Comparison of venous sampling methods for thromboelastography in clinically normal dogs

Julie M. Walker Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607.

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Rita M. Hanel Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607.

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Bernard D. Hansen Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607.

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Alison A. Motsinger-Reif Bioinformatics Research Center, Department of Statistics, College of Physical and Mathematical Sciences, North Carolina State University, Raleigh, NC 27695.

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Abstract

Objective—To evaluate effects of blood collection method and site on results of thromboelastography in healthy dogs.

Animals—8 clinically normal purpose-bred dogs.

Procedures—Blood was collected from the external jugular vein by syringe aspiration via direct venipuncture with a 20-gauge needle, through a central venous catheter, or into an evacuated tube with a 21-gauge winged needle catheter. Blood was collected from the lateral saphenous vein by syringe aspiration via direct venipuncture with a 20-gauge needle or into an evacuated tube with a 21-gauge winged needle catheter. Kaolin-activated thromboelastographic analyses were performed, and R (reaction time), K (clot formation time), α angle, maximal amplitude, and G (global clot strength) were analyzed.

Results—No significant differences were observed with regard to sampling site. Sample collection method had no effect on thromboelastographic results for saphenous vein samples. Blood samples collected from the jugular vein by syringe aspiration had a lower R and K and higher α angle than did blood samples collected from the jugular vein by evacuated tube collection. Significant differences were observed between blood samples collected from the jugular vein by syringe aspiration and samples collected from the saphenous vein by evacuated tube collection and between samples collected from the saphenous vein by evacuated tube collection and samples collected from the jugular vein through a central venous catheter.

Conclusions and Clinical Relevance—Different sampling methods resulted in small but significant differences in thromboelastographic values. Results justify the use of standardized techniques for research purposes, but all of these sampling methods were acceptable for 1-time clinical use.

Abstract

Objective—To evaluate effects of blood collection method and site on results of thromboelastography in healthy dogs.

Animals—8 clinically normal purpose-bred dogs.

Procedures—Blood was collected from the external jugular vein by syringe aspiration via direct venipuncture with a 20-gauge needle, through a central venous catheter, or into an evacuated tube with a 21-gauge winged needle catheter. Blood was collected from the lateral saphenous vein by syringe aspiration via direct venipuncture with a 20-gauge needle or into an evacuated tube with a 21-gauge winged needle catheter. Kaolin-activated thromboelastographic analyses were performed, and R (reaction time), K (clot formation time), α angle, maximal amplitude, and G (global clot strength) were analyzed.

Results—No significant differences were observed with regard to sampling site. Sample collection method had no effect on thromboelastographic results for saphenous vein samples. Blood samples collected from the jugular vein by syringe aspiration had a lower R and K and higher α angle than did blood samples collected from the jugular vein by evacuated tube collection. Significant differences were observed between blood samples collected from the jugular vein by syringe aspiration and samples collected from the saphenous vein by evacuated tube collection and between samples collected from the saphenous vein by evacuated tube collection and samples collected from the jugular vein through a central venous catheter.

Conclusions and Clinical Relevance—Different sampling methods resulted in small but significant differences in thromboelastographic values. Results justify the use of standardized techniques for research purposes, but all of these sampling methods were acceptable for 1-time clinical use.

Contributor Notes

Presented as an oral presentation at the International Veterinary Emergency and Critical Care Symposium, San Antonio, Tex, September 2010.

The authors thank Drs. Jennifer Gonzales and Bobbi Conner for assistance in monitoring research dogs.

Address correspondence to Dr. Hanel (rita_hanel@ncsu.edu).
  • 1. Glaus T, Hudak-Glaus D, Hoeptner C, et alThe activated coagulation time (ACT): two simple screening tests for evaluating coagulation disorders in dogs [in German]. Schweiz Archiv Tierheilkd 1996;138:532536.

    • Search Google Scholar
    • Export Citation
  • 2. Stockham SL, Scott MA. Hemostasis. In: Fundamentals of veterinary clinical pathology. 2nd ed. Ames, Iowa: Blackwell Publishing, 2008;259322.

    • Search Google Scholar
    • Export Citation
  • 3. Lippi G, Franchini M, Montagnana M, et alQuality and reliability of routine coagulation testing: can we trust that sample? Blood Coagul Fibrinolysis 2006;17:513519.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4. Lippi G, Salvagno GL, Montagnana M, et alInfluence of the needle bore size on platelet count and routine coagulation testing. Blood Coagul Fibrinolysis 2006;17:557561.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5. Otto CM, Rieser TM, Brooks MB, et alEvidence of hypercoagulability in dogs with parvoviral enteritis. J Am Vet Med Assoc 2000;217:15001504.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6. Sinnott VB, Otto CM. Use of thromboelastography in dogs with immune-mediated hemolytic anemia: 39 cases (2000–2008). J Vet Emerg Crit Care 2009;19:484488.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7. Kristensen AT, Wiinberg B, Jessen LR, et alEvaluation of human recombinant tissue factor-activated thromboelastography in 49 dogs with neoplasia. J Vet Intern Med 2008;22:140147.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8. Ao H, Moon JK, Tashiro M, et alDelayed platelet dysfunction in prolonged induced canine hypothermia. Resuscitation 2001;51:8390.

  • 9. Wiinberg B, Jensen AL, Johansson PI, et alThromboelastographic evaluation of hemostatic function in dogs with disseminated intravascular coagulation. J Vet Intern Med 2008;22:357365.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10. Pittman JR, Koenig A, Brainard BM. The effect of unfractionated heparin on thrombelastographic analysis in healthy dogs. J Vet Emerg Crit Care 2010;20:216223.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11. Wiinberg B, Jensen AL, Kjelgaard-Hansen M, et alStudy on biological variation of haemostatic parameters in clinically healthy dogs. Vet J 2007;174:6268.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12. Wiinberg B, Jensen AL, Rozanski E, et alTissue factor activated thromboelastography correlates to clinical signs of bleeding in dogs. Vet J 2009;179:121129.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13. Wiinberg B, Jensen AL, Rojkjaer R, et alValidation of human recombinant tissue factor–activated thromboelastography on citrated whole blood from clinically healthy dogs. Vet Clin Pathol 2005;34:389393.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14. Marschner C, Bjørnvad C, Kristensen A, et alThromboelastography results on citrated whole blood from clinically healthy cats depend on modes of activation. Acta Vet Scand 2010;52:38. Available at: www.actavetscand.com/content/52/1/38. Accessed Aug 18, 2010.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15. Wagg CR, Boysen SR, Bédard C. Thrombelastography in dogs admitted to an intensive care unit. Vet Clin Pathol 2009;38:453461.

  • 16. Millis DL, Hawkins E, Jager M, et alComparison of coagulation test results for blood samples obtained by mean of direct venipuncture and through a jugular vein catheter in clinically normal dogs. J Am Vet Med Assoc 1995;207:13111314.

    • Search Google Scholar
    • Export Citation
  • 17. Maeckelbergh VA, Acierno MJ. Comparison of prothrombin time, activated partial thromboplastin time, and fibrinogen concentration in blood samples collected via an intravenous catheter versus direct venipuncture in dogs. Am J Vet Res 2008;69:868873.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18. Killingsworth CR, Weiss DJ, Eyster GE, et alScreening coagulation tests in the cat: reference values based on direct venipuncture and catheterized samples. Vet Clin Pathol 1985;14:1923.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19. Bauer NB, Er E, Moritz A. Influence of blood collection technique on platelet function and coagulation variables in dogs. Am J Vet Res 2011;72:6472.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20. Gonzales JL, Hanel RM, Hansen BD, et alEffect of intravenous administration of dextrose on coagulation in healthy dogs. Am J Vet Res 2011;72:562569.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21. TEG 5000 user manual: version 4.2.3. Niles, Ill: Haemoscope Corp, 2007;133152.

  • 22. Anscombe FJ, Glynn WJ. Distribution of the kurtosis statistic b2 for normal samples. Biometrika 1983;70:227234.

  • 23. Bauer N, Eralp O, Moritz A. Establishment of reference intervals for kaolin-activated thromboelastography in dogs including an assessment of the effects of sex and anticoagulant use. J Vet Diagn Invest 2009;21:641648.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24. Skillings JH, Mack GA. On the use of a Friedman-type statistic in balanced and unbalanced block designs. Technometrics 1981;23:171177.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 25. Lippi G, Salvagno GL, Montagnana M, et alPhlebotomy issues and quality improvement in results of laboratory testing. Clin Lab 2006;52:217230.

    • Search Google Scholar
    • Export Citation
  • 26. Hsiao G, Shen M, Chou D, et alMechanisms of antiplatelet and antithrombotic activity of midazolam in in vitro and in vivo studies. Eur J Pharmacol 2004;487:159166.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27. Tsai CS, Hsu PC, Huang GS, et alMidazolam attenuates adenosine diphosphate-induced P-selectin expression and platelet-leucocyte aggregation. Eur J Anaesthesiol 2004;21:871876.

    • Search Google Scholar
    • Export Citation
  • 28. Bolliger D, Gorlinger K, Tanaka KA. Pathophysiology and treatment of coagulopathy in massive hemorrhage and hemodilution. Anesthesiology 2010;113:12051219.

    • Crossref
    • Search Google Scholar
    • Export Citation

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