A Clot Waveform Analysis Showing a Hypercoagulable State in Patients with Malignant Neoplasms

(1) Objective: hypercoagulability in patients with malignant neoplasm were evaluated to examine the relationship with thrombosis. (2) Methods: clot waveform analysis (CWA)—activated partial thromboplastin time (APTT) and CWA—small amount of tissue factor induced FIX activation (sTF/FIXa) assays were...

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Autores principales: Mayu Kobayashi, Hideo Wada, Shunsuke Fukui, Hiroki Mizutani, Yuhuko Ichikawa, Katsuya Shiraki, Isao Moritani, Hidekazu Inoue, Motomu Shimaoka, Hideto Shimpo
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/587b4b066fa54de4aa97d106a485f733
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spelling oai:doaj.org-article:587b4b066fa54de4aa97d106a485f7332021-11-25T18:01:58ZA Clot Waveform Analysis Showing a Hypercoagulable State in Patients with Malignant Neoplasms10.3390/jcm102253522077-0383https://doaj.org/article/587b4b066fa54de4aa97d106a485f7332021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5352https://doaj.org/toc/2077-0383(1) Objective: hypercoagulability in patients with malignant neoplasm were evaluated to examine the relationship with thrombosis. (2) Methods: clot waveform analysis (CWA)—activated partial thromboplastin time (APTT) and CWA—small amount of tissue factor induced FIX activation (sTF/FIXa) assays were performed in 92 patients with malignant neoplasm and the relationship between hypercoagulability and thrombosis was retrospectively examined. (3) Results: The study population included 92 patients with malignant neoplasms. Twenty-six (28.3%) had thrombotic diseases and 9 (9.8%) patients died within 28 days after the CWA. The peak time of the CWA-APTT could not show hypercoagulability in patients with malignant neoplasms. There were almost no significant differences in the peak times of the sTF/FIXa among patients with malignant neoplasms and healthy volunteers. In contrast, the peak heights of the CWA-sTF/FIXa in patients with various malignant neoplasms were significantly higher than those in healthy volunteers. Furthermore, among patients with malignant neoplasms, the peak heights of the sTF/FIXa in patients with thrombosis were significantly higher than those in patients without thrombosis. (4) Conclusions: although the routine APTT cannot evaluate the hypercoagulability, the peak heights of CWA-sTF/FIXa were significantly high in patients with malignant neoplasms, especially in those with thrombosis, suggesting that an elevated peak height of the CWA-sTF/FIXa may be a risk factor for thrombosis.Mayu KobayashiHideo WadaShunsuke FukuiHiroki MizutaniYuhuko IchikawaKatsuya ShirakiIsao MoritaniHidekazu InoueMotomu ShimaokaHideto ShimpoMDPI AGarticleCWAAPTTsTF/FIXacancerthrombosisMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5352, p 5352 (2021)
institution DOAJ
collection DOAJ
language EN
topic CWA
APTT
sTF/FIXa
cancer
thrombosis
Medicine
R
spellingShingle CWA
APTT
sTF/FIXa
cancer
thrombosis
Medicine
R
Mayu Kobayashi
Hideo Wada
Shunsuke Fukui
Hiroki Mizutani
Yuhuko Ichikawa
Katsuya Shiraki
Isao Moritani
Hidekazu Inoue
Motomu Shimaoka
Hideto Shimpo
A Clot Waveform Analysis Showing a Hypercoagulable State in Patients with Malignant Neoplasms
description (1) Objective: hypercoagulability in patients with malignant neoplasm were evaluated to examine the relationship with thrombosis. (2) Methods: clot waveform analysis (CWA)—activated partial thromboplastin time (APTT) and CWA—small amount of tissue factor induced FIX activation (sTF/FIXa) assays were performed in 92 patients with malignant neoplasm and the relationship between hypercoagulability and thrombosis was retrospectively examined. (3) Results: The study population included 92 patients with malignant neoplasms. Twenty-six (28.3%) had thrombotic diseases and 9 (9.8%) patients died within 28 days after the CWA. The peak time of the CWA-APTT could not show hypercoagulability in patients with malignant neoplasms. There were almost no significant differences in the peak times of the sTF/FIXa among patients with malignant neoplasms and healthy volunteers. In contrast, the peak heights of the CWA-sTF/FIXa in patients with various malignant neoplasms were significantly higher than those in healthy volunteers. Furthermore, among patients with malignant neoplasms, the peak heights of the sTF/FIXa in patients with thrombosis were significantly higher than those in patients without thrombosis. (4) Conclusions: although the routine APTT cannot evaluate the hypercoagulability, the peak heights of CWA-sTF/FIXa were significantly high in patients with malignant neoplasms, especially in those with thrombosis, suggesting that an elevated peak height of the CWA-sTF/FIXa may be a risk factor for thrombosis.
format article
author Mayu Kobayashi
Hideo Wada
Shunsuke Fukui
Hiroki Mizutani
Yuhuko Ichikawa
Katsuya Shiraki
Isao Moritani
Hidekazu Inoue
Motomu Shimaoka
Hideto Shimpo
author_facet Mayu Kobayashi
Hideo Wada
Shunsuke Fukui
Hiroki Mizutani
Yuhuko Ichikawa
Katsuya Shiraki
Isao Moritani
Hidekazu Inoue
Motomu Shimaoka
Hideto Shimpo
author_sort Mayu Kobayashi
title A Clot Waveform Analysis Showing a Hypercoagulable State in Patients with Malignant Neoplasms
title_short A Clot Waveform Analysis Showing a Hypercoagulable State in Patients with Malignant Neoplasms
title_full A Clot Waveform Analysis Showing a Hypercoagulable State in Patients with Malignant Neoplasms
title_fullStr A Clot Waveform Analysis Showing a Hypercoagulable State in Patients with Malignant Neoplasms
title_full_unstemmed A Clot Waveform Analysis Showing a Hypercoagulable State in Patients with Malignant Neoplasms
title_sort clot waveform analysis showing a hypercoagulable state in patients with malignant neoplasms
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/587b4b066fa54de4aa97d106a485f733
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