Utility of the Sonoclot analyzer to assess hyperfibrinolysis in dogs

© 2021 American Society for Veterinary Clinical Pathology.

Détails bibliographiques
Publié dans:Veterinary clinical pathology. - 1975. - 50(2021), 2 vom: 16. Juni, Seite 178-183
Auteur principal: Buriko, Yekaterina (Auteur)
Autres auteurs: Hess, Rebecka S, Pfeifer, Julie M, Silverstein, Deborah C
Format: Article en ligne
Langue:English
Publié: 2021
Accès à la collection:Veterinary clinical pathology
Sujets:Journal Article analyzer coagulation fibrinolysis hemostasis viscoelastic Tissue Plasminogen Activator EC 3.4.21.68
Description
Résumé:© 2021 American Society for Veterinary Clinical Pathology.
BACKGROUND: Coagulation abnormalities, including hyperfibrinolysis, have been documented in sick veterinary patients. Viscoelastic tests, including the Sonoclot Coagulation and Platelet Function Analyzer, are useful in detecting hyperfibrinolysis. Tissue plasminogen activator (tPA) assays have been used to quantify fibrinolysis using thromboelastography
OBJECTIVES: We aimed to document and evaluate changes in the whole blood of healthy dogs exposed to in vitro tPA at varying concentrations using the Sonoclot analyzer
METHODS: Ten milliliters of blood was collected from healthy adult dogs. Sonoclot tests were run in duplicate and included a control sample and five tPA concentrations: 50, 75, 100, 150, and 200 IU/mL of blood
RESULTS: Eleven dogs were enrolled in the study. Based on standard Sonoclot Signature changes, a numeric value fibrinolysis time (FTi) was derived to aid in the quantification of hyperfibrinolysis. Activated clotting time and clot rate Sonoclot values were not significantly affected by any tPA concentration. There was a significant decrease in platelet function (PF) at tPA concentrations equal to and above 75 IU/mL on channel 1 and tPA concentrations of 150 IU/mL and higher on channel 2. There was a progressive decrease in FTi at increasing tPA concentrations
CONCLUSIONS: The Sonoclot analyzer can be used to evaluate hyperfibrinolysis. Predictable changes were seen in the Sonoclot Signature and a decrease in PF and FTi was found with increasing tPA concentrations. The Sonoclot assay with a tPA concentration of 100 IU/mL is suggested a baseline measure of hyperfibrinolysis and has a resultant median FTi of 42 minutes, which is a practical time for clinical applications
Description:Date Completed 30.08.2021
Date Revised 30.08.2021
published: Print-Electronic
Citation Status MEDLINE
ISSN:1939-165X
DOI:10.1111/vcp.12953