Sociedad Americana de Hirudoterapia

Antithrombotic effects of recombinant hirudin in experimental angioplasty and intravascular thrombolysis

Research article published in Thrombosis and haemostasis (1990)

Última actualización: June 18, 2026Revisado por: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: In vitro / laboratoryDesarrollo de fármacosKaiser B et al. · Thrombosis and haemostasis, 1990

Abstract

The effect of recombinant desulphatohirudin CGP 39393 (rH) on arterial thrombus formation and especially on thrombotic reocclusion after experimental angioplasty as well as after thrombolysis was investigated in rabbits. In the femoral artery thrombi were induced after endothelial damage of the vessel wall by a balloon catheter and following stasis. After removing the thrombus by angioplasty or after lysing it by streptokinase reocclusion of the artery was observed within a relatively short period of time. Subcutaneous injection of rH reduced the incidence of both primary thrombus formation and reocclusion in dependence on the dose administered. After a dose of rH of 2 mg/kg s.c. arterial thrombus formation was completely prevented and after administering 4 mg/kg s.c. thrombotic reocclusion did also not occur. Comparative studies with heparin showed that similar antithrombotic effects were only achieved at doses of 12 mg heparin/kg s.c. The results obtained suggest a clear potential of rH for prevention of thrombotic reocclusion in clinical states.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal Article
Indexed MeSH termsAngioplasty, BalloonAnimalsFemaleFemoral ArteryFibrinolytic AgentsHirudin TherapyHirudinsMaleRabbitsRecombinant ProteinsRecurrenceStreptokinase

Resumen

Antithrombotic effects of recombinant hirudin in experimental angioplasty and intravascular thrombolysis.

Por qué esto importa para la hirudoterapia

This animal study investigated recombinant desulphatohirudin CGP 39393 (rH) in rabbits, assessing its effects on arterial thrombus formation and reocclusion after experimental femoral angioplasty or streptokinase thrombolysis following balloon-catheter endothelial damage and stasis. Subcutaneous rH dose-dependently reduced primary thrombus and reocclusion: 2 mg/kg completely prevented thrombus formation, 4 mg/kg prevented reocclusion, and similar antithrombotic effects with heparin required 12 mg/kg. This is relevant to ASH's domain as experimental evaluation of a recombinant hirudin's antithrombotic activity in a vascular-injury model. The caveat is that it is preclinical rabbit data only; the abstract does not mention leeches, leech therapy, or the broader leech secretome, and the agent is a specific recombinant hirudin variant rather than whole-organism hirudotherapy.

Citación

Antithrombotic effects of recombinant hirudin in experimental angioplasty and intravascular thrombolysis

Kaiser B et al. · Thrombosis and haemostasis, 1990

Contexto clínico relacionado

Añadido a la biblioteca ASH: May 27, 2026 · Última actualización del sitio: June 18, 2026

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