Whole blood flow cytometry measurements of in vivo platelet activation in critically-Ill patients are influenced by variability in blood sampling techniques

Whole blood flow cytometry measurements of in vivo platelet activation in critically-Ill patients are influenced by variability in blood sampling techniques
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DOI:
10.1016/j.thromres.2011.11.031
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发表时间:
2012-06-01
影响因子:
7.5
通讯作者:
Weyrich, Andrew S.
Weyrich, Andrew S.
中科院分区:
医学3区
文献类型:
--
作者:
Rondina, Matthew T.;Grissom, Colin K.;Weyrich, Andrew S.

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简介:流式细胞术通常用于测量危重患者的体内血小板活化。在血液采样技术,这可能会混淆这些测量的变异性,仍然很差的characteristic.Materials和方法:血小板活化进行流式细胞术测定116例危重患者的动脉和静脉血。我们确定了如何在血管采样点,处理时间,血小板计数的变异性影响水平的血小板-单核细胞聚集体(PMA),PAC-1结合(糖蛋白(GP)IIbIIIa),和P-选择素(P-SEL)expression.Results:水平的PMA,但不是PAC-1结合或P-SEL的表达,显着受血管采样点的变异性。从动脉血管抽取的全血中的平均PMA水平比静脉血高约60%(16.2 +/- 1.8% vs. 10.7 +/-1.2%,p
Introduction: Flow cytometry is often used to measure in vivo platelet activation in critically-ill patients. Variability in blood sampling techniques, which may confound these measurements, remains poorly characterized.Materials and Methods: Platelet activation was measured by flow cytometry performed on arterial and venous blood from 116 critically-ill patients. We determined how variability in vascular sampling site, processing times, and platelet counts influenced levels of platelet-monocyte aggregates (PMA), PAC-1 binding (for glycoprotein (GP) IIbIIIa), and P-selectin (P-SEL) expression.Results: Levels of PMA, but not PAC-1 binding or P-SEL expression, were significantly affected by variability in vascular sampling site. Average PMA levels were approximately 60% higher in whole blood drawn from an arterial vessel compared to venous blood (16.2 +/- 1.8% vs. 10.7 +/- 1.2%, p