angle, acceleration of fibrin buildup and cross-linking (clot strengthening); CI, coagulation index (overall coagulation status); EPL, estimated percent lysis; G, clot firmness as shear elastic modulus; K, dynamics of clot formation; LY30, percent lysis at 30 minutes after maximum amplitude; LY60, percent lysis at 60 minutes after maximum amplitude; MA, maximum amplitude (ultimate clot strength); R, reaction time (time to initial fibrin formation).

  • Image Result
    Overall coagulability and peripheral ischemia.

    Overall coagulability and peripheral ischemia.

  • Image Result
    Endogenous heparin-like activity in patients with peripheral arterial occlusive disease. ΔR is the change in latent period between when the sample is recalcified and initial fibrin formation.

    Endogenous heparin-like activity in patients with peripheral arterial occlusive disease. ΔR is the change in latent period between when the sample is recalcified and initial fibrin formation.

  • Image Result
    Severity of peripheral arterial occlusive disease and endogenous heparin-like activity. ΔR is the change in latent period between when the sample is recalcified and initial fibrin formation.

    Severity of peripheral arterial occlusive disease and endogenous heparin-like activity. ΔR is the change in latent period between when the sample is recalcified and initial fibrin formation.

 Competition of interest: none.

PII: S0741-5214(07)01783-1

doi: 10.1016/j.jvs.2007.11.030

Journal of Vascular Surgery
Volume 47, Issue 5 , Pages 1033-1038 , May 2008