Large volume donor plasmapheresis in inherited thrombophilia implicated in arterial thrombosis

被引:16
作者
Ovali, E [1 ]
Ratip, S
Özmenoglu, M
Karti, SS
Uçar, F
Ukinç, K
Yilmaz, M
Kosucu, P
机构
[1] Karadeniz Tech Univ, Dept Hematol, Trabzon, Turkey
[2] Marmara Univ Hosp, Dept Hematol, Istanbul, Turkey
[3] Karadeniz Tech Univ, Dept Neurol, Trabzon, Turkey
[4] Karadeniz Tech Univ, Dept Radiol, Trabzon, Turkey
关键词
plasmapheresis; prothrombin; 2021OG-A; MTHFR; 677C-T; thrombosis;
D O I
10.1016/S1473-0502(03)00054-5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background. Life-threatening complications following apheresis are rare, and include venous thrombosis. Arterial thrombosis following apheresis has not been reported. Case report. A 48 year old donor had cerebral infarction following large volume plasma donation. The outcome was fatal. He was found to be heterozygous for both methylene tetrahydrofolate reductase (MTHFR) 677C-T mutation and Prothrombin 20210G-A allele. Conclusion. This case suggests that large volume plasma donation may trigger arterial thrombotic events in inherited thrombophilia. Therefore, the effects of plasmapheresis on coagulation system should be studied thoroughly. (C) 2003 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:201 / 206
页数:6
相关论文
共 35 条
[1]   Prevalence of genetic mutations that predispose to thrombophilia in a Greek Cypriot population [J].
Angelopoulou, K ;
Nicolaides, A ;
Deltas, CC .
CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS, 2000, 6 (02) :104-107
[2]  
Antoniadi T, 1999, AM J HEMATOL, V61, P265, DOI 10.1002/(SICI)1096-8652(199908)61:4<265::AID-AJH8>3.0.CO
[3]  
2-#
[4]   DETERMINATION OF FREE AND TOTAL HOMOCYSTEINE IN HUMAN-PLASMA BY HIGH-PERFORMANCE LIQUID-CHROMATOGRAPHY WITH FLUORESCENCE DETECTION [J].
ARAKI, A ;
SAKO, Y .
JOURNAL OF CHROMATOGRAPHY-BIOMEDICAL APPLICATIONS, 1987, 422 :43-52
[5]   Ischemic stroke in a young patient with protein C deficiency and prothrombin gene mutation G20210A [J].
Arkel, YS ;
Ku, DH ;
Gibson, D ;
Lam, X .
BLOOD COAGULATION & FIBRINOLYSIS, 1998, 9 (08) :757-760
[6]  
Bowen DJ, 1998, THROMB HAEMOSTASIS, V79, P949
[7]   Interaction of coagulation defects and cardiovascular risk factors - Increased risk of myocardial infarction associated with factor V Leiden or prothrombin 20210A [J].
Doggen, CJM ;
Cats, VM ;
Bertina, RM ;
Rosendaal, FR .
CIRCULATION, 1998, 97 (11) :1037-1041
[8]   The heterozygous 20210 G/A prothrombin genotype is associated with early venous thrombosis in inherited thrombophilias and is not increased in frequency in artery disease [J].
Ferraresi, P ;
Marchetti, G ;
Legnani, C ;
Cavallari, E ;
Castoldi, E ;
Mascoli, F ;
Ardissino, D ;
Palareti, G ;
Bernardi, F .
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 1997, 17 (11) :2418-2422
[9]  
FLAUM MA, 1979, BLOOD, V54, P694
[10]   A CANDIDATE GENETIC RISK FACTOR FOR VASCULAR-DISEASE - A COMMON MUTATION IN METHYLENETETRAHYDROFOLATE REDUCTASE [J].
FROSST, P ;
BLOM, HJ ;
MILOS, R ;
GOYETTE, P ;
SHEPPARD, CA ;
MATTHEWS, RG ;
BOERS, GJH ;
DENHEIJER, M ;
KLUIJTMANS, LAJ ;
VANDENHEUVEL, LP ;
ROZEN, R .
NATURE GENETICS, 1995, 10 (01) :111-113