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Acid citrate dextrose (acd) formula a as a new anticoagulant in the measurement of in vitro platelet aggregation
Authors:Pasquale Pignatelli  Fabio M. Pulcinelli  Filippo Ciatti  Marzia Pesciotti  Silvia Sebastiani  Patrizia Ferroni  Pier Paolo Gazzaniga
Abstract:To evaluate whether the use of ACD Formula A may affect in vitro platelet function, blood samples were obtained from 21 healthy blood donors and anticoagulated in ACD (acid-citrate dextrose, NIH Formula A), Na citrate 3.8%, and K3EDTA. Platelet count, mean platelet volume, and in vitro platelet aggregation were evaluated on each sample. No significant difference was observed in platelet count and mean platelet volume among the different samples. Conversely, the ACD treated platelets showed a higher reactivity to the agonists as demonstrated by a significant increase of the maximum percentages of aggregation induced by ADP, epinephrine, and collagen, as well as a significant decrease of secondary aggregation thresholds to ADP and epinephrine. In conclusion, it may be speculated that ACD Formula A is capable of better maintaining the intraplatelet signal transduction mechanisms during PRP preparation, thus improving the overall responsiveness of platelets.©1995 wiley-Liss, inc.
Keywords:blood platelets  platelet aggregation  mean platelet volume  Na citrate  ACD
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