Platelet factor 4 efficiently reverses heparin anticoagulation in the rat without adverse effects of heparin-protamine complexes.
Author(s) -
Jacquelynn J. Cook,
S Niewiarowski,
Zi Yan,
L W Schaffer,
Weiqi Lu,
Gwendolyn J. Stewart,
David M. Mosser,
Jill A. Myers,
Theodore E. Maione
Publication year - 1992
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.85.3.1102
Subject(s) - medicine , heparin , protamine sulfate , platelet factor 4 , platelet , protamine , partial thromboplastin time , anesthesia , femoral vein , anticoagulant , bleeding time , pharmacology , platelet aggregation
It has been observed that the reversal of heparin anticoagulation in humans by protamine sulfate (PS) results in various adverse reactions including leukopenia, thrombocytopenia, activation of complement, increased vascular permeability, systemic hypotension, pulmonary vasoconstriction, and pulmonary edema. The purpose of this study was to compare the efficacy and effects of native platelet factor 4 (PF4) and recombinant platelet factor 4 (rPF4) with those of PS in heparin neutralization in vivo, using a rat model.
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