Effect of an ionic compared to a non-ionic X-ray contrast agent on platelets and coagulation during diagnostic cardiac catheterisation

被引:15
作者
Jung, F
Spitzer, SG
Pindur, G
机构
[1] Dresdner Inst Herz & Kreislaufforsch, D-01099 Dresden, Germany
[2] Univ Saarland, Abt Klin Hamostaseol & Transfus Med, Homburg, Germany
关键词
ionic; non-ionic; radiographic contrast agent; platelet function; haemostasis; ex vivo study; coronary angiography;
D O I
10.1159/000065213
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of the present study was to evaluate the effects of ionic (ioxaglate) and non-ionic (iopromide) contrast media on haemostatic parameters ex vivo. In 40 patients undergoing coronary angiography, platelet function (platelet reactivity and serotonin concentration) and coagulation markers [thrombin-antithrombin III complexes, prothrombin fragments (F1+2) and the D-dimers] were measured. The use of an ionic X-ray contrast agent (XCA) (ioxaglate) in diagnostic cardiac catheterisation angiography is associated with lower thrombin generation and lower activation of the platelet system than when a non-ionic XCA is employed (iopromide). The results thus confirm the results of various in vitro studies and animal investigations. Copyright (C) 2002 S. Karger AG, Basel.
引用
收藏
页码:121 / 126
页数:6
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