Effects of Hextend Hemodilution on Plasma Coagulation Kinetics in the Rabbit: Role of Factor XIII-Mediated Fibrin Polymer Crosslinking

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Background: Hydroxyethyl starch administration has been associated with decreases in hemostasis and has recently been demonstrated to decrease fibrinogen (FI)-thrombin-(FIIa)-Factor XIII (FXIII) interactions in vitro in human plasma. Thus, the purpose of the present study was to determine the effect of in vivo hemodilution with Hextend (6% hydroxyethyl starch, mean molecular weight 450 kDa) on plasma coagulation kinetics. Materials and methods: Eight male, New Zealand White rabbits were intravenously administered with 20 ml/kg of Hextend. Citrated plasma was obtained before, 1 min after, and 1 h after hemodilution. Thrombelastographic analyses were performed, with clot initiation (R, sec), clot propagation (α, degrees), and clot strength (shear elastic modulus, G, dynes/cm2) determined over 20 min. Samples were celite-activated and had either with addition or without additions of FI, FIIa or activated FXIII (FXIIIa) to restore protein content to prediluted values. Results: There was no significant difference in R values observed before (229 ± 30), 1 min after (241 ± 54), and 1 h after (214 ± 42) hemodilution. Prediluted α values (75.2 ± 1.9) were significantly decreased 1 min (53.3 ± 5.9) and 1 h after hemodilution (56.1 ± 10.2). Prediluted G values (1992 ± 434) were significantly reduced 1 min (532 ± 195) and 1 h after (630 ± 297) hemodilution. FI, FIIa, and FXIIIa addition significantly decreased R values after hemodilution. α and G values were significantly improved by FI and FXIIIa after hemodilution. FIIa addition did not significantly affect α or G. Conclusions: Hextend hemodilution in rabbits maintains clot initiation by diminishing both FIIa-FI and FXIIIa-fibrin interactions, whereas clot propagation and strength were reduced by diminished FXIIIa-fibrin interactions.

Original languageEnglish (US)
Pages (from-to)17-22
Number of pages6
JournalJournal of Surgical Research
Volume132
Issue number1
DOIs
StatePublished - May 2006
Externally publishedYes

Fingerprint

Factor XIII
Hemodilution
Fibrin
Polymers
Rabbits
Fibrinogen
Starch
Factor XIIIa
Diatomaceous Earth
Shear Strength
Elastic Modulus
Hemostasis
Thrombin
Molecular Weight
FIIa

Keywords

  • coagulation
  • factor XIII
  • fibrinogen
  • hemodilution
  • hydroxyethyl starch
  • monitoring
  • thrombelastography
  • thrombin

ASJC Scopus subject areas

  • Surgery

Cite this

@article{3ee43dee00194c409c7f8f40868cd11e,
title = "Effects of Hextend Hemodilution on Plasma Coagulation Kinetics in the Rabbit: Role of Factor XIII-Mediated Fibrin Polymer Crosslinking",
abstract = "Background: Hydroxyethyl starch administration has been associated with decreases in hemostasis and has recently been demonstrated to decrease fibrinogen (FI)-thrombin-(FIIa)-Factor XIII (FXIII) interactions in vitro in human plasma. Thus, the purpose of the present study was to determine the effect of in vivo hemodilution with Hextend (6{\%} hydroxyethyl starch, mean molecular weight 450 kDa) on plasma coagulation kinetics. Materials and methods: Eight male, New Zealand White rabbits were intravenously administered with 20 ml/kg of Hextend. Citrated plasma was obtained before, 1 min after, and 1 h after hemodilution. Thrombelastographic analyses were performed, with clot initiation (R, sec), clot propagation (α, degrees), and clot strength (shear elastic modulus, G, dynes/cm2) determined over 20 min. Samples were celite-activated and had either with addition or without additions of FI, FIIa or activated FXIII (FXIIIa) to restore protein content to prediluted values. Results: There was no significant difference in R values observed before (229 ± 30), 1 min after (241 ± 54), and 1 h after (214 ± 42) hemodilution. Prediluted α values (75.2 ± 1.9) were significantly decreased 1 min (53.3 ± 5.9) and 1 h after hemodilution (56.1 ± 10.2). Prediluted G values (1992 ± 434) were significantly reduced 1 min (532 ± 195) and 1 h after (630 ± 297) hemodilution. FI, FIIa, and FXIIIa addition significantly decreased R values after hemodilution. α and G values were significantly improved by FI and FXIIIa after hemodilution. FIIa addition did not significantly affect α or G. Conclusions: Hextend hemodilution in rabbits maintains clot initiation by diminishing both FIIa-FI and FXIIIa-fibrin interactions, whereas clot propagation and strength were reduced by diminished FXIIIa-fibrin interactions.",
keywords = "coagulation, factor XIII, fibrinogen, hemodilution, hydroxyethyl starch, monitoring, thrombelastography, thrombin",
author = "Nielsen, {Vance G}",
year = "2006",
month = "5",
doi = "10.1016/j.jss.2005.07.025",
language = "English (US)",
volume = "132",
pages = "17--22",
journal = "Journal of Surgical Research",
issn = "0022-4804",
publisher = "Academic Press Inc.",
number = "1",

}

TY - JOUR

T1 - Effects of Hextend Hemodilution on Plasma Coagulation Kinetics in the Rabbit

T2 - Role of Factor XIII-Mediated Fibrin Polymer Crosslinking

AU - Nielsen, Vance G

PY - 2006/5

Y1 - 2006/5

N2 - Background: Hydroxyethyl starch administration has been associated with decreases in hemostasis and has recently been demonstrated to decrease fibrinogen (FI)-thrombin-(FIIa)-Factor XIII (FXIII) interactions in vitro in human plasma. Thus, the purpose of the present study was to determine the effect of in vivo hemodilution with Hextend (6% hydroxyethyl starch, mean molecular weight 450 kDa) on plasma coagulation kinetics. Materials and methods: Eight male, New Zealand White rabbits were intravenously administered with 20 ml/kg of Hextend. Citrated plasma was obtained before, 1 min after, and 1 h after hemodilution. Thrombelastographic analyses were performed, with clot initiation (R, sec), clot propagation (α, degrees), and clot strength (shear elastic modulus, G, dynes/cm2) determined over 20 min. Samples were celite-activated and had either with addition or without additions of FI, FIIa or activated FXIII (FXIIIa) to restore protein content to prediluted values. Results: There was no significant difference in R values observed before (229 ± 30), 1 min after (241 ± 54), and 1 h after (214 ± 42) hemodilution. Prediluted α values (75.2 ± 1.9) were significantly decreased 1 min (53.3 ± 5.9) and 1 h after hemodilution (56.1 ± 10.2). Prediluted G values (1992 ± 434) were significantly reduced 1 min (532 ± 195) and 1 h after (630 ± 297) hemodilution. FI, FIIa, and FXIIIa addition significantly decreased R values after hemodilution. α and G values were significantly improved by FI and FXIIIa after hemodilution. FIIa addition did not significantly affect α or G. Conclusions: Hextend hemodilution in rabbits maintains clot initiation by diminishing both FIIa-FI and FXIIIa-fibrin interactions, whereas clot propagation and strength were reduced by diminished FXIIIa-fibrin interactions.

AB - Background: Hydroxyethyl starch administration has been associated with decreases in hemostasis and has recently been demonstrated to decrease fibrinogen (FI)-thrombin-(FIIa)-Factor XIII (FXIII) interactions in vitro in human plasma. Thus, the purpose of the present study was to determine the effect of in vivo hemodilution with Hextend (6% hydroxyethyl starch, mean molecular weight 450 kDa) on plasma coagulation kinetics. Materials and methods: Eight male, New Zealand White rabbits were intravenously administered with 20 ml/kg of Hextend. Citrated plasma was obtained before, 1 min after, and 1 h after hemodilution. Thrombelastographic analyses were performed, with clot initiation (R, sec), clot propagation (α, degrees), and clot strength (shear elastic modulus, G, dynes/cm2) determined over 20 min. Samples were celite-activated and had either with addition or without additions of FI, FIIa or activated FXIII (FXIIIa) to restore protein content to prediluted values. Results: There was no significant difference in R values observed before (229 ± 30), 1 min after (241 ± 54), and 1 h after (214 ± 42) hemodilution. Prediluted α values (75.2 ± 1.9) were significantly decreased 1 min (53.3 ± 5.9) and 1 h after hemodilution (56.1 ± 10.2). Prediluted G values (1992 ± 434) were significantly reduced 1 min (532 ± 195) and 1 h after (630 ± 297) hemodilution. FI, FIIa, and FXIIIa addition significantly decreased R values after hemodilution. α and G values were significantly improved by FI and FXIIIa after hemodilution. FIIa addition did not significantly affect α or G. Conclusions: Hextend hemodilution in rabbits maintains clot initiation by diminishing both FIIa-FI and FXIIIa-fibrin interactions, whereas clot propagation and strength were reduced by diminished FXIIIa-fibrin interactions.

KW - coagulation

KW - factor XIII

KW - fibrinogen

KW - hemodilution

KW - hydroxyethyl starch

KW - monitoring

KW - thrombelastography

KW - thrombin

UR - http://www.scopus.com/inward/record.url?scp=33646007652&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33646007652&partnerID=8YFLogxK

U2 - 10.1016/j.jss.2005.07.025

DO - 10.1016/j.jss.2005.07.025

M3 - Article

C2 - 16154147

AN - SCOPUS:33646007652

VL - 132

SP - 17

EP - 22

JO - Journal of Surgical Research

JF - Journal of Surgical Research

SN - 0022-4804

IS - 1

ER -