Chinese Journal of Laboratory Medicine 2010;33(5):453-456

doi:10.3760/cma.j.issn.1009-9158.2010.05.017

Evaluation of coagulation in vitro with platelet mapping and rapid TEGTM on thrombelastography

Jian LI ; Yulong CONG ; Zulan LI ; Li YANG ; Chengbin WANG ; Furong LEI

Keywords

Thrombelastograghy; Platelet function tests; Platelet aggregation; Antibodies,monoclonal; Immunoglobulin fab fragments; Heparin

Country

China

Language

Chinese

Abstract

Objective To evaluate performance of PlateletMapping(R) and RapidTEGTM based on thrombelastography by blocking platelet function with Reopro.Methods PlateletMapping was carried out with whole blood from healthy volunteers mixed with Reopro in vitro in a serial of titration.TEG(R) ACT of heparinized blood was tested with Rapid TEG kits.Linearity, repeatability and validity were calculated for two methods.Results MA activated by Kaolin, AA and ADP decreased with the increase of the concentration of Reopro. Inhibition rates (%)for AA and ADP induced aggregation were repeatable in channels and systems.At the Reopro levels of (1-4) × 10-2 mg, inhibition rate increased statistically( AA:27.99% ± 2.8% vs 63.37% ± 0.0% ,t = 21.9, P < 0.01;ADP: 35.9% ± 0.56% vs 91.42% ± 1.14%,t=58.9,P < 0.01 ) after addition of Reopro.Dose-dependent effect relationship could be seen between TEG(R) ACT and heparin;In Rapid TEG assay, measurement repeatability of K, α angle, MA and TEG(R)ACT were all good ( CV < 5% ) except for R.Conclusions PlateletMapping(R) is sensitive to the inhibition of platelet function with good precision with dose-dependent effect.Moreover, Rapid TEG provides analysis of the overall coagulation function besides monitoring heparin therapy.