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Activated coagulation in patients with shock due to ruptured abdominal aortic aneurysm.
Department of Surgery, Sundsvall County Hospital, Sweden.
Department of Clinical Chemistry, University of Uppsala, Sweden .
Department of Surgery, University of Uppsala, Sweden .
Mid Sweden University, Faculty of Science, Technology and Media, Department of Natural Sciences. Department of Surgery, Sundsvall County Hospital, Sweden.
2008 (English)In: European Journal of Vascular and Endovascular Surgery, ISSN 1078-5884, E-ISSN 1532-2165, Vol. 35, no 1, 37-40 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Ruptured abdominal aortic aneurysm is associated with a high operative mortality. Postoperative thrombosis related complications are common, a possible mechanism being activation of the coagulation system and endothelial stimulation. The aim of the present study was to investigate the coagulation activity preoperatively in patients with ruptured and nonruptured abdominal aortic aneurysm in relation to the clinical outcome with special regard to the influence of shock.

METHODS: Ninety-five patients with repair of infrarenal aortic aneurysm and forty-one controls without aneurysm matched by age, gender and smoking habits were studied. Thrombin-antithrombin (TAT), prothrombin fragment 1+2 (F 1+2), and von Willebrand factor antigen (vWFAg) were measured.

RESULTS: There were significantly higher levels of TAT, F 1+2, and vWFAg in patients operated for ruptured compared to nonruptured abdominal aortic aneurysm. The highest level of TAT and F 1+2 were detected in patients with rupture and shock.

CONCLUSION: The present data indicate a state of activated coagulation in patients with ruptured abdominal aortic aneurysm which is reinforced by shock.

Place, publisher, year, edition, pages
2008. Vol. 35, no 1, 37-40 p.
Keyword [en]
Abdominal, Aortic aneurysm, Coagulation, Rupture, Shock
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:miun:diva-19110DOI: 10.1016/j.ejvs.2007.07.023ISI: 000252560600008PubMedID: 17920310Scopus ID: 2-s2.0-36849022586OAI: oai:DiVA.org:miun-19110DiVA: diva2:647295
Available from: 2013-09-11 Created: 2013-06-07 Last updated: 2017-10-20Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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