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Is there a difference between the results of some basic examination of blood coagulation sampled from abdominal aortic aneurysm and the blood from peripheral vein?
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Abstract
Aim of the dtudy. To determine whether, prior to abdominal aortic aneurysm operation in patients with borderline, low values of platelet count, fibrinogen and prothrombin, it is worth while attempting to seal vascular protheses by means of blood collected from the peripheral vein instead of routine method of sealing using blood from the interior of aneurysms.
Material and methods. Intraoperatively, in 24 patients blood was sampled simultaneously from aneurysms and cubital veins. Average age of patients was 63.7 years (49–77) and mean diameter of infrarenal aneurysms 6.1 cm (5.5–9.0). The blood was collected for testing before heparin administration.
Results. There were no differences between the blood from the aneurysm and the blood from the cubital vein regarding platelet count (203 863 vs. 161 633, p = 0.296), fibrinogen level (3.08 vs. 3.1, p = 0.295), prothrombin activity (INR 1.29 vs. 1.30, p = 0.438), aPTT (33.04 vs. 33.72, p = 0.059), and antithrombin III activity (74.2 vs. 74.27, p = 0.940). Differences in D-dimers were found (606.5 vs. 486.8, p = 0.031).
Conclusions. Abandoning routine sealing of vascular prosthesis using aneurysmal blood in favour of the blood collected from peripheral vein has not been justified.
Abstract
Aim of the dtudy. To determine whether, prior to abdominal aortic aneurysm operation in patients with borderline, low values of platelet count, fibrinogen and prothrombin, it is worth while attempting to seal vascular protheses by means of blood collected from the peripheral vein instead of routine method of sealing using blood from the interior of aneurysms.
Material and methods. Intraoperatively, in 24 patients blood was sampled simultaneously from aneurysms and cubital veins. Average age of patients was 63.7 years (49–77) and mean diameter of infrarenal aneurysms 6.1 cm (5.5–9.0). The blood was collected for testing before heparin administration.
Results. There were no differences between the blood from the aneurysm and the blood from the cubital vein regarding platelet count (203 863 vs. 161 633, p = 0.296), fibrinogen level (3.08 vs. 3.1, p = 0.295), prothrombin activity (INR 1.29 vs. 1.30, p = 0.438), aPTT (33.04 vs. 33.72, p = 0.059), and antithrombin III activity (74.2 vs. 74.27, p = 0.940). Differences in D-dimers were found (606.5 vs. 486.8, p = 0.031).
Conclusions. Abandoning routine sealing of vascular prosthesis using aneurysmal blood in favour of the blood collected from peripheral vein has not been justified.
Keywords
abdominal aortic aneurysm; blood coagulation; sealing vascular prosthesis
About this articleTitle
Is there a difference between the results of some basic examination of blood coagulation sampled from abdominal aortic aneurysm and the blood from peripheral vein?
Journal
Issue
Article type
Research paper
Pages
1-5
Published online
2002-02-07
Page views
716
Article views/downloads
1247
DOI
10.5603/aa.9960
Bibliographic record
Acta Angiologica 2002;8(1):1-5.
Keywords
abdominal aortic aneurysm
blood coagulation
sealing vascular prosthesis
Authors
Andrzej Cencora