Analysis of thrombin-antithrombin complex contents in plasma and hematoma fluid of hypertensive intracerebral hemorrhage patients after clot removal

Background and purpose:  Animal experiments indicate that the cerebral thrombin is associated with secondary brain damage after intracerebral hemorrhage (ICH). This study was aimed to investigate the concentrations of thrombin‐antithrombin complex (TAT) in hematoma fluid and plasma of the patients w...

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Veröffentlicht in:European journal of neurology 2011-08, Vol.18 (8), p.1060-1066
Hauptverfasser: Wu, C. -H., Yang, R. -L., Huang, S. -Y., Li, H. -Z., Wang, K. -Y., Yang, D. -H., Yan, X. -H., Xue, X. -H., Wu, S. -Y., Wang, J. -M., Lin, J. -S., Liao, L. -m., Chen, L. -D.
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container_end_page 1066
container_issue 8
container_start_page 1060
container_title European journal of neurology
container_volume 18
creator Wu, C. -H.
Yang, R. -L.
Huang, S. -Y.
Li, H. -Z.
Wang, K. -Y.
Yang, D. -H.
Yan, X. -H.
Xue, X. -H.
Wu, S. -Y.
Wang, J. -M.
Lin, J. -S.
Liao, L. -m.
Chen, L. -D.
description Background and purpose:  Animal experiments indicate that the cerebral thrombin is associated with secondary brain damage after intracerebral hemorrhage (ICH). This study was aimed to investigate the concentrations of thrombin‐antithrombin complex (TAT) in hematoma fluid and plasma of the patients with ICH after surgery and analyze the correlation between TAT complex levels and severity of ICH. Methods:  Sixty patients with ICH were enrolled. Craniotomy for removal of intracranial blood clot was performed within 24 h after ICH. Hematoma fluid and plasma were collected on postoperative days 1, 2, and 4. The plasma obtained from healthy subjects and cerebrospinal fluid from patients without cerebrovascular diseases served as controls, respectively. Enzyme‐linked immunosorbent assay was used to determine the concentrations of TAT complex in the patients and controls. Results:  TAT complex concentrations in both postoperative plasma and hematoma fluid of patients with ICH were significantly higher than those of the controls (P 
doi_str_mv 10.1111/j.1468-1331.2010.03336.x
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This study was aimed to investigate the concentrations of thrombin‐antithrombin complex (TAT) in hematoma fluid and plasma of the patients with ICH after surgery and analyze the correlation between TAT complex levels and severity of ICH. Methods:  Sixty patients with ICH were enrolled. Craniotomy for removal of intracranial blood clot was performed within 24 h after ICH. Hematoma fluid and plasma were collected on postoperative days 1, 2, and 4. The plasma obtained from healthy subjects and cerebrospinal fluid from patients without cerebrovascular diseases served as controls, respectively. Enzyme‐linked immunosorbent assay was used to determine the concentrations of TAT complex in the patients and controls. Results:  TAT complex concentrations in both postoperative plasma and hematoma fluid of patients with ICH were significantly higher than those of the controls (P &lt; 0.01). In patients with ICH, hematoma fluid had a higher TAT complex level than plasma (P &lt; 0.01). The preoperative hemorrhage volume and postoperative TAT complex levels in plasma and hematoma fluid correlated positively with National Institutes of Health stroke scale and negatively with Glasgow coma score (P &lt; 0.01). Conclusion:  This study indicates that TAT complex levels of plasma and hematoma fluid correlate positively with the severity of ICH. Determination of the plasma TAT complex concentration is helpful for the evaluation of the severity of post‐ICH brain injury.</description><identifier>ISSN: 1351-5101</identifier><identifier>EISSN: 1468-1331</identifier><identifier>DOI: 10.1111/j.1468-1331.2010.03336.x</identifier><identifier>PMID: 21244583</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Antithrombin III - cerebrospinal fluid ; antithrombin III-protease complex ; cerebral hematoma fluid ; Female ; glasgow coma scale ; Hematoma - blood ; Hematoma - surgery ; Humans ; Intracranial Hemorrhage, Hypertensive - blood ; Intracranial Hemorrhage, Hypertensive - surgery ; Intracranial Hypertension - blood ; Intracranial Hypertension - diagnosis ; Male ; Middle Aged ; national institutes of health stroke scale ; Peptide Hydrolases - blood ; Peptide Hydrolases - cerebrospinal fluid ; plasma ; Predictive Value of Tests ; Prognosis</subject><ispartof>European journal of neurology, 2011-08, Vol.18 (8), p.1060-1066</ispartof><rights>2011 The Author(s). European Journal of Neurology © 2011 EFNS</rights><rights>2011 The Author(s). European Journal of Neurology © 2011 EFNS.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3896-58c24b8de900bd4f95757d00d8ad9e62be8dc47ab9589fa9f38cdbc49d58168a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1468-1331.2010.03336.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1468-1331.2010.03336.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21244583$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, C. -H.</creatorcontrib><creatorcontrib>Yang, R. -L.</creatorcontrib><creatorcontrib>Huang, S. -Y.</creatorcontrib><creatorcontrib>Li, H. -Z.</creatorcontrib><creatorcontrib>Wang, K. -Y.</creatorcontrib><creatorcontrib>Yang, D. -H.</creatorcontrib><creatorcontrib>Yan, X. -H.</creatorcontrib><creatorcontrib>Xue, X. -H.</creatorcontrib><creatorcontrib>Wu, S. -Y.</creatorcontrib><creatorcontrib>Wang, J. -M.</creatorcontrib><creatorcontrib>Lin, J. -S.</creatorcontrib><creatorcontrib>Liao, L. -m.</creatorcontrib><creatorcontrib>Chen, L. -D.</creatorcontrib><title>Analysis of thrombin-antithrombin complex contents in plasma and hematoma fluid of hypertensive intracerebral hemorrhage patients after clot removal</title><title>European journal of neurology</title><addtitle>Eur J Neurol</addtitle><description>Background and purpose:  Animal experiments indicate that the cerebral thrombin is associated with secondary brain damage after intracerebral hemorrhage (ICH). This study was aimed to investigate the concentrations of thrombin‐antithrombin complex (TAT) in hematoma fluid and plasma of the patients with ICH after surgery and analyze the correlation between TAT complex levels and severity of ICH. Methods:  Sixty patients with ICH were enrolled. Craniotomy for removal of intracranial blood clot was performed within 24 h after ICH. Hematoma fluid and plasma were collected on postoperative days 1, 2, and 4. The plasma obtained from healthy subjects and cerebrospinal fluid from patients without cerebrovascular diseases served as controls, respectively. Enzyme‐linked immunosorbent assay was used to determine the concentrations of TAT complex in the patients and controls. Results:  TAT complex concentrations in both postoperative plasma and hematoma fluid of patients with ICH were significantly higher than those of the controls (P &lt; 0.01). In patients with ICH, hematoma fluid had a higher TAT complex level than plasma (P &lt; 0.01). The preoperative hemorrhage volume and postoperative TAT complex levels in plasma and hematoma fluid correlated positively with National Institutes of Health stroke scale and negatively with Glasgow coma score (P &lt; 0.01). Conclusion:  This study indicates that TAT complex levels of plasma and hematoma fluid correlate positively with the severity of ICH. 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Yang, R. -L. ; Huang, S. -Y. ; Li, H. -Z. ; Wang, K. -Y. ; Yang, D. -H. ; Yan, X. -H. ; Xue, X. -H. ; Wu, S. -Y. ; Wang, J. -M. ; Lin, J. -S. ; Liao, L. -m. ; Chen, L. -D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3896-58c24b8de900bd4f95757d00d8ad9e62be8dc47ab9589fa9f38cdbc49d58168a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antithrombin III - cerebrospinal fluid</topic><topic>antithrombin III-protease complex</topic><topic>cerebral hematoma fluid</topic><topic>Female</topic><topic>glasgow coma scale</topic><topic>Hematoma - blood</topic><topic>Hematoma - surgery</topic><topic>Humans</topic><topic>Intracranial Hemorrhage, Hypertensive - blood</topic><topic>Intracranial Hemorrhage, Hypertensive - surgery</topic><topic>Intracranial Hypertension - blood</topic><topic>Intracranial Hypertension - diagnosis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>national institutes of health stroke scale</topic><topic>Peptide Hydrolases - blood</topic><topic>Peptide Hydrolases - cerebrospinal fluid</topic><topic>plasma</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, C. -H.</creatorcontrib><creatorcontrib>Yang, R. -L.</creatorcontrib><creatorcontrib>Huang, S. -Y.</creatorcontrib><creatorcontrib>Li, H. -Z.</creatorcontrib><creatorcontrib>Wang, K. -Y.</creatorcontrib><creatorcontrib>Yang, D. -H.</creatorcontrib><creatorcontrib>Yan, X. -H.</creatorcontrib><creatorcontrib>Xue, X. -H.</creatorcontrib><creatorcontrib>Wu, S. -Y.</creatorcontrib><creatorcontrib>Wang, J. -M.</creatorcontrib><creatorcontrib>Lin, J. -S.</creatorcontrib><creatorcontrib>Liao, L. -m.</creatorcontrib><creatorcontrib>Chen, L. -D.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>European journal of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, C. -H.</au><au>Yang, R. -L.</au><au>Huang, S. -Y.</au><au>Li, H. -Z.</au><au>Wang, K. -Y.</au><au>Yang, D. -H.</au><au>Yan, X. -H.</au><au>Xue, X. -H.</au><au>Wu, S. -Y.</au><au>Wang, J. -M.</au><au>Lin, J. -S.</au><au>Liao, L. -m.</au><au>Chen, L. -D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of thrombin-antithrombin complex contents in plasma and hematoma fluid of hypertensive intracerebral hemorrhage patients after clot removal</atitle><jtitle>European journal of neurology</jtitle><addtitle>Eur J Neurol</addtitle><date>2011-08</date><risdate>2011</risdate><volume>18</volume><issue>8</issue><spage>1060</spage><epage>1066</epage><pages>1060-1066</pages><issn>1351-5101</issn><eissn>1468-1331</eissn><abstract>Background and purpose:  Animal experiments indicate that the cerebral thrombin is associated with secondary brain damage after intracerebral hemorrhage (ICH). This study was aimed to investigate the concentrations of thrombin‐antithrombin complex (TAT) in hematoma fluid and plasma of the patients with ICH after surgery and analyze the correlation between TAT complex levels and severity of ICH. Methods:  Sixty patients with ICH were enrolled. Craniotomy for removal of intracranial blood clot was performed within 24 h after ICH. Hematoma fluid and plasma were collected on postoperative days 1, 2, and 4. The plasma obtained from healthy subjects and cerebrospinal fluid from patients without cerebrovascular diseases served as controls, respectively. Enzyme‐linked immunosorbent assay was used to determine the concentrations of TAT complex in the patients and controls. Results:  TAT complex concentrations in both postoperative plasma and hematoma fluid of patients with ICH were significantly higher than those of the controls (P &lt; 0.01). In patients with ICH, hematoma fluid had a higher TAT complex level than plasma (P &lt; 0.01). The preoperative hemorrhage volume and postoperative TAT complex levels in plasma and hematoma fluid correlated positively with National Institutes of Health stroke scale and negatively with Glasgow coma score (P &lt; 0.01). Conclusion:  This study indicates that TAT complex levels of plasma and hematoma fluid correlate positively with the severity of ICH. Determination of the plasma TAT complex concentration is helpful for the evaluation of the severity of post‐ICH brain injury.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21244583</pmid><doi>10.1111/j.1468-1331.2010.03336.x</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Antithrombin III - cerebrospinal fluid
antithrombin III-protease complex
cerebral hematoma fluid
Female
glasgow coma scale
Hematoma - blood
Hematoma - surgery
Humans
Intracranial Hemorrhage, Hypertensive - blood
Intracranial Hemorrhage, Hypertensive - surgery
Intracranial Hypertension - blood
Intracranial Hypertension - diagnosis
Male
Middle Aged
national institutes of health stroke scale
Peptide Hydrolases - blood
Peptide Hydrolases - cerebrospinal fluid
plasma
Predictive Value of Tests
Prognosis
title Analysis of thrombin-antithrombin complex contents in plasma and hematoma fluid of hypertensive intracerebral hemorrhage patients after clot removal
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