ThrombosisPub Date : 2010-01-01Epub Date: 2011-02-07DOI: 10.1155/2010/461238
Timothy C Nichols, Dwight A Bellinger, Elizabeth P Merricks, Robin A Raymer, Mark T Kloos, Natalie Defriess, Margaret V Ragni, Thomas R Griggs
{"title":"Porcine and canine von Willebrand factor and von Willebrand disease: hemostasis, thrombosis, and atherosclerosis studies.","authors":"Timothy C Nichols, Dwight A Bellinger, Elizabeth P Merricks, Robin A Raymer, Mark T Kloos, Natalie Defriess, Margaret V Ragni, Thomas R Griggs","doi":"10.1155/2010/461238","DOIUrl":"10.1155/2010/461238","url":null,"abstract":"<p><p>Use of animal models of inherited and induced von Willebrand factor (VWF) deficiency continues to advance the knowledge of VWF-related diseases: von Willebrand disease (VWD), thrombotic thrombocytopenic purpura (TTP), and coronary artery thrombosis. First, in humans, pigs, and dogs, VWF is essential for normal hemostasis; without VWF bleeding events are severe and can be fatal. Second, the ADAMTS13 cleavage site is preserved in all three species suggesting all use this mechanism for normal VWF multimer processing and that all are susceptible to TTP when ADAMTS13 function is reduced. Third, while the role of VWF in atherogenesis is debated, arterial thrombosis complicating atherosclerosis appears to be VWF-dependent. The differences in the VWF gene and protein between humans, pigs, and dogs are relatively few but important to consider in the design of VWF-focused experiments. These homologies and differences are reviewed in detail and their implications for research projects are discussed. The current status of porcine and canine VWD are also reviewed as well as their potential role in future studies of VWF-related disorders of hemostasis and thrombosis.</p>","PeriodicalId":75222,"journal":{"name":"Thrombosis","volume":"2010 ","pages":"461238"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3211078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9560793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ThrombosisPub Date : 2010-01-01Epub Date: 2010-12-29DOI: 10.1155/2010/540386
Aaron B Holley, Christopher S King, Jeffrey L Jackson, Lisa K Moores
{"title":"Different Finite Durations of Anticoagulation and Outcomes following Idiopathic Venous Thromboembolism: A Meta-Analysis.","authors":"Aaron B Holley, Christopher S King, Jeffrey L Jackson, Lisa K Moores","doi":"10.1155/2010/540386","DOIUrl":"https://doi.org/10.1155/2010/540386","url":null,"abstract":"<p><strong>Unlabelled: </strong>Introduction. Controversy remains over the optimal length of anticoagulation following idiopathic venous thromboembolism. We sought to determine if a longer, finite course of anticoagulation offered additional benefit over a short course in the initial treatment of the first episode of idiopathic venous thromboembolism. Data Extraction. Rates of deep venous thrombosis, pulmonary embolism, combined venous thromboembolism, major bleeding, and mortality were extracted from prospective trials enrolling patients with first time, idiopathic venous thromboembolism. Data was pooled using random effects meta-regression. Results. Ten trials, with a total of 3225 patients, met inclusion criteria. For each additional month of initial anticoagulation, once therapy was stopped, recurrent venous thromboembolism (0.03 (95% CI: -0.28 to 0.35); P = .24), mortality (-0.10 (95% CI: -0.24 to 0.04); P = .15), and major bleeding (-0.01 (95% CI: -0.05 to 0.02); P = .44) rates measured in percent per patient years, did not significantly change.</p><p><strong>Conclusions: </strong>Patients with an initial idiopathic venous thromboembolism should be treated with 3 to 6 months of secondary prophylaxis with vitamin K antagonists. At that time, a decision between continuing with indefinite therapy can be made, but there is no benefit to a longer (but finite) course of therapy.</p>","PeriodicalId":75222,"journal":{"name":"Thrombosis","volume":" ","pages":"540386"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2010/540386","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30254942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ThrombosisPub Date : 2010-01-01Epub Date: 2010-09-13DOI: 10.1155/2010/108049
Richard J Friedman
{"title":"Simplifying thromboprophylaxis could improve outcomes in orthopaedic surgery.","authors":"Richard J Friedman","doi":"10.1155/2010/108049","DOIUrl":"10.1155/2010/108049","url":null,"abstract":"<p><p>Venous thromboembolism is a serious complication after total hip or knee surgery, and there is a well-established clinical need for thromboprophylaxis. However, in a large number of cases adequate administration of thromboprophylaxis does not seem to occur after total joint arthroplasty. A major challenge in the management of thromboprophylaxis is to balance the benefits of treatment with the risks, including bleeding complications. Another potential barrier to the optimal use of thromboprophylaxis could be the inconvenience of currently available agents. Many surgeons therefore adopt a conservative approach towards thromboprophylaxis. Simplifying therapy with more convenient, efficacious, and safe anticoagulants could change attitudes to anticoagulant use and improve adherence to thromboprophylactic guidelines.</p>","PeriodicalId":75222,"journal":{"name":"Thrombosis","volume":" ","pages":"108049"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3211076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30254500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ThrombosisPub Date : 2010-01-01Epub Date: 2010-07-29DOI: 10.1155/2010/280731
Richard J Friedman
{"title":"New oral anticoagulants for thromboprophylaxis after elective total hip and knee arthroplasty.","authors":"Richard J Friedman","doi":"10.1155/2010/280731","DOIUrl":"10.1155/2010/280731","url":null,"abstract":"<p><p>Anticoagulant drugs reduce the risk of venous thromboembolic events after total hip and knee arthroplasty. However, the use of current drugs, such as low molecular weight heparins, is hampered by their subcutaneous route of administration. The use of vitamin K antagonists is hampered by the requirement for routine coagulation monitoring and dose titration to provide effective anticoagulation without an increased risk of bleeding and numerous food and drug interactions. Clearly, there is a need for new oral, fixed-dose anticoagulant drugs that do not require coagulation monitoring, while demonstrating similar or better efficacy and safety profiles when compared with current agents.</p>","PeriodicalId":75222,"journal":{"name":"Thrombosis","volume":" ","pages":"280731"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3211075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30254940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}