Zusammenfassung
Am Beispiel des Scribner-Shunts konnte gezeigt werden, daß es bei lokaler Applikation von Protease I (Astra), einem proteolytischen Enzym aus Aspergillus oryzae möglich ist, arterielle oder venöse Thromben in vivo aufzulösen. Relativ geringe Mengen von etwa 10–12 mg und kurze fermentative Einwirkungszeiten von 30–40 min führten dabei bereits zu eindeutigen Erfolgen, insbesondere auch bei arteriellen Thrombosen. Die Bestimmung der Inhibitorwerte vor und nach Anwendung der Protease ergab im Gegensatz zur generalisierten Zufuhr keine Veränderungen, so daß Nebenwirkungen einer allgemeinen thrombolytischen Therapie vermieden werden können. Als einzige Nebenwirkung wurden lokale Schmerzsensationen beobachtet, die nach einiger Zeit abklangen.
Summary
Coagulated Scribner shunts are very suitable for experimental studies on fibrinolysis. The proteolytic activity of Protease I, also described as Aspergillin 0 and CA 7, and derived from Aspergillus oryzae, has been studied in coagulated Scribner shunts. It has been shown that Protease I locally applied is able to dissolve arterial and venous thrombi in vivo. Compared with other fibrinolytic substances only small doses of Protease I (10–12 mg) and short periods of application (30–40 min) were necessary for shunt declottings. Determinations of the individual inhibitor levels before and after administration of Protease I showed, that the small doses of Protease I used locally in coagulated Scribner shunts did not cause change in the inhibitor levels. Therefore side effects of a systemic fibrinolytic therapy could be avoided. There were only local side effects consisting in transient pains along the cannulated vessels.
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Kessel, M., Bennhold, I. & Froese, P. Untersuchungen über die Wirksamkeit eines neuen fibrinolytischen Enzyms zur lokalen Thrombolyse am Scribner-Shunt. Klin Wochenschr 46, 1263–1266 (1968). https://doi.org/10.1007/BF01711871
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DOI: https://doi.org/10.1007/BF01711871