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The influence of the haemodialysis procedure on platelets, coagulation and fibrinolysisŠabovič, Mišo ...In end-stage renal disease, in particularly when treated with haemodialysis, the function of platelets, coagulation and fibrinolytic systems can be disturbed, thus contributing to either thrombotic ... or bleeding complications. It is important to know whether the currently used haemodialysis procedure itself (by biocompatible membranes and better anticoagulation with nandroparin) affects platelets, coagulation or fibrinolysis. In 15 patients who had been treated with chronic haemodialysis, we measured and compared platelet aggregation (induced by adenosine diphosphate, collagen and epinephrine), the markers of coagulation and fibrinolysis activation (thrombin-antithrombin complexes, thrombin fragments F1+2, D-dimer), and fibrinolytic parameters, i.e. fibrinogen, plasminogen, tissue plasminogen activator (t-PA) and plasminogen activator inhibitor 1 antigen and activity, before and immediately after the regular haemodialysis sessions. We did not find differences between pre- and post-haemodialysis platelet aggregation induced with all agents. Markers of coagulation and fibrinolysis activation remained unchanged during the process of haemodialysis. However, in post-haemodialysis samples, t-PA activity was significantly increased. Other fibrinolytic parameters remained unchanged. In conclusion, our results showed that the current technique of haemodialysis procedure does not affect plateletaggregation or activate coagulation, and therefore, does not contribute to a thrombotic tendency. However, it does directly affect fibrinolysis through activation of t-PA, which might be clinically relevant since this could increase the bleeding tendency in some haemodialysis patients.Vir: Pathophysiology of haemostasis and thrombosis. - ISSN 1424-8832 (Vol. 34, no. 6, 2005, str. 274-278)Vrsta gradiva - članek, sestavni del ; neleposlovje za odrasleLeto - 2005Jezik - angleškiCOBISS.SI-ID - 21516761
Avtor
Šabovič, Mišo |
Salobir, Barbara, 1966- |
Preložnik Zupan, Irena, medicina |
Bratina, Petra, 1982- |
Bojnec, Vida |
Buturović-Ponikvar, Jadranka
Teme
Kidney Failure, Chronic |
Blood |
Complications |
Therapy |
Hemodialysis |
Blood Coagulation |
Blood Coagulation Disorders |
Etiology |
Physiopathology |
Blood Platelets |
Aged |
Middle Age |
Fibrinolysis |
Hemorrhage |
Physiopathology |
Etiology |
Platelet Aggregation |
Thrombosis |
Physiopathology |
Kri, strjevanje |
Krvna koagulacija, motnje |
Ledvica, odpoved kronična |
Trombociti |
Fibrinoliza |
Krvavitev |
Srednja leta |
Starostniki |
Trombociti, agregacija |
Tromboza
Vnos na polico
Trajna povezava
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Baze podatkov, v katerih je revija indeksirana
Ime baze podatkov | Področje | Leto |
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Šabovič, Mišo | 08094 |
Salobir, Barbara, 1966- | 12541 |
Preložnik Zupan, Irena, medicina | 23126 |
Bratina, Petra, 1982- | |
Bojnec, Vida | 24422 |
Buturović-Ponikvar, Jadranka | 10649 |
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