Efficacy of FK633, an ultra-short acting glycoprotein IIb/IIIa antagonist on platelet preservation during and after cardiopulmonary bypass

Shigeki Tabata, Syohjiro Yamaguchi, Hiroshi Nagamine, Shigeyuki Tomita, Sadahiko Arai, Hirofumi Takemura, Go Watanabe

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

Abstract

Objective: Temporary pharmacologic inhibition of platelet function during and after cardiopulmonary bypass (CPB) (platelet anesthesia) is an attractive strategy for preserving platelets during CPB. We examined the efficacy of FK633, an ultra-short acting glycoprotein IIb/IIIa antagonist. Methods: The study was carried out in six mongrel dogs that received an intravenous bolus of 0.1 mg/kg of FK633 at the time of administration of heparin (group F), and six control dogs (group C). All animals underwent 60 min of normothermic CPB followed by a 2-h observation period. Blood samples for platelet count, platelet aggregation to adenosine diphosphate and parameters concerning the coagulation system were obtained at eight time points. Hemodynamics, bleeding time, and postoperative blood loss were assessed serially. Scanning electron micrograph of the oxygenator's membrane was investigated. Results: FK633 significantly protected platelet number (group F, 59±10% versus group C, 38±15% of the pre-CPB value; P<0.01), and inhibited platelet aggregation to adenosine diphosphate (group F, 13±12% versus group C, 35±9% of the pre-CPB value; P<0.01) during CPB. Postoperative blood loss did not significantly differ between the two groups, but there was a tendency of less bleeding in group F (group F, 73±23 ml versus group C, 111±44 ml; P=0.09). In group F, scanning electron micrograph of the oxygenator's membrane showed that its surface was free from platelets. There were no significant differences between the groups in hemodynamics. Conclusions: An ultra-short acting glycoprotein IIb/IIIa antagonist, FK633, is effective in preventing both platelet aggregation and thrombocytopenia during CPB, and may be effective for minimizing postoperative bleeding.

Original languageEnglish
Pages (from-to)289-293
Number of pages5
JournalEuropean Journal of Cardio-Thoracic Surgery
Volume26
Issue number2
DOIs
Publication statusPublished - Aug 2004

Keywords

  • Cardiopulmonary bypass
  • Glycoprotein IIb/IIIa antagonist
  • Platelet
  • Platelet anesthesia

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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