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Heparin quality control in the Brazilian market: implications in the cardiovascular surgery.

作者信息

Melo Eduardo I, Pereira Mariana S, Cunha Rodrigo S, Sá Mauro Paes Leme de, Mourão Paulo A S

机构信息

Laboratório de Tecido Conjuntivo, Hospital Universitário Clementino Fraga Filho.

出版信息

Rev Bras Cir Cardiovasc. 2008 Apr-Jun;23(2):169-74. doi: 10.1590/s0102-76382008000200004.

Abstract

INTRODUCTION

The change in the heparin solution trade mark in Brazil that had been commonly used in cardiac surgery has shown increased number in the coagulopathy, re-exploration and other side effects in our Institution and others.

METHODS

All four different heparin solutions available in the Brazilian market were studied in the Connective Tissue Lab, HUCFF, UFRJ and compared to the Liquemine (out of the market) and the international control solution. All samples were evaluated by magnetic nuclear resonance as well as their anticoagulant effectiveness.

RESULTS

There were significant differences among them regarding the anticoagulant activity. It was also observed contamination with other dermatan sulfate, samples chemically degraded and with significant change in the molecular weight.

CONCLUSION

Among the studied samples, none of them can offer security in cardiac surgeries on pump. None of them has demonstrated similar quality to Liquemine, which is not available in the Brazilian market.

摘要

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