PMID- 1530891 OWN - NLM STAT- MEDLINE DCOM- 19920211 LR - 20151119 IS - 0256-9574 (Print) VI - 81 IP - 1 DP - 1992 Jan 4 TI - The influence of platelet-graft interaction on platelet survival in patients with aortobifemoral Dacron grafts. PG - 27-31 AB - In patients with arterial grafts, platelet consumption may be due either to platelet interaction with the graft, and/or concomitant platelet consumption in the rest of the arterial tree. This hypothesis was tested by quantifying the kinetics and platelet-graft interaction of indium-111-labelled platelets with double velour Dacron grafts in 13 patients with arterial insufficiency ascribed to atherosclerosis. Mean platelet lifespan (MPLS), 149 +/- 46 hours, was significantly shorter (P = 0.001) than normal. Labelled platelets were transiently deposited onto the graft surfaces. Peak 111In deposition on the grafts, 1.33 +/- 1.02% of injected labelled platelets, was reached at 70 +/- 33 hours. Thereafter the graft-platelet radioactivity decreased in parallel with platelet radioactivity in the circulation. There was no statistical correlation between MPLS and the factors known to be associated with graft platelet deposition: graft size; peak graft radioactivity; and the time to attain peak graft radioactivity. It is therefore concluded that in patients with arterial disease requiring graft implantation, the observed increased platelet consumption cannot only be ascribed to the interaction of platelets with the graft. Concomitant atherosclerosis is probably the important modifier of platelet consumption. The significant contribution of this factor to the shortening of the MPLS should be taken into account when assessing, by measuring platelet lifespan, the thrombogenicity of grafts. FAU - Kotze, H F AU - Kotze HF AD - Department of Haematology, University of the Orange Free State, Bloemfontein. FAU - Heyns, A D AU - Heyns AD FAU - Nel, C J AU - Nel CJ FAU - Roodt, J P AU - Roodt JP FAU - Herbst, C P AU - Herbst CP FAU - Badenhorst, P N AU - Badenhorst PN FAU - Lotter, M G AU - Lotter MG LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - South Africa TA - S Afr Med J JT - South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde JID - 0404520 RN - 0 (Indium Radioisotopes) RN - 0 (Polyethylene Terephthalates) SB - IM MH - Aged MH - Aorta/surgery MH - Blood Platelets/*physiology MH - Blood Vessel Prosthesis/*adverse effects MH - Cell Survival MH - Female MH - Femoral Artery/surgery MH - Graft Occlusion, Vascular MH - Humans MH - Indium Radioisotopes MH - Male MH - Middle Aged MH - Platelet Count MH - *Polyethylene Terephthalates EDAT- 1992/01/04 00:00 MHDA- 1992/01/04 00:01 CRDT- 1992/01/04 00:00 PHST- 1992/01/04 00:00 [pubmed] PHST- 1992/01/04 00:01 [medline] PHST- 1992/01/04 00:00 [entrez] PST - ppublish SO - S Afr Med J. 1992 Jan 4;81(1):27-31.