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1.
Sci Adv ; 5(4): eaav8575, 2019 Apr.
Article in English | MEDLINE | ID: mdl-30972368

ABSTRACT

The spin Hall effect (SHE) is the conversion of charge current to spin current, and nonmagnetic metals with large SHEs are extremely sought after for spintronic applications, but their rarity has stifled widespread use. Here, we predict and explain the large intrinsic SHE in ß-W and the A15 family of superconductors: W3Ta, Ta3Sb, and Cr3Ir having spin Hall conductivities (SHCs) of -2250, -1400, and 1210 ℏ e ( S / cm ) , respectively. Combining concepts from topological physics with the dependence of the SHE on the spin Berry curvature (SBC) of the electronic bands, we propose a simple strategy to rapidly search for materials with large intrinsic SHEs based on the following ideas: High symmetry combined with heavy atoms gives rise to multiple Dirac-like crossings in the electronic structure; without sufficient symmetry protection, these crossings gap due to spin-orbit coupling; and gapped crossings create large SBC.

2.
Nat Commun ; 10(1): 648, 2019 02 06.
Article in English | MEDLINE | ID: mdl-30728356

ABSTRACT

This Article contains an error in the spelling of the author A. Yazdani, which is incorrectly given as A. Yadzani. The error has not been fixed in the original PDF and HTML versions of the Article.

3.
Phys Rev Lett ; 119(2): 026403, 2017 Jul 14.
Article in English | MEDLINE | ID: mdl-28753342

ABSTRACT

By combining bulk sensitive soft-x-ray angular-resolved photoemission spectroscopy and first-principles calculations we explored the bulk electron states of WTe_{2}, a candidate type-II Weyl semimetal featuring a large nonsaturating magnetoresistance. Despite the layered geometry suggesting a two-dimensional electronic structure, we directly observe a three-dimensional electronic dispersion. We report a band dispersion in the reciprocal direction perpendicular to the layers, implying that electrons can also travel coherently when crossing from one layer to the other. The measured Fermi surface is characterized by two well-separated electron and hole pockets at either side of the Γ point, differently from previous more surface sensitive angle-resolved photoemission spectroscopy experiments that additionally found a pronounced quasiparticle weight at the zone center. Moreover, we observe a significant sensitivity of the bulk electronic structure of WTe_{2} around the Fermi level to electronic correlations and renormalizations due to self-energy effects, previously neglected in first-principles descriptions.

5.
Nat Commun ; 7: 10847, 2016 Feb 29.
Article in English | MEDLINE | ID: mdl-26924386

ABSTRACT

The behaviour of electrons and holes in a crystal lattice is a fundamental quantum phenomenon, accounting for a rich variety of material properties. Boosted by the remarkable electronic and physical properties of two-dimensional materials such as graphene and topological insulators, transition metal dichalcogenides have recently received renewed attention. In this context, the anomalous bulk properties of semimetallic WTe2 have attracted considerable interest. Here we report angle- and spin-resolved photoemission spectroscopy of WTe2 single crystals, through which we disentangle the role of W and Te atoms in the formation of the band structure and identify the interplay of charge, spin and orbital degrees of freedom. Supported by first-principles calculations and high-resolution surface topography, we reveal the existence of a layer-dependent behaviour. The balance of electron and hole states is found only when considering at least three Te-W-Te layers, showing that the behaviour of WTe2 is not strictly two dimensional.

6.
J Phys Condens Matter ; 27(39): 395901, 2015 Oct 07.
Article in English | MEDLINE | ID: mdl-26360383

ABSTRACT

Tris-sarcosine calcium chloride (TSCC) is a highly uniaxial ferroelectric with a Curie temperature of approximately 130 K. By suppressing ferroelectricity with bromine substitution on the chlorine sites, pure single crystals were tuned through a ferroelectric quantum phase transition. The resulting quantum critical regime was investigated in detail and was found to persist up to temperatures of at least 30-40 K. The nature of long-range dipole interactions in uniaxial materials, which lead to non-analytical terms in the free-energy expansion in the polarization, predict a dielectric susceptibility varying as 1/T(3)close to the quantum critical point. Rather than this, we find that the dielectric susceptibility varies as 1/T(2) as expected and observed in better known multi-axial systems. We explain this result by identifying the ultra-weak nature of the dipole moments in the TSCC family of crystals. Interestingly, we observe a shallow minimum in the inverse dielectric function at low temperatures close to the quantum critical point in paraelectric samples that may be attributed to the coupling of quantum polarization and strain fields. Finally, we present results of the heat capacity and electro-caloric effect and explain how the time dependence of the polarization in ferroelectrics and paraelectrics should be considered when making quantitative estimates of temperature changes induced by applied electric fields.

8.
Transplant Proc ; 45(9): 3284-8, 2013 Nov.
Article in English | MEDLINE | ID: mdl-24182801

ABSTRACT

BACKGROUND: Renal transplantation is the optimal treatment for suitable patients with end-stage renal disease (ESRD). However, acute graft dysfunction occurs in 5%-35% of patients. This is commonly due to acute rejection, drug toxicity, ureteric obstruction, or infection. Atypical hemolytic uremic syndrome (aHUS), either recurrent or de novo, is uncommon after transplantation. CASES: We highlight three cases of acute transplant dysfunction in which transplant biopsy revealed HUS without associated clinical or hematologic clues to the etiology. Two cases had recurrent HUS and 1 had de novo HUS secondary to tacrolimus therapy. Screenings for ADAMTS-13 and gene mutations of complement regulatory proteins were negative. Thrombocytopenia and red blood cell fragments on blood film appeared some days later. TREATMENT: Treatment comprised a combination of plasma exchange with fresh-frozen plasma and switching immunosuppressive therapy, which led to the recovery of the above hematologic features but salvaged graft function in only 1 case. CONCLUSIONS: Classical hematologic findings of HUS appeared late in these cases. HUS should be considered in cases of allograft dysfunction where there is no obvious cause, and biopsy should be performed. This enables early initiation of therapy to gain rapid recovery of hematologic parameters and potentially of transplant function.


Subject(s)
Hemolytic-Uremic Syndrome/physiopathology , Kidney Transplantation , Adolescent , Adult , Female , Humans , Immunosuppressive Agents/administration & dosage , Male , Tacrolimus/administration & dosage
9.
J Appl Microbiol ; 114(6): 1810-6, 2013 Jun.
Article in English | MEDLINE | ID: mdl-23421744

ABSTRACT

AIMS: To evaluate two chromogenic media, Brilliance CRE and chromID CARBA, with stool samples referred to the Public Health Laboratories Division of the National Institute of Health in Islamabad, and assess the prevalence of carbapenemase-producing Enterobacteriaceae (CPE) in this population. METHODS AND RESULTS: One hundred and fifty-two stool samples from patients with diarrhoea were referred to the Microbiology Department and were investigated for the presence of CPE using two chromogenic culture media, Brilliance CRE and chromID CARBA. Thirteen patients (8·6%) were found to be colonized with CPE and all produced NDM-1 carbapenemase. Twelve of these patients (92%) were found to be colonized by culture on chromID CARBA compared with seven (54%) using Brilliance CRE. CONCLUSIONS: If only coloured colonies were considered as presumptive CPE, the sensitivity, specificity and positive predictive value were 54, 23 and 6% for Brilliance CRE and 85, 85 and 36% for chromID CARBA, respectively. SIGNIFICANCE AND IMPACT OF THE STUDY: We conclude that Enterobacteriaceae that produce NDM-1 carbapenemase can be found in patients from all major provinces of Pakistan and that chromID CARBA was the most effective of the two chromogenic media in this setting.


Subject(s)
Bacterial Proteins/metabolism , Culture Media , Diarrhea/microbiology , Enterobacteriaceae Infections/microbiology , Enterobacteriaceae/enzymology , beta-Lactamases/metabolism , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Chromogenic Compounds , Enterobacteriaceae/isolation & purification , Female , Humans , Infant , Male , Middle Aged , Pakistan , Young Adult
10.
Int. j. morphol ; 29(3): 841-844, Sept. 2011. ilus
Article in English | LILACS | ID: lil-608668

ABSTRACT

The study was carried out to determine the effect of season on the female reproductive organs of the African Giant rat using the standard methods, with the aim of obtaining the base-line values. The weights of the oviduct/uterus, vagina and the entire tubular organ were consistently higher during the harmattan season (0.789 +/- 0.07 g, 2.708 +/- 0.19 g and 3.455 +/- 0.25 g, respectively) than the hot ­ dry (0.591 +/- 0.02 g, 2.239 +/- 0.13 g and 2.831 +/- 0.14 g, respectively) and the rainy season (0.723 +/- 0.04 g, 2.412 +/- 0.01 g and 3.148 +/- 0.12 g, respectively). The mean weight and length of the ovary were not significantly different throughout the season, suggesting that the AGR may breed throughout the year. The slight increase in the weight of the tubular organ during the harmattan (November ­ February) and the rainy (June ­ October) season suggests that the seasons may be favourable for breeding, probably because of the abundance of food available to the rodents in the wild during the seasons. The decrease in weights of the organs during the hot-dry season (March ­ May) was, apparently, due to the unfavourable climatic conditions and food scarcity during the season. In conclusion, the results of the present study provide base -line morphometric data on the female reproductive organs of the AGR across the seasons.


Este estudio se llevó a cabo para determinar el efecto de las estaciones en los órganos reproductores femeninos de la rata gigante Africana mediante los métodos estándar, con el objetivo de obtener los valores basales. El peso del oviducto/útero, vagina y el órgano tubular completo fueron consistentemente más altos durante harmattan (la estación seca en Nigeria) (0,789 +/- 0,07 g, 2,708 +/- 0,19g y 3,455 +/- 0,25, respectivamente) que la estación seca-calurosa (0,591 +/- 0,02 g, 2.239 +/- 0,13g y 2.831 +/- 0,14, respectivamente) y la estación de lluvias (0,723 +/- 0,04 g, 2,412 +/- 0,01 y 3,148 +/- 0,12 g, respectivamente). La media de peso y longitud del ovario no fueron significativamente diferentes a lo largo de las estaciones, lo que sugiere que la rata gigante africana puede reproducirse durante todo el año. El ligero aumento en el peso del órgano tubular en las estaciones de harmattan (noviembre - febrero) y de lluvias (junio-octubre), sugiere que las estaciones pueden ser favorables para la reproducción, probablemente debido a la abundancia de alimentos disponibles para los roedores silvestres durante estas temporadas. La disminución en el peso de los órganos durante la estación cálida y seca (marzo - mayo) fue, al parecer, debido a las desfavorables condiciones climáticas y la escasez de alimentos durante la estación. En conclusión, los resultados de este estudio proporcionan una línea base de datos morfométricos para los órganos reproductores de la rata gigante africana hembra a través de las estaciones.


Subject(s)
Young Adult , Genitalia, Female , Reproductive Behavior , Seasons , Nigeria , Rats/anatomy & histology
11.
Animal ; 5(2): 230-8, 2011 Feb.
Article in English | MEDLINE | ID: mdl-22440768

ABSTRACT

The impact of sequential feeding of whole or ground wheat on the performance of layer hen was investigated using ISABROWN hens from 19 to 42 weeks of age. In addition, the effect of reduced dietary energy content of a complete diet was also investigated. Four treatments were tested. Whole wheat was alternated with a protein-mineral concentrate (balancer diet) in a treatment (sequential whole wheat: SWW), while another treatment alternated ground wheat (sequential ground wheat: SGW) with the same balancer diet. The control (C) was fed a complete layer diet conventionally. Another treatment (low energy: LE) was fed a complete diet conventionally. The diet contained lower energy (10.7 v. 11.6 MJ/kg) compared to the C. Each treatment was allocated 16 cages and each cage contained five birds. Light was provided 16 h daily (0400 to 2000 h). Feed offered was controlled (121 g/bird per day) and distributed twice (2 × 60.5 g) at 4 and 11 h after lights on. In the sequential treatment, only wheat (whole or ground) was fed during the first distribution and the balancer diet during the second distribution. Left over feed was always removed before the next distribution. The total feed intake was not different between SWW and SGW, but the two were lower than C (P < 0.05). Wheat intake was however, lowered with SGW compared to SWW (P < 0.05). Egg production and egg mass (EM) were not different between treatments. Egg weight was lower with SGW than with SWW (P < 0.05), but the two were similar to C. Body weight (BW) was lowered (P < 0.01) with SGW relative to SWW and C, SWW BW being also lower than the C one. The efficiency of egg production was increased (P < 0.01) with the SWW and SGW relative to the control. Birds fed LE had higher feed intake (P < 0.05) but they had similar egg production and EM compared to the two sequential treatments. The efficiency of feed utilization was also reduced (P < 0.01) with LE compared to SWW and SGW. It was concluded that sequential feeding is more efficient than conventional feeding. In addition, whole wheat appeared more efficient than ground wheat in terms of egg and BW.

12.
Folia Morphol (Warsz) ; 69(4): 213-5, 2010 Nov.
Article in English | MEDLINE | ID: mdl-21120807

ABSTRACT

Different segments of the reproductive tract of 100 adult, non-pregnant, female African giant rats (AGR) were carefully examined, weighed, and measured. The ovaries were observed to be small, pinkish, and kidney-shaped. The uterus of the AGR was found to be uterus duplex. The live weight of the AGR was 999.7 ± 16.86 g. The weight, length, and width of the ovary were 0.095 ± 0.003 g, 0.750 ± 0.01 cm, and 0.01± 0.02 cm, respectively. The length of the oviduct, uterus, and vagina/vestibule were 4.44 ± 0.06 cm, 4.877 ± 0.11 cm, and 4.345 ± 0.07 cm, respectively. The weight and length of the entire tubular organs were 3.171 ± 0.01 g and 13.559 ± 0.18 cm with corresponding range values of 1.61-7.10 g and 7.80-17.40 cm, respectively.


Subject(s)
Muridae/anatomy & histology , Ovary/anatomy & histology , Oviducts/anatomy & histology , Uterus/anatomy & histology , Vagina/anatomy & histology , Animals , Breeding , Female , Reproduction
13.
Eye (Lond) ; 21(2): 253; author reply 253-4, 2007 Feb.
Article in English | MEDLINE | ID: mdl-16763649
15.
Acta Obstet Gynecol Scand ; 80(11): 998-1002, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11703195

ABSTRACT

BACKGROUND: Eclampsia remains a common cause of maternal death in Bangladesh. Early experience of magnesium sulphate use for eclampsia in Bangladesh was based on a lower dose regime, tailored for use in the smaller woman. OBJECTIVES: a) To determine the recurrent convulsion rate with the low dose "Dhaka" magnesium sulphate regime (recognizing the limitations of sample size). b) To identify whether toxicity occurs with this regime. c) To measure serum level of magnesium with this regime. METHODS: This prospective study included 65 eclamptic patients receiving lower dose magnesium sulphate therapy at Dhaka Medical College Hospital from 25 March 1998-15 June 1998. The loading dose of magnesium sulphate was 10 gm. Following this 2.5 gm was given intramuscularly 4 hourly, for 24 hours after administration of the first dose. Four blood samples were collected for serum magnesium levels. Patients were monitored hourly by observing their respiratory rate, knee jerks and urinary output. Findings were matched with serum magnesium levels. RESULTS: The range of serum magnesium levels was 1.74 to 6 mg/dl with mean (s.d.) values of 3.87 (0.78). Only five (9%) patients had diminished knee jerks 6, 10, 12, 12 and 15 hours after administration of the loading dose. But at those times the serum magnesium levels were 3.2 mg/dl, 3.8/dl, 3.4 mg/dl and 3.3 mg/dl respectively. Of the 65 patients, only one developed recurrent convulsions. This was 3 hours after the loading dose and was controlled by diazepam treatment and maintenance magnesium sulphate. CONCLUSION: Half of the standard dose of magnesium sulphate appeared to be sufficient to control convulsions effectively and serum levels of magnesium remained lower than levels which produce toxicity.


Subject(s)
Anticonvulsants/therapeutic use , Eclampsia/drug therapy , Magnesium Sulfate/therapeutic use , Magnesium/blood , Anticonvulsants/administration & dosage , Anticonvulsants/adverse effects , Dose-Response Relationship, Drug , Eclampsia/blood , Eclampsia/complications , Female , Humans , Magnesium Sulfate/administration & dosage , Magnesium Sulfate/adverse effects , Pregnancy , Pregnancy Outcome , Prospective Studies , Seizures/drug therapy , Seizures/etiology
16.
Arch Intern Med ; 161(7): 937-48, 2001 Apr 09.
Article in English | MEDLINE | ID: mdl-11295956

ABSTRACT

The potential armamentarium of agents used in the treatment of acute coronary syndromes continues to expand, including such well-tested agents as aspirin, unfractionated heparin, and earlier-generation fibrinolytic agents, and newer agents such as low-molecular-weight heparins, direct thrombin inhibitors, thienopyridines, platelet glycoprotein IIb/IIIa receptor inhibitors, and bolus-administration fibrinolytic agents. Older and newer antithrombotic agents have undergone and continue to undergo intensive clinical investigation in patients with the clinical spectrum of acute coronary syndromes, which includes unstable angina, non-Q-wave (non-ST-segment elevation) myocardial infarction, and ST-segment elevation myocardial infarction. These studies, often conducted on an international scope and involving thousands of patients, provide data allowing practitioners to optimize the care of patients with acute coronary syndromes. In this article, studies of these established and newer agents in the treatment of patients with acute coronary syndromes are reviewed critically and summarized. Recommendations regarding use of antithrombotic agents in patients with acute coronary syndromes are then given.


Subject(s)
Angina Pectoris/drug therapy , Coronary Disease/drug therapy , Fibrinolytic Agents/therapeutic use , Myocardial Infarction/drug therapy , Platelet Aggregation Inhibitors/therapeutic use , Acute Disease , Angina Pectoris/mortality , Coronary Disease/mortality , Drug Therapy, Combination , Fibrinolytic Agents/pharmacology , Heparin/therapeutic use , Humans , Incidence , Myocardial Infarction/mortality , Platelet Aggregation Inhibitors/pharmacology , Platelet Glycoprotein GPIIb-IIIa Complex/antagonists & inhibitors , Practice Guidelines as Topic , Survival Analysis , Thrombin/antagonists & inhibitors , Treatment Outcome
17.
J Am Coll Cardiol ; 33(1): 97-106, 1999 Jan.
Article in English | MEDLINE | ID: mdl-9935015

ABSTRACT

OBJECTIVES: The purpose of this study was to monitor the effects of chimeric 7E3 Fab (ReoPro) on leukocyte and platelet activation and interaction during coronary angioplasty. BACKGROUND: Increased expression of CD11b on monocytes and neutrophils promotes their adhesion to endothelial cells, extracellular matrix and smooth muscle cells. Thrombin-activated platelets adhere via P-selectin to monocytes and neutrophils. These cell interactions may affect the outcome of coronary angioplasty. METHODS: During coronary angioplasty, venous blood was obtained for flow cytometric detection of leukocyte CD11b; platelet CD41a, CD61a and CD62P; the percentage of leukocytes with adherent platelets and the intensity of bound platelet fluorescence. RESULTS: Leukocyte CD11b expression increased after angioplasty in control patients (neutrophils 171+/-25 to 255+/-31 mean fluorescence intensity [MFI, mean+/-SEM], n=25, p < 0.0001; monocytes 200+/-40 to 248+/-36 MFI, n=17, p < 0.05) and decreased in the patients selected to receive chimeric 7E3 Fab (neutrophils 146+/-30 to 82+/-22 MFI, n=25, p < 0.0001; monocytes 256+/- 53 to 160+/-38 MFI, n= 17, p < 0.05). Neutrophil CD11b decreased after in vitro incubation of whole blood with chimeric 7E3 Fab (n=5, p=0.01), but fMLP-induced increases in CD11b were not prevented. The CD11b expression was unchanged and increased with fMLP stimulation after in vitro incubation of isolated neutrophils with chimeric 7E3 Fab. Direct-labeled chimeric 7E3 Fab was not detected bound to neutrophils in whole blood or isolated cells using flow cytometric techniques. Adhesion of isolated neutrophils to protein-coated glass was not prevented by in vitro incubation with chimeric 7E3 Fab. Platelet activation increased after angioplasty in control patients (CD62P 8.9+/-0.8 to 12.3+/-1.2 MFI, n=25, p < 0.05; CD41a 382+/-25 to 454+/-26 MFI, n=25, p < 0.05, CD61a 436+/-52 to 529+/-58 MFI, n=11, p < 0.05); it did not increase in the patients selected to receive chimeric 7E3 Fab (CD62P 13.2+/-1.0 to 9.0+/-0.9 MFI, n=25, p < 0.05; CD61a 398+/-32 to 410+/-38 MFI, n=7, p=NS). Leukocytes with adherent platelets tended to increase in the control group of patients and decrease after the procedure in patients selected to receive chimeric 7E3 Fab; individual and procedure-related variability were marked. CONCLUSIONS: Despite standard aspirin and heparin therapy, leukocyte and platelet activation with platelet adherence to leukocytes occurs after coronary angioplasty. Although chimeric 7E3 Fab does not bind to leukocytes directly, it influences CD11b expression in whole blood. Modulation of platelet and leukocyte activation and interaction by chimeric 7E3 Fab may contribute to an improved outcome after coronary angioplasty.


Subject(s)
Angioplasty, Balloon, Coronary , Antibodies, Monoclonal/pharmacology , Immunoglobulin Fab Fragments/pharmacology , Macrophage-1 Antigen/blood , Neutrophil Activation/drug effects , Neutrophils/drug effects , Platelet Activation/drug effects , Abciximab , Coronary Disease/blood , Female , Flow Cytometry , Humans , Male , Middle Aged , Neutrophils/immunology , Platelet Activation/immunology , Platelet Adhesiveness/drug effects , Platelet Adhesiveness/immunology , Treatment Outcome
19.
Cathet Cardiovasc Diagn ; 41(4): 361-8, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9258473

ABSTRACT

The major limitations of the Palmaz-Schatz stent stem from the design of its stent delivery system (SDS). The SDS is bulky and has poor trackability in lesions with proximal tortuosity and/or vessel calcification. The use of bare-mounted Palmaz-Schatz stents on low profile balloons represents an alternate approach for lesions that are not accessible for stenting with the SDS. Thus we evaluated the indications, procedural success rate, and in-hospital complications of patients undergoing bare stenting at a single center between 1 October 1995 through 30 September 1996. A total of 363 coronary interventions were performed during this period, including coronary stenting in 194 vessels. In 18 of these 194 vessels, bare-mounted Palmaz-Schatz stents were used. The indications for bare stenting were: inability to deliver the Palmaz-Schatz stent on SDS for suboptimal angioplasty results or acute/threatened abrupt closure; use of half stents; stenting in vessels < 3.0 mm; intermediate disease in the proximal segment that would have precluded optimal visualization of stent placement; and use of guides 7 French or smaller. Bare stenting was successful in 15 of the 18 patients (vessels) in whom it was attempted. There were no deaths, myocardial infarctions, stent thrombosis, repeat interventions, or significant bleeding in patients with successful bare stent delivery. The stents were successfully retrieved in the three patients in whom the stent could not be advanced into the target coronary segment. One of these patients had a propagated spiral dissection prior to attempts at bare stenting and required emergent bypass surgery. The remaining two patients with failed deployment had suboptimal angioplasty results but had an uncomplicated hospital course. Thus bare stenting represents an alternate percutaneous approach to tackle suboptimal procedural results and/or complications in patients who have failed stent deployment with the standard sheathed stent delivery system currently available in the United States.


Subject(s)
Angioplasty, Balloon, Coronary/methods , Coronary Disease/therapy , Myocardial Ischemia/therapy , Stents , Cohort Studies , Coronary Angiography , Coronary Disease/diagnostic imaging , Coronary Vessels/injuries , Equipment Design , Humans , Myocardial Ischemia/diagnostic imaging , Stents/adverse effects , Treatment Outcome
20.
Coron Artery Dis ; 7(11): 851-61, 1996 Nov.
Article in English | MEDLINE | ID: mdl-8993944

ABSTRACT

BACKGROUND: Thrombin-mediated vascular smooth muscle cell proliferation has been implicated in coronary restenosis. Attempts to inhibit this mitogenic activity have recently focused on non-physiologic direct thrombin inhibitors, whereas endogenous thrombin inhibitors such as antithrombin III (ATIII) have received little attention. ATIII is the main physiologic inhibitor of thrombin and may thus be a potential therapeutic agent for prevention of restenosis. METHODS: Human ATIII (125 U/kg) and heparin (200 U/kg) were administered to 12 atherosclerotic swine 30 min prior to inducing restenosis by oversized stent (left anterior descending and right coronary arteries; stent-to-artery ratio approximately 1.2) and balloon injury (circumflex; balloon artery ratio approximately 1.2). Eleven control swine received only heparin every 6 h for 24 h and were subjected to similar stent and balloon injury. Quantitative coronary angiography [change in minimal lumen diameter (delta MLD)] and morphometric analysis [percentage area stenosis (PAS)] were performed 4 weeks later. RESULTS: ATIII activity (mean +/- SD) of treated swine increased from a baseline of 103 +/- 10% to a peak of 266 +/- 48%, whereas trough levels were maintained at 259 +/- 55% for 72 h by drug infusions every 6 h. The delta MLD, the primary angiographic endpoint in the balloon injured vessel was -0.57 +/- 0.33 mm in heparin group versus -0.26 +/- 0.27 mm in the ATIII group (P < or = 0.03). For stented vessels the delta MLD was -0.61 +/- 0.33 mm in the heparin group versus -0.41 +/- 0.37 mm in the ATIII group (P < or = 0.06). The PAS for the balloon injured vessels was 30 +/- 12% in the heparin group versus 19 +/- 14 in the ATIII group (P < or = 0.06). In stented vessels the PAS was 45 +/- 16% in the heparin group versus 38 +/- 16% in the ATIII group (P < or = 0.1). CONCLUSION: Supraphysiologic ATIII levels in combination with heparin inhibits the reduction in MLD in coronary arteries subjected to oversized balloon injury and demonstrates a beneficial trend in arteries subjected to oversized stent injury. These data provide cautious optimism for further investigation with ATIII to prevent coronary restenosis.


Subject(s)
Antithrombin III/administration & dosage , Coronary Disease/drug therapy , Serine Proteinase Inhibitors/administration & dosage , Tunica Intima/pathology , Angioplasty, Balloon/adverse effects , Animals , Antithrombin III/adverse effects , Arteriosclerosis/blood , Arteriosclerosis/complications , Arteriosclerosis/pathology , Cell Division , Cholesterol/blood , Coronary Angiography , Coronary Disease/diagnosis , Coronary Disease/etiology , Coronary Vessels/injuries , Coronary Vessels/pathology , Disease Models, Animal , Dose-Response Relationship, Drug , Drug Therapy, Combination , Fibrinolytic Agents/administration & dosage , Fibrinolytic Agents/adverse effects , Follow-Up Studies , Heparin/administration & dosage , Heparin/adverse effects , Infusions, Intravenous , Recurrence , Safety , Serine Proteinase Inhibitors/adverse effects , Swine , Swine, Miniature , Tunica Intima/injuries
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