F. Stockmans et al., A TECHNIQUE TO INVESTIGATE MICROVASCULAR MURAL THROMBUS FORMATION IN ARTERIES AND VEINS .2. EFFECTS OF ASPIRIN, HEPARIN, R-HIRUDIN, AND G-4120, Annals of plastic surgery, 38(1), 1997, pp. 63-68
After a standardized trauma to carotid arteries or femoral veins of ha
msters, the antithrombotic effects of two antiplatelet agents (aspirin
and the glycoprotein IIb/IIIa antagonist G4120) and two anticoagulant
s (heparin and the direct thrombin inhibitor r-hirudin) were studied i
n vivo, The thrombus area volume was assessed by image analysis of the
transilluminated experimental vessels, Heparin, r-hirudin, and G-4120
demonstrated a dose-dependent complete inhibition of arterial and ven
ous thrombosis, In contrast, the antithrombotic effect of aspirin was
only partial in both vessel types. A significant correlation between a
ctivated partial thromboplastin time (aPTT) at the end of the experime
nts and the antithrombotic effect was observed with the anticoagulant
agents, However, only r-hirudin inhibited thrombus formation at a ther
apeutical prolongation of aPTT, while heparin required supra-therapeut
ical amounts to achieve the same inhibition, The data confirm that the
inhibition of aspirin, heparin, r-hirudin, and G-4120 on the formatio
n of platelet-rich thrombi is independent of the blood flow rate.