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通过机械取栓术从急性缺血性中风患者体内取出的血栓未显示出细菌迹象。

Clots retrieved by mechanical thrombectomy from acute ischemic stroke patients show no evidence of bacteria.

作者信息

Khashim Zenith, Fitzgerald Seán, Kadirvel Ramanathan, Dai Daying, Doyle Karen M, Brinjikji Waleed, Kallmes David F

机构信息

Department of Radiology, Mayo Clinic, Rochester, USA.

Department of Physiology and CÚRAM-Centre for Research in Medical Devices, National University of Ireland Galway, Galway, Ireland.

出版信息

Interv Neuroradiol. 2019 Oct;25(5):502-507. doi: 10.1177/1591019918819707. Epub 2019 Apr 2.

DOI:10.1177/1591019918819707
PMID:30939960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6777113/
Abstract

BACKGROUND

Bacteria and bacterial components have been associated with the activation of coagulation factors and initiating the blood clot formation. The aim of this study was to investigate whether bacterial populations are present in clots retrieved from patients that have suffered a large vessel occlusion acute ischemic stroke (AIS).

MATERIALS AND METHODS

Clot samples were collected from 20 AIS patients who underwent clot retrieval with mechanical thrombectomy. Patient clinical demographic details were noted. Expression of bacterial 16S rDNA was analyzed by standard and real-time polymerase chain reaction (PCR). Gram staining was performed to identify Gram-positive and Gram-negative bacteria.

RESULTS

Both the real-time and standard PCR demonstrated no expression of 16S rDNA in any of the 20 clots samples from AIS patients. Gram staining results showed no expression of Gram-positive or Gram-negative bacteria present in the clot samples.

CONCLUSION

Our current study found no bacteria populations in the clots of AIS patients.

摘要

背景

细菌及细菌成分与凝血因子的激活及血栓形成的启动有关。本研究的目的是调查在因大血管闭塞急性缺血性卒中(AIS)而接受取栓治疗的患者所取出的血栓中是否存在细菌群落。

材料与方法

从20例接受机械取栓治疗的AIS患者中收集血栓样本。记录患者的临床人口统计学细节。通过标准和实时聚合酶链反应(PCR)分析细菌16S rDNA的表达。进行革兰氏染色以鉴定革兰氏阳性菌和革兰氏阴性菌。

结果

实时和标准PCR均显示,来自AIS患者的20个血栓样本中均未检测到16S rDNA的表达。革兰氏染色结果显示,血栓样本中未检测到革兰氏阳性菌或革兰氏阴性菌的表达。

结论

我们目前的研究发现AIS患者的血栓中不存在细菌群落。

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本文引用的文献

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High red blood cell composition in clots is associated with successful recanalization during intra-arterial thrombectomy.血栓中红细胞成分较高与动脉内血栓切除术期间的再通成功相关。
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Fibrinogen Is at the Interface of Host Defense and Pathogen Virulence in Staphylococcus aureus Infection.纤维蛋白原处于金黄色葡萄球菌感染中宿主防御与病原体毒力的界面。
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Staphylococcus aureus-induced clotting of plasma is an immune evasion mechanism for persistence within the fibrin network.金黄色葡萄球菌诱导的血浆凝血是一种在纤维蛋白网络中持续存在的免疫逃避机制。
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Increased coagulation and suppressed generation of activated protein C in aged mice during intra-abdominal sepsis.老年小鼠在腹腔内脓毒症期间凝血增加且活化蛋白C生成受抑制。
Am J Physiol Heart Circ Physiol. 2015 Jan 15;308(2):H83-91. doi: 10.1152/ajpheart.00289.2014. Epub 2014 Nov 7.
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Infectious burden and atherosclerosis: A clinical issue.感染负担与动脉粥样硬化:一个临床问题。
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Bacteria and bacterial DNA in atherosclerotic plaque and aneurysmal wall biopsies from patients with and without periodontitis.在患有和不患有牙周炎的患者的动脉粥样硬化斑块和动脉瘤壁活检中,细菌和细菌 DNA。
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