Coagulative interventions during angiography.

Cardiovasc Intervent Radiol

Published: August 1982

AI Article Synopsis

  • Angiographers are increasingly involved in managing blood clotting factors during procedures, which goes beyond traditional angiographic training.
  • The paper reviews the basics of blood coagulation and how to manipulate it during angiography, focusing on the use of heparin and protamine sulfate.
  • It also covers platelet activity and the effects of medications like aspirin and dipyridamole, as well as the newer roles of systemic and selective fibrinolytic therapies.

Article Abstract

Incident to his routine diagnostic and interventional activities, the angiographer is becoming increasingly involved in the manipulation of blood clotting factors. Since the field of hemostasis generally extends beyond the sphere of conventional angiographic training, an analysis of selected angiographic aspects was undertaken. This paper reviews and summarizes the fundamentals of coagulation, and appropriate methods for manipulating coagulation during angiography, particularly via heparin and protamine sulfate. Basic aspects of platelet activity, and modifications produced by aspirin and dipyridamole, have been emphasized. Finally, the nature of the fibrinolytic system, and the current role of systemic and selective fibrinolytic therapy have been depicted.

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http://dx.doi.org/10.1007/BF02552105DOI Listing

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