The APTT monitoring of heparin--the ISTH/ICSH collaborative study.

Abstract:

:In an international collaborative study three candidate reference and the local APTT reagent have been tested with lyophilized plasmas containing heparin added in vitro and fresh plasmas from heparinized patients to determine whether it was possible to standardize APTT heparin monitoring. The APTT responses of patients with thrombosis were much less to the same concentrations of heparin so only these plasmas were used to calibrate the reagents. A calibration constant (b) was determined for each local APTT system from the orthogonal regression slope of the patients' and normals' plasmas. Although the calibration was based on relatively limited numbers of patients' plasmas the results gave no consistent indication that this method of analysis with the reference preparations was incorrect. Two of the three candidate reference reagents performed almost equally well and one of these reagents is recommended as the APTT reference preparation. Use of a single b value for a brand of reagent for all laboratories is not advised. Each laboratory must perform its own local calibration. The adoption of a reference APTT reagent together with the use of orthogonal regression analysis would be a useful step to initiate APTT heparin monitoring standardization and to develop safe and effective local therapeutic ranges.

journal_name

Thromb Haemost

authors

Van der Velde EA,Poller L

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

73-81

issue

1

eissn

0340-6245

issn

2567-689X

journal_volume

73

pub_type

杂志文章,多中心研究
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    authors: Nishikubo T,Christophe O,Lavergne JM,Obert B,Nonami K,Takahashi Y,Yoshioka A,Meyer D,Girma JP

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  • An association between oxygen desaturation and D-dimer in patients with obstructive sleep apnea syndrome.

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    authors: Shitrit D,Peled N,Shitrit AB,Meidan S,Bendayan D,Sahar G,Kramer MR

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    doi:

    authors: Foo RS,Gershlick AH,Hogrefe K,Baron JH,Johnston TW,Hussey AJ,Garner I,de Bono DP

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  • Fibrin sealant in the United States: clinical use at the University of Virginia.

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    pub_type: 杂志文章,评审

    doi:

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    pub_type: 杂志文章

    doi:

    authors: Habib A,Martinuzzo ME,Carreras LO,Lévy-Toledano S,Maclouf J

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    pub_type: 杂志文章

    doi:

    authors: Castellan RM,Steiner M

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  • Comparison of clinical probability-adjusted D-dimer and age-adjusted D-dimer interpretation to exclude venous thromboembolism.

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    doi:

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  • Genetic contribution to variation in atherothrombotic phenotypes in the Asian Indian population. The Indian Atherosclerosis Research Study.

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    pub_type: 杂志文章

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    pub_type: 杂志文章,多中心研究,随机对照试验

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    doi:

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    authors: Bonnefoy A,Harsfalvi J,Pfliegler G,Fauvel-Lafève F,Legrand C

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