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Intraventricular streptokinase increases cerebrospinal fluid D dimer in preterm infants with posthaemorrhagie ventricular dilatation
Author(s) -
Whitelaw A,
Mowinckel MC,
Larsen ML,
Røkås E,
Abildgaard U
Publication year - 1994
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1994.tb18092.x
Subject(s) - streptokinase , medicine , fibrinolysis , d dimer , cerebrospinal fluid , fibrin , anesthesia , cardiology , immunology , myocardial infarction
Failure to lyse multiple small blood clots in the cerebrospinal fluid (CSF) reabsorption pathways may be one of the mechanisms leading to posthaemorrhagie ventricular dilatation (PHVD). It has been suggested that intraventricular administration of streptokinase may resolve PHVD but it is not known whether such treatment produces an increase in fibrin degradation products in the CSF. Ventricular CSF was collected from six infants with PHVD before and during intraventricular treatment with streptokinase 1000 units/h. In all six infants, CSF D dimer increased during streptokinase treatment. Median D dimer before treatment was 1642 μg/1 and during treatment 5440 μg/1 ( p < 0.05). Undetectable D dimer levels in plasma during streptokinase treatment ruled out the possibility that D dimer had merely diffused into the CSF. This augmentation of local fibrinolysis may have therapeutic potential. There was no evidence of systemic fibrinolysis.