Acta Neurochirurgica

, Volume 152, Issue 9, pp 1577–1581 | Cite as

Blood coagulation and fibrinolysis after experimental subarachnoid hemorrhage

  • Carl C. Larsen
  • Jacob Hansen-Schwartz
  • Jørn D. Nielsen
  • Jens Astrup
Experimental research

Abstract

Background

Aneurysmal rebleeding poses a serious risk in patients with subarachnoid hemorrhage (SAH). Studies have shown that antifibrinolytic therapy with tranexamic acid has a dramatic effect on the rate of rebleeding. Therefore, changes in the fibrinolytic system could be hypothesized.

Methods

We have used an experimental SAH rat model to demonstrate serial changes in the haemostatic system as evaluated by Thromboelastography® (TEG).

Results

In the SAH group, a shorter reaction time (R-time) and higher maximum amplitude (MA) were observed. In the saline group, only a shorter R-time was observed.

Conclusions

The study has shown that a hypercoagulable state is present immediately after experimental SAH is induced as determined by TEG. The reduction in R-time and rise in MA observed in the SAH group indicate that blood in the subarachnoid space is necessary to accomplish a full systemic coagulation response. This abnormality in coagulation profile seems to be a response to the acute traumatic event caused by induction of SAH.

Keywords

Hemostasis Coagulation Thromboelastography Subarachnoid hemorrhage Rat 

Notes

Acknowledgments

The authors wish to thank Peter Fischer from Fischer Devices© for the technical assistance with the Thromboelastography® and Jakob Stensballe, M.D., Ph.D., Rigshospitalet, Copenhagen, Denmark for the interpretation of the TEG tracings.

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Carl C. Larsen
    • 1
    • 3
  • Jacob Hansen-Schwartz
    • 1
  • Jørn D. Nielsen
    • 2
  • Jens Astrup
    • 1
  1. 1.Department of NeurosurgeryGlostrup University HospitalGlostrupDenmark
  2. 2.Center for ThrombosisRigshospitaletCopenhagenDenmark
  3. 3.Department of NeurosurgeryGlostrup University HospitalGlostrupDenmark

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