Document Detail


Functional changes in platelets during extracorporeal circulation.
MedLine Citation:
PMID:  237494     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An in vitro trauma test was conducted to determine the effects of extracorporeal circulation on platelet count and function. Fresh human blood was circulated in two identical in vitro circuits for six hours at a rate of 500 ml per minute (500 recirculations). One circuit included a G.E.--Peirce membrane lung and the other was a control. Platelet aggregation induced by adenosine diphosphate (ADP), epinephrine, or collagen was studied before and after six hours of perfusion. No important drop in platelet count occurred in the control circuit (Control-C) following bypass, but there was a 20% drop for the lung circuit (Lung-C). Platelet aggregation was reduced by about 30% for the control circuit and 65% for the lung circuit. The large decrease in platelet function accompanied by only a moderate decrease in platelet count is discussed in terms of loss of the youngest and most active platelets, platelet inhibition due to ADP released by red blood cell lysis, and platelet trauma.
Authors:
Y Tamari; L Aledort; E Puszkin; T J Degnan; N Wagner; M J Kaplitt; E C Peirce
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  19     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1975 Jun 
Date Detail:
Created Date:  1975-09-09     Completed Date:  1975-09-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  639-47     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adenosine Diphosphate / pharmacology
Blood Cell Count
Blood Platelet Disorders / etiology
Blood Platelets*
Cell Survival
Collagen / pharmacology
Epinephrine / pharmacology
Extracorporeal Circulation / adverse effects*
Hemoglobins / analysis
Hemolysis
Humans
Hydrogen-Ion Concentration
Oxygenators, Membrane / adverse effects*
Platelet Adhesiveness*
Platelet Aggregation* / drug effects
Time Factors
Chemical
Reg. No./Substance:
0/Hemoglobins; 51-43-4/Epinephrine; 58-64-0/Adenosine Diphosphate; 9007-34-5/Collagen

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


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