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Table 2 Methodological comparison of ECLT and GFC

From: Laboratory evaluation of a new integrative assay to phenotype plasma fibrinolytic system

 

Euglobulin clot lysis time

Global fibrinolysis capacity

Preanalytical

Binding, with sample collection, centrifugation and processing on melting ice to keep it at 4 °C

Sample collection, centrifugation and processing at room temperature

Measurement

Plasma sample artificially depleted in fibrinolysis inhibitors to mainly keep the euglobulin fraction (mainly fibrinogen, plasminogen and plasminogen activators (t-PA and u-PA))

‘Native’ plasma with fibrinolysis activators and inhibitors

Clot formation

Triggered by addition of CaCl2

→ Endogenous thrombin

→ Endogenous fibrinogen

Triggered by addition of CaCl2 and exogenous human thrombin in large amount

→ Exogenous human thrombin

→ Endogenous fibrinogen

Clot lysis

Natural

Induced by the addition of micronized silica and recombinant t-PA (100 ng/mL)

Locally established reference range

131 – 523 min

29.3 – 49.5 min