Abstract | BACKGROUND AND AIMS: METHODS: The method used to assess a patient's intravascular situation, namely chemiluminescence, was used to quantitatively assess the PIC, TAT, and thrombomodulin (TM). Immuno-turbidimetric was used to assess the concentration of D-dimer, fibrin/ fibrinogen degradation products ( FDP), and the Von Willebrand factor (vWF). The Clauss clotting method was used to assay the activated partial thromboplastin time (APTT), prothrombin time (PT) and FIB. RESULTS: PIC increased to its peak concentration at 3 hours post intravenous (IV) alteplase infusion and decreased by nearly 50% every 3 hours thereafter. After 24 hours, PIC returned to its normal range, while D-dimer and FDP decreased 3 hours later compared to PIC. PT and APTT exhibited no obvious change during the 24-hour period. TM also exhibited no changes during the treatment. CONCLUSION: PIC decreased 3 hours earlier than D-dimer and FDP. The combined test of PIC, D-dimer, and fibrinogen can be used to monitor the fibrinolytic system after the IV alteplase infusion. The use of IV alteplase had no impact on the endothelium. Creating a patient's individual data curve could assist in the prediction of hemorrhagic transformation (HT) and a stroke occurring.
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Authors | Yonge Liu, Jingting Ma, Qiyang Shi, Shimeng Xin, Haojia Yu, Zilong Liu, Chunsong Pang, Feng Dong, Jinghan Wang |
Journal | Health science reports
(Health Sci Rep)
Vol. 4
Issue 1
Pg. e218
(Mar 2021)
ISSN: 2398-8835 [Electronic] United States |
PMID | 33364440
(Publication Type: Journal Article)
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Copyright | © 2020 The Authors. Health Science Reports published by Wiley Periodicals LLC. |