Document Detail


Extrinsic and common coagulation pathways in end-stage renal disease associated with spinal cord injury.
MedLine Citation:
PMID:  3748594     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Data on the effects of combined long-standing spinal cord injury (SCI) and end-stage renal disease (ESRD) on blood coagulation system are limited. We studied the extrinsic and common pathways of blood coagulation system in 9 men with SCI-ESRD treated with maintenance hemodialysis. Plasma procoagulant activities of factors (F)VII, X and II were measured in a clotting assay using appropriate deficient plasmas as substrate. In addition, the antigen concentration of FII was measured using monospecific antibodies against human FII raised in goat in a gradient plate immunodiffusion system. Also measured were plasma fibrinogen concentration and platelet count. The results were compared with those obtained in a group of 10 ambulatory ESRD patients and 8 normal control volunteers. Plasma coagulant activity of FVII was markedly elevated and plasma fibrinogen concentration was moderately increased in SCI-ESRD patients. In contrast, plasma FII was mildly depressed while platelet count was within normal limits in SCI-ESRD patients. The data indicate that the combination of SCI and ESRD can lead to the alteration of the extrinsic and common coagulation pathways. Further studies are needed to elucidate the precise mechanism and the clinical significance of the observed abnormalities.
Authors:
N D Vaziri; R L Winer; S Alikhani; J Toohey; P Paule; K Danviryasum; S Gordon; I Eltorai
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Paraplegia     Volume:  24     ISSN:  0031-1758     ISO Abbreviation:  Paraplegia     Publication Date:  1986 Jun 
Date Detail:
Created Date:  1986-10-08     Completed Date:  1986-10-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985038R     Medline TA:  Paraplegia     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  154-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Coagulation*
Factor VII / metabolism
Factor X / metabolism
Fibrinogen / metabolism
Humans
Kidney Diseases / blood*,  complications
Male
Middle Aged
Platelet Count
Prothrombin / metabolism
Spinal Cord Injuries / blood*,  complications
Chemical
Reg. No./Substance:
9001-25-6/Factor VII; 9001-26-7/Prothrombin; 9001-29-0/Factor X; 9001-32-5/Fibrinogen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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