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العنوان
Role of Factor VIIa – Antithrombin III Complex in Pathogenesis and Prediction of Portal Vein Thrombosis in Egyptian Patients with HCV – Related Liver Cirrhosis /
المؤلف
Mahmoud, Aisha Mohamed.
هيئة الاعداد
باحث / عائشة محمد محمود
مشرف / منى عبد الرحمن ابو المكارم
مشرف / دعاء محمد سيد
مشرف / عاطف فاروق العقاد
الموضوع
Internal medicine. Thrombosis - Etiology.
تاريخ النشر
2017.
عدد الصفحات
128 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الطب الباطني
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة المنيا - كلية الطب - الأمراض الباطنة
الفهرس
Only 14 pages are availabe for public view

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from 152

Abstract

PVT is a common complication in patients with advanced liver cirrhosis. Prevalence of PVT among cirrhotic patients ranges from 1% in compensated cirrhosis to 8-25% in patients waiting for liver transplantation (Francoz et al., 2005).
To date, the main pathogenic factor of PVT in liver cirrhosis is not completely understood, however, decreased portal blood flow (Zocco et al., 2009), vascular damage (Intagliata et al., 2015), hepatic carcinogenesis (Ponziani et al., 2010) and complex derangement of the hemostasis system due to liver cell damage (Amitrano and Guardascione, 2009) are pivotal contributors.
Blood coagulation process is triggered when circulating FVIIa forms a complex with TF that activates FX and subsequently clot formation. FVIIa is inhibited by AT only when it is bound to TF, which causes the accelerated dissociation of FVIIa from TF resulting in the formation of the FVIIa-AT complex (Palta et al., 2014).
This study was conducted in the Department of Internal Medicine, Minia University Hospital along the period from October 2013 to May 2016.
The aim of our study was to evaluate the role of FVIIa-AT complex and enhanced monocytic TF expression in pathogenesis and prediction of non-neoplastic PVT in Egyptian patients with HCV-related liver cirrhosis
Our study included a group of cirrhotic patients with non-neoplastic PVT (30 patients). This group of patients was compared to a group of cirrhotic patients without PVT (35 patients), a group of non-cirrhotic patients with PVT (15 patients) and a group of healthy subjects (15 subjects).