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
复制标题
DOI:
10.1016/j.thromres.2011.11.031
复制
发表时间:
2012-06-01
影响因子:
7.5
通讯作者:
Weyrich, Andrew S.
中科院分区:
文献类型:
--
作者:
Rondina, Matthew T.;Grissom, Colin K.;Weyrich, Andrew S.
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