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September 1, 1997Clinical Chemistry

Xylum CSA®: Automated System for Assessing Hemostasis in Simulated Vascular Flow

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Key result

The Clot Signature Analyzer detected significant increases in platelet hemostasis time and collagen-induced thrombus formation with various inhibitors (P<0.05) and prolonged clotting time with heparin (1800s vs 1217s, P<0.001).

Population

Blood samples from 5 to 14 apparently healthy adult donors of both sexes per test, who had refrained from…

Comparison

In vitro addition of hemostasis inhibitors or… vs Control.

Design

Preclinical

Authors

CLConan K.N. LiXybion Corporation (United States)THThomas J. HoffmannUniversity of California, San FranciscoPHPei-Ying HsiehNational Astronomical Observatory of Japan

Discussion

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Implication

May support in vitro monitoring of antithrombotics with the Clot Signature Analyzer; leaves open clinical validation.

Structured PICO

P
Population
Blood samples from healthy adult donors were used to evaluate the Clot Signature Analyzer by mixing with various hemostasis inhibitors.
I
Intervention
In vitro addition of hemostasis inhibitors (anti-GPIIbIIIa 5 mg/L, anti-GPIb 5 mg/L, anti-vWf 2.5 mg/L, aurintricarboxylic acid 400 μmol/L) or unfractionated heparin (300 IU/L) to untreated whole blood.
C
Comparator
Control (phosphate-buffered saline or isotonic saline).
O
Outcome
Platelet hemostasis time (PHT), collagen-induced thrombus formation (CITF), and clotting time (CT) measured by the Clot Signature Analyzer (CSA).surrogate

Main Result

Absolute Event Rate: 1800% vs 1217%

p-value: p=<0.001

The automated Clot Signature Analyzer can effectively detect abnormal hemostasis and coagulation in untreated whole blood under simulated physiological flow conditions.

Cite This Study

Li et al. (1997) studied Healthy. Hemostasis inhibitors (anti-vWf, anti-GPIb, anti-GPIIbIIIa, ATA, heparin) vs. Control (PBS or isotonic saline) was evaluated on Platelet hemostasis time (PHT), collagen-induced thrombus formation (CITF), and clotting time (CT) (p=<0.001). The Clot Signature Analyzer detected significant increases in platelet hemostasis time and collagen-induced thrombus formation with various inhibitors (P<0.05) and prolonged clotting time with heparin (1800s vs 1217s, P<0.001).

synapsesocial.com/papers/6a6ac16a547974b2dbf41f06https://doi.org/10.1093/clinchem/43.9.1788
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Real-time analysis of shear-dependent thrombus formation and its blockade by inhibitors of von Willebrand factor binding to platelets1993 · 273 citations
  2. 2Diagnosis of Bernard-Soulier syndrome and Glanzmann's thrombasthenia with a monoclonal assay on whole blood.1983 · 179 citations
  3. 3A flow dynamic technique used to assess global haemostasis1995 · 20 citations
  4. 4Hemostatic Evaluation in Bleeding Disorders from Native Blood: Clinical Experience with the Hemostatometer1989 · 41 citations
  5. 5Aurintricarboxylic acid in a canine model of coronary artery thrombosis.1990 · 78 citations