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The very first strategy should be to repeat the assay right after further centrifugation To make sure to reduce fibrin interference. Kits are available to appropriate to the existence of heterophilic and cross-reacting antibodies.197
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Elements relevant to cardiac surgical procedure that add to myocardial damage include things like the duration of cross clamping and cardiopulmonary bypass; likely occlusion of the graft; the nature, temperature and adequacy in the cardioplegia; the use of cardiopulmonary bypass itself (owing to activation of platelets, enhance and cytokines); immediate trauma to the heart; coronary artery or venous graft embolism; as well as other problems of the technique.114
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