SUMMARY The goal of heparin therapy in deep vein thrombosis is to prevent thrombus extension. The relationship between thrombus extension and the results of coagulation tests used to monitor heparin therapy is unclear. To explore this relationship, we studied the effect of several heparin regimens on the accretion of indium-111-labeled platelets on fresh venous thrombi, as detected by gamma imaging, and monitored the activated partial thromboplastin time (APTT). Six dogs were treated with a 300-U/kg bolus of heparin followed by a 90-U/kg/hour heparin infusion, a dose of heparin sufficient to increase the APTT to levels greater than eight times baseline (APTT ratio); platelet accretion (thrombus imaging) occurred only after the heparin effect was reversed with protamine sulfate. Nineteen dogs were treated with a 150-U/kg bolus of heparin followed by a 4-hour, 45-U/kg/hour heparin infusion; a thrombus was demonstrated only after protamine injection in 12 (mean APTT ratio 1.3 0.19) and before protamine injection in seven. In thirteen of these 19 dogs, 30 minutes separated the platelet injection from heparin therapy, while in six this duration was less than 30 minutes. In four of these six dogs, thrombi were demonstrated before protamine therapy and at APTT ratios greater than 3.0. Finally, 10 dogs were treated with a 100-UIkg bolus followed by a 3-hour, 50-U/kg/hour heparin infusion, after which the APTT was allowed to return to baseline values spontaneously. In all 10 dogs, a thrombus was demonstrated only after cessation of the heparin infusion, and at a mean APTT ratio of 1.4 ± 0.15 times baseline. These results suggest that, except with very early platelet injection, platelet accretion by thrombi is consistently inhibited by heparin at APTT ratios greater than 2.5. fine the relationship between such regimens and the behavior of selected coagulation assays.In the present study, we explored this thesis by intravenously injecting indium-1 1 -labeled platelets in dogs after formation of venous thrombi. Platelet accretion on thrombi was continuously monitored by gamma camera. We sought to determine (1) The indium-1Il oxine complex was formed by a modification of the method of Thakur et al.6 One to 3 mCi of 'In Cl3 solution in a volume of 1.5 ml were added to 1.5 ml of distilled water. The pH was adjusted to 5.5 by addition of 0.2 ml of 0.3 M sodium acetate; 0.2 ml of an oxine-ethanol solution was added and the solution was mixed. After 15 minutes, the solution was removed and added to 3 ml of dichloromethane. After a 1-minute vortex mix, the dichloromethane-oxine layer was removed and evaporated to dryness. The complex was resuspended in 0.1 ml of DMSO, and 0.1 ml of 0.9% NaCl was added just before use.
Platelet Preparation and LabelingForty-three milliliters of venous blood were drawn into a clean, dry syringe that contained 7 ml of ACD solution.