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Antithrombotic effect of enoxaparin in clinically healthy cats: a venous stasis model.

AbstractBACKGROUND:
Systemic arterial thromboembolic events are a serious complication of cardiac disease in cats.
OBJECTIVES:
To determine if enoxaparin induces an antithrombotic effect in cats at a dosage of 1 mg/kg SC q12h and if this antithrombotic effect is predicted by anti-Xa activity.
ANIMALS:
Fourteen clinically healthy cats were divided into 3 groups: control (4 cats), treated and assessed at 4 hours (5 cats), and treated and assessed at 12 hours (5 cats).
METHODS:
A venous stasis model was used and the extent of thrombus formation estimated by measuring thrombus weight and accretion of 125I-fibrinogen. Plasma anti-Xa activity was measured in treated cats.
RESULTS:
There was a significant reduction in thrombus formation in the 4 h group compared with control (median weight, 0.000 versus 0.565mg/mm, P < .01; median % 125I-fibrinogen accretion, 0.0 versus 42.0%, P < .01). There was a reduction in thrombus formation in the 12 h group (median weight, 0.006 mg/mm, P = .09; median % 125I-fibrinogen accretion, 3.83%, P = .09) but this reduction was not significant. The median percent thrombus inhibition for treated cats was 100.0% at 4 hours and 91.4% at 12 hours. Plasma anti-Xa activity was not significantly correlated with thrombus formation.
CONCLUSIONS AND CLINICAL IMPORTANCE:
This pilot study demonstrates that enoxaparin, when administered at a dosage of 1 mg/kg SC q12h, produces an antithrombotic effect in a venous statsis model in clinically healthy cats. Furthermore, this study demonstrates that anti-Xa activity is a poor predictor of enoxaparin's antithrombotic effect.
AuthorsC M Van De Wiele, D F Hogan, H W Green 3rd, K D Sederquist
JournalJournal of veterinary internal medicine (J Vet Intern Med) 2010 Jan-Feb Vol. 24 Issue 1 Pg. 185-91 ISSN: 0891-6640 [Print] United States
PMID19912519 (Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Anticoagulants
  • Enoxaparin
Topics
  • Animals
  • Anticoagulants (therapeutic use)
  • Cat Diseases (prevention & control)
  • Cats
  • Enoxaparin (therapeutic use)
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Male
  • Pilot Projects
  • Venous Thrombosis (prevention & control, veterinary)

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