Thromb Haemost 1973; 29(01): 130-134
DOI: 10.1055/s-0038-1647753
Original Article
Schattauer GmbH

Ethanol Gelation and Protamine Sulfate Tests

Comparison and Criticque
Carl D. Jacobsen
1   Clinical Laboratories, Department of Pathology, University of Iowa, Iowa City, Iowa 52240, U.S.A
,
Nancy J. Southers
1   Clinical Laboratories, Department of Pathology, University of Iowa, Iowa City, Iowa 52240, U.S.A
› Author Affiliations
Further Information

Publication History

Received for publication 29 August 1972

Publication Date:
30 June 2018 (online)

Summary

Plasmas collected with Trasylol and EACA were studied for fibrin formation in the ethanol gelation and protamine sulfate tests. The latter test was difficult to read and a solid gel was rarely found, even when a definite solid gel was apparent in the ethanol gelation method. The protamine sulfate test is also said to record split products of fibrin. However, if hirudin was added to mixtures of plasma and fibrin digestion products, protamine sulfate did not cause gel formation, indicating that thrombin (or formation of thrombin) was necessary also for the gel formation induced by split products.

The protamine sulfate and ethanol gelation tests have several limitations. Care should be taken to avoid uncritical interpretations of results obtained with these tests.

 
  • References

  • 1 Godal H. C, Abildgaard U. 1966; Gelation of soluble fibrin in plasma by ethanol. Scandinavian Journal of Haematology 03: 342.
  • 2 Godal H. C, Kierulf P. 1971; Precipitation of fibrinogen-derived material by protamine. Scandinavian Journal of Haematology, Supplementum 13: 163.
  • 3 Godal H. C, Abildgaard U, Kierulf P. 1971; Ethanol gelation and fibrin monomers in plasma. Scandinavian Journal of Haematology, Supplementum 13: 189.
  • 4 Gurewich V, Hutchinson E. 1971; Detection of intravascular coagulation by a serialdilution protamine sulfate test. Annals of Internal Medicine 75: 895.
  • 5 Jacobsson K. 1955 Studies on the determination of fibrinogen in human blood plasma. Scandinavian Journal of Clinical and Laboratory Investigation. Supplementum. 14.
  • 6 Latallo Z. S, Wegrzynowicz Z, Budzynski A. Z, Kopec M. 1971; Effect of protamine sulfate on the solubility of fibrinogen, its derivatives and other plasma proteins. Scandinavian Journal of Haematology, Supplementum 13: 151.
  • 7 Mtjsumeci V. 1971; Ethanol gelation test and protamine sulphate test in diagnosis of intravascular coagulation. Scandinavian Journal of Haematology, Supplementum 13: 197.
  • 8 Niewiarowski S, Gurewich V. 1971; Laboratory identification of intravascular coagulation. The serial dilution protamine sulfate test for the detection of fibrin monomer and fibrin degradation products. Journal of Laboratory and Clinical Medicine 77: 665.
  • 9 Palester-Chlebowczyk M, Strzyzewska E, Sitkowski W, Ölender A, Wegrzynowicz Z, Latallo Z. S. 1971; Preliminary results of the protamine sulphate test in plasma of various patients. Scandinavian Journal of Haematology, Supplementum 13: 183.