Fibrinolysis Profiles and Platelet Activation After Endothelial Cell Seeding of Prosthetic Vascular Grafts

There is no convincing evidence that endothelial cell seeding of prosthetic grafts in humans confers any of the advantages seen in animals. However, partial endothelial coverage might exert a subtle effect not detectable with indirect end points such as patency or scintigraphy. This study examined s...

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Veröffentlicht in:Annals of vascular surgery 1995-11, Vol.9 (6), p.542-546
Hauptverfasser: Smyth, J.V., Welch, M., Carr, H.M.H., Dodd, P.D.F., Eisenberg, P.R., Walker, M.G.
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container_end_page 546
container_issue 6
container_start_page 542
container_title Annals of vascular surgery
container_volume 9
creator Smyth, J.V.
Welch, M.
Carr, H.M.H.
Dodd, P.D.F.
Eisenberg, P.R.
Walker, M.G.
description There is no convincing evidence that endothelial cell seeding of prosthetic grafts in humans confers any of the advantages seen in animals. However, partial endothelial coverage might exert a subtle effect not detectable with indirect end points such as patency or scintigraphy. This study examined seeded cell function by measuring fibrinolytic and platelet activation markers in patients receiving seeded and control prosthetic grafts. Thirty-two patients were randomly assigned to seeded (n = 15) and control (n = 17) groups. Preoperatively and 3, 6, and 12 months postoperatively, plasma levels of fibrinopeptide A (FPA), Bp1–42 fragment, cross-linked fibrin degradation products (XL-FDP), thromboxane A 2, (TXA 2), platelet factor 4 (PF4), and β-thromboglobulin (βTG) were measured. Patients with seeded grafts had significantly lower levels of FPA at 6 and 12 months ( p
doi_str_mv 10.1007/BF02018827
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However, partial endothelial coverage might exert a subtle effect not detectable with indirect end points such as patency or scintigraphy. This study examined seeded cell function by measuring fibrinolytic and platelet activation markers in patients receiving seeded and control prosthetic grafts. Thirty-two patients were randomly assigned to seeded (n = 15) and control (n = 17) groups. Preoperatively and 3, 6, and 12 months postoperatively, plasma levels of fibrinopeptide A (FPA), Bp1–42 fragment, cross-linked fibrin degradation products (XL-FDP), thromboxane A 2, (TXA 2), platelet factor 4 (PF4), and β-thromboglobulin (βTG) were measured. Patients with seeded grafts had significantly lower levels of FPA at 6 and 12 months ( p &lt;0.05) and a significant overall group effect ( p &lt;0.05). These patients also tended to have higher levels of XL-FDP ( p &lt;0.1). No other significant differences were seen. The lower rate of conversion of fibrinogen to fibrin and the trend toward increased fibrinolysis seen in seeded grafts may be due to trie metabolic effects of viable retained seeded cells. 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However, partial endothelial coverage might exert a subtle effect not detectable with indirect end points such as patency or scintigraphy. This study examined seeded cell function by measuring fibrinolytic and platelet activation markers in patients receiving seeded and control prosthetic grafts. Thirty-two patients were randomly assigned to seeded (n = 15) and control (n = 17) groups. Preoperatively and 3, 6, and 12 months postoperatively, plasma levels of fibrinopeptide A (FPA), Bp1–42 fragment, cross-linked fibrin degradation products (XL-FDP), thromboxane A 2, (TXA 2), platelet factor 4 (PF4), and β-thromboglobulin (βTG) were measured. Patients with seeded grafts had significantly lower levels of FPA at 6 and 12 months ( p &lt;0.05) and a significant overall group effect ( p &lt;0.05). These patients also tended to have higher levels of XL-FDP ( p &lt;0.1). No other significant differences were seen. 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subjects Adult
Aged
Blood Coagulation Factors - analysis
Blood Vessel Prosthesis
Cell Transplantation
Endothelium, Vascular - cytology
Female
Femoral Artery - surgery
Follow-Up Studies
Graft Occlusion, Vascular - blood
Humans
Ischemia - surgery
Leg - blood supply
Male
Middle Aged
Platelet Activation - physiology
Popliteal Artery - surgery
Postoperative Complications - blood
Prosthesis Design
Surface Properties
title Fibrinolysis Profiles and Platelet Activation After Endothelial Cell Seeding of Prosthetic Vascular Grafts
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