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Platelet-mediated thrombolysis in patients with delta-storage pool deficiency: a thrombelastographic analysis
Journal article   Peer reviewed

Platelet-mediated thrombolysis in patients with delta-storage pool deficiency: a thrombelastographic analysis

Melissa A. Brodsky, Kelly A. Machovec, Bryan P. Chambers and Vance G. Nielsen
Blood coagulation & fibrinolysis, v 22(7), pp 610-612
01 Oct 2011
PMID: 21822127

Abstract

Hematology Life Sciences & Biomedicine Science & Technology
We present the first thrombelastographic descriptions of three patients with delta-storage pool deficiency, a platelet disorder that involves a deficiency of dense granules and moderate bleeding. The patients demonstrated a 49-54% loss of platelet-mediated clot strength over a 1-2-h period after normal thrombus formation. This pattern persisted, with some attenuation of loss of strength following administration of epsilon aminocaproic acid, desmopressin and platelets for tonsillectomy. Assessment of platelet function in patients with platelet granule disorders can be accomplished with thrombelastographic methods in ambulatory and perioperative settings; however, the effects of therapy for this disorder cannot be monitored with thrombelastography without obtaining a blood sample prior to prophylactic hemostatic intervention. Blood Coagul Fibrinolysis 22:610-612 (C) 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.

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