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Table 1.

Coagulation factor activities of the single lots measured for the five different PCCs.

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Figure 1.

Prothrombin times (PT in sec, panel A), activated partial thromboplastin times (aPTT in sec, panel B), fibrinogen levels (in g/L, panel C), as well as the plasma thrombin generation characteristics lag time (in min, panel D), peak height (in nM thrombin, panel E), and velocity index (in nM/min, panel F) for plasmas derived from whole blood diluted with Ringers Lactate (RL) to obtain undiluted and 80, 60, 40, and 20% whole blood.

Solid lines indicate control blood without addition of fibrinogen and dashed lines indicate diluted whole blood to which fibrinogen was added in order to obtain a final concentration of approximately 2.5 g/L. Data are presented as median with IQR, *indicates p<0.05.

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Figure 2.

ExTem (upper panel) and InTem (lower panel) derived thromboelastometry (ROTEM) parameters from whole blood diluted with Ringers Lactate (RL) to obtain undiluted and 80, 60, 40, and 20% whole blood.

Solid lines indicate control blood without addition of fibrinogen and dashed lines indicate diluted whole blood to which fibrinogen was added in order to obtain a final concentration of approximately 2.5 g/L. Panel A and D: Clotting times (CT in sec), panel B and E: maximum clot firmness (MCF in mm), and panel C and F: alfa-angle (in degrees). Data are presented as median with IQR, *indicates p<0.05.

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Figure 2 Expand

Figure 3.

Prothrombin times (PT in sec, panel A and B) and activated partial thromboplastin times (aPTT in sec, panel C and D) for plasmas derived from whole blood diluted with Ringers Lactate (RL) to obtain undiluted and 80, 60, 40, and 20% whole blood.

Before preparation of plasma, PCCs were added to undiluted (100%) and diluted (80, 60, 40, and 20%) whole blood (panels A and C). To correct for fibrinogen dilution, whole blood was supplemented with fibrinogen in order to obtain a final concentration of approximately 2.5 g/L at each dilution (panels B and D). Control (green), CoFact 500 I.E. (red), Beriplex P/N 250 (gold), Prothromplex NF 600 (aqua), Octaplex 500 (blue), and PPSB-human SD/Nano 600 (purple). Data are presented as mean with SEM.

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Figure 3 Expand

Figure 4.

Plasma thrombin generation, triggered with 5 pM tissue factor, parameters lag time (in min, panel A and D), peak height (in nM thrombin, panel B and E), and velocity index (in nM/min, panel C and F) for plasmas derived from whole blood (100%) diluted with Ringers Lactate (RL) to obtain 80, 60, 40, and 20% whole blood.

Before preparation of plasma, PCCs were added to undiluted (100%) and diluted (80, 60, 40, and 20%) whole blood (panels A, B, and C). To correct for fibrinogen dilution, whole blood was supplemented with fibrinogen in order to obtain a final concentration of approximately 2.5 g/L at each dilution (panels D, E, and F). Control (green), CoFact 500 I.E. (red), Beriplex P/N 250 (gold), Prothromplex NF 600 (aqua), Octaplex 500 (blue), and PPSB-human SD/Nano 600 (purple). Data are presented as mean with SEM.

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Figure 4 Expand

Figure 5.

Thromboelastometry (ROTEM), triggered with ExTem reagent, parameters coagulation time (CT in sec, panel A and D), maximum clot firmness (MCF in mm, panel B and E), and α-angle (in degrees, panel C and F) for samples derived from whole blood (100%) diluted with Ringers Lactate (RL) to obtain 70, and 40% whole blood.

PCCs were added to undiluted (100%) and diluted (70 and 40%) whole blood. To correct for fibrinogen dilution, whole blood was supplemented with fibrinogen in order to obtain a final concentration of approximately 2.5 g/L at each dilution (panels D, E, and F). Control (green), CoFact 500 I.E. (red), Beriplex P/N 250 (gold), Prothromplex NF 600 (aqua), Octaplex 500 (blue), and PPSB-human SD/Nano 600 (purple). Data are presented as median with IQR.

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Figure 5 Expand

Figure 6.

Thromboelastometry (ROTEM), triggered with InTem reagent, parameters coagulation time (CT in sec, panel A and D), maximum clot firmness (MCF in mm, panel B and E), and α-angle (in degrees, panel C and F) for samples derived from whole blood (100%) diluted with Ringers Lactate (RL) to obtain 70, and 40% whole blood.

PCCs were added to undiluted (100%) and diluted (70 and 40%) whole blood. To correct for fibrinogen dilution, whole blood was supplemented with fibrinogen in order to obtain a final concentration of approximately 2.5 g/L at each dilution (panels D, E, and F). Control (green), CoFact 500 I.E. (red), Beriplex P/N 250 (gold), Prothromplex NF 600 (aqua), Octaplex 500 (blue), and PPSB-human SD/Nano 600 (purple). Data are presented as median with IQR.

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Figure 6 Expand