Table 2. Plasma fibrin clot characteristics, thrombin generation parameters, and fibrinolysis activators and inhibitors assessed in peripheral blood before, during, and after the LAAO procedure as well as in the left atrial appendage in patients undergoing the LAAO.
Variable | Peripheral blood before LAAO (a) |
LAA | Peripheral blood after LAAO (b) |
P value (a vs. b) |
Peripheral blood after 1-month follow-up (c) | P value (a vs. c) |
Normal values (n=20) |
---|---|---|---|---|---|---|---|
Fibrinogen, g/L | 2.23 [1.75–2.72] | 2.42 [2.15–2.65] | 4.17 [3.69–4.86] | 0.0051 | 2.31 [2.06–2.63] | 0.028 | 2.49 [2.02–3.12] |
ETP, nM × min | 1,480 [1,263–1,649] | 1,572 [1,238–2,122] | 1,791 [1,547–2,214] | 0.043 | 1,389 [1,273–1,460] | 0.69 | 1,207 [964–1,321] |
Peak thrombin, nM | 215 [169–262] | 212 [152–273] | 243 [186–295] | 0.22 | 189 [146–256] | 0.50 | 173 [149–195] |
tPA antigen, ng/mL | 9.48 [5.06–11.54] | 9.78 [4.32–12.02] | 9.50 [8.12–13.05] | 0.53 | 5.42 [3.43–7.46] | 0.15 | 6.67 [5.09–10.6] |
PAI-1 antigen, ng/mL | 4.29 [1.76–6.44] | 3.82 [1.89–5.04] | 3.76 [2.83–4.39] | 0.81 | 2.06 [0.97–2.74] | 0.023 | 5.09 [2.31–8.45] |
TAFI antigen, % | 81.0 [63.8–91.2] | 84.2 [67.3–95.1] | 100.1 [90.4–106.1] | 0.034 | 88.3 [75.6–99.5] | 0.075 | 87.7 [81.6–91.5] |
Plasminogen, % | 90.6 [85.5–98.1] | 81.5 [70.6–89.4] | 101.3 [84.7–112.4] | 0.021 | 98.7 [91.2–113.4] | 0.0077 | 100.3 [93.2–104.1] |
Data are presented as median [Q1–Q3] and were compared using the Wilcoxon signed-rank test. LAAO, left atrial appendage occlusion; LAA, left atrial appendage; ETP, endogenous thrombin potential; tPA antigen, tissue plasminogen activator antigen; PAI-1 antigen, plasminogen activator inhibitor type 1 antigen; TAFI antigen, thrombin activatable fibrinolysis inhibitor antigen.