We explored the connection between vitamin D levels and coronary thrombus load in patients who experienced ST-elevation myocardial infarction (STEMI). The study included 77 patients where we measured serum vitamin D levels, thrombus degree, and other relevant factors.
Our findings revealed that a concerning 79.22% of participants showed vitamin D deficiency, with those having milder thrombus loads possessing significantly higher vitamin D levels compared to those with severe thrombus loads. Moreover, as we assessed the severity of coronary artery condition, we noted that patients with higher thrombus burden also had markedly greater scores of atherosclerosis.
Importantly, we found clear negative correlations between vitamin D levels and measures of thrombus burden. Lower vitamin D levels aligned with higher TIMI frame counts—meaning more extensive vascular obstruction—suggesting that vitamin D might play a role in blood clot formation.
Overall, we determined that low 25(OH)D3 levels could be an independent predictor of high coronary artery thrombus load in STEMI patients. These findings highlight the potential significance of monitoring and perhaps addressing vitamin D levels in this vulnerable group.
Read More
8
Calcium type affects clot risk
Thrombotic Complications Associated With Right Atrial Lines in Neonates and Infants Undergoing Cardiac Surgery. Is Calcium Chloride a Culprit?
We explored the impact of different calcium infusions on clotting risks in neonates undergoing cardiac surgery. Our study involved analyzing data from 135 babies who received either calcium chloride or calcium gluconate during their treatment.
The findings highlighted a significant concern: when using calcium chloride, the incidence of thrombotic events was notably higher compared to those treated with calcium gluconate. Specifically, the odds of experiencing a blood clot were over three times greater in patients given calcium chloride.
With an overall thrombus occurrence of 9.9%, we observed that only 4.6% of the group receiving calcium gluconate developed such complications compared to 15% in the calcium chloride group. The evidence suggests that switching from calcium chloride to calcium gluconate could potentially reduce the risk of harmful blood clots in these vulnerable patients.
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4
Vitamin D3 had limited effects
The Effect of High-Dose Vitamin D3 on Soluble P-Selectin and hs-CRP Level in Patients With Venous Thromboembolism: A Randomized Clinical Trial.
We investigated the effects of high-dose vitamin D3 on blood clotting parameters in patients suffering from venous thromboembolism (VTE), specifically looking at levels of P-selectin and high-sensitive C-reactive protein (hs-CRP). The study involved 60 participants who were diagnosed with acute deep vein thrombosis or pulmonary embolism.
These patients were randomly divided into two groups—one receiving a single dose of 300,000 IU of vitamin D3 and the other group serving as a control. Over the course of four weeks, we measured the levels of vitamin D, P-selectin, and hs-CRP to assess any changes resulting from the treatment.
While we noticed a significant decline in both P-selectin and hs-CRP in those who received vitamin D3, the overall reductions were not substantial enough to indicate a major benefit. In comparison, only hs-CRP decreased significantly in the control group. Therefore, we conclude that, based on our findings, high-dose vitamin D3 does not show a strong impact on lowering P-selectin levels or hs-CRP in patients with VTE.
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Most Useful Reviews
9
Strengthened blood clotting
3 people found this helpful
On my doctor’s advice, I tried this supplement and was amazed. My nails and hair transformed, and I experienced enhanced immunity and mood. Calcium is essential for healthy teeth, bones, and blood clotting. Vitamin D3 sufficiently absorbs calcium and is vital for overall health. I hope my detailed review assists you in making a choice.
Read More
6
Reduced blood clotting
4 people found this helpful
The pills are large but swallow easily. I’ve found that my nails have grown stronger, and I believe my bones may have benefited too. Additionally, my menstrual cycle has become less painful, likely due to calcium's role in blood clotting. I trust this review is helpful.
Read More
9
Maintained blood clotting
1 people found this helpful
My husband has been on this calcium for nearly two years after his thyroid surgery. It is essential for him due to his affected parathyroid glands. With this supplement, his calcium levels remain nearly normal, unlike with other pharmacy options. The price for such quality is excellent, especially in bulk.
We explored the effects of vitamin D3 on blood clot formation in mice lacking the klotho protein, which plays a role in regulating vitamin D3 levels. In our analysis, we focused on how klotho deficiency impacts platelet function and calcium signaling, pivotal mechanisms involved in clotting.
Our findings revealed that klotho-deficient platelets exhibited significantly reduced responses to activation, indicating that they might not form clots effectively. Specifically, we observed that calcium signaling pathways, essential for platelet activation and aggregation, were notably inhibited in these mice. The investigation utilized multiple methods, including measuring calcium levels and evaluating platelet function through various biochemical and cellular techniques.
Interestingly, when klotho-deficient mice were given a low-vitamin D diet, we discovered that their platelet function improved, suggesting a direct link between vitamin D3 levels and platelet activity. The reduced activity was associated with decreased expression of critical signaling proteins involved in calcium entry, which vitamin D3 helps regulate. Overall, our study presents evidence that vitamin D3 deficiency due to klotho absence may hinder proper blood clotting mechanisms.
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9
Vitamin D3 reduces blood clot risk
Renin angiotensin system blockade and activated vitamin D as a means of preventing deep vein thrombosis in renal transplant recipients.
We evaluated the potential of vitamin D3, specifically calcitriol, in combination with other medications to prevent deep vein thrombosis (VTE) in renal transplant recipients (RTR). Focusing on how these treatments might influence the occurrence of blood clots, we followed a group of 769 RTRs over several months post-transplant.
Our findings revealed that 96 of these recipients experienced a first episode of VTE. We noticed a significant difference in rates of blood clots among those who received calcitriol alongside angiotensin-converting enzyme inhibitors (ACEi) and angiotensin receptor blockers (ARBs). In fact, recipients on the combination therapy had a markedly lower rate of VTE, showing a promising 60% reduction in risk.
However, it is important to note that the isolated effect of vitamin D3 without other treatments wasn't fully determined in this study. While calcitriol showed favorable outcomes when used with blood pressure medications, further research could help clarify its individual impact on clot prevention. Overall, this research highlights the importance of collaborative strategies in managing thrombotic complications for transplant patients.
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9
Calcium aids rapid blood clotting
Zeolite firmly anchored regenerated cellulose aerogel for efficient and biosafe hemostasis.
We explored the role of calcium in promoting blood coagulation using a new zeolite-embedded regenerated cellulose aerogel (Z-RCA). This innovative hemostatic agent was designed to minimize common issues seen with previous zeolite-based products, like heat-induced tissue damage and unwanted blood clotting elsewhere in the body.
Our results showed that this aerogel effectively absorbed blood while releasing calcium ions, which play a crucial role in the blood clotting process. By combining the properties of zeolite and the calcium-releasing ability of the aerogel, we found that Z-RCA not only facilitated quicker blood clotting but did so safely, with less risk of adverse effects.
In animal trials, we observed that Z-RCA stopped bleeding faster than existing options like Quikclot and notably reduced blood loss by over 62%. This combination of effectiveness and safety makes Z-RCA a promising solution for achieving efficient hemostasis during emergencies.
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8
Vitamin D3 reduces platelet aggregation
1,25-Dihydroxyvitamin D3 attenuates platelet aggregation potentiated by SARS-CoV-2 spike protein via inhibiting integrin αIIbβ3 outside-in signaling.
We focused on how 1,25-Dihydroxyvitamin D3, or vitamin D3, affects platelet aggregation, particularly in response to the SARS-CoV-2 spike protein. Individuals with COVID-19 often experience heightened blood clotting, which can lead to serious complications. Our study aimed to uncover the mechanisms behind vitamin D3’s potential benefits in reducing this risk.
Through our experiments, we discovered that vitamin D3 helped reduce platelet aggregation triggered by the spike protein. We noticed that it inhibited certain signaling pathways inside platelets, thereby curbing their ability to clump together. Even when the spike protein was introduced, vitamin D3 managed to lessen the platelet response significantly.
Interestingly, our findings suggest that vitamin D3 works by modulating a specific integrin signaling pathway, known as integrin αIIbβ3 outside-in signaling. We observed that this process involved key proteins that play a role in platelet function. Combining vitamin D3 with a Src family kinase inhibitor showed no added benefits, indicating that vitamin D3's effects might be closely tied to these signaling pathways.
Overall, our study indicates that vitamin D3 has a beneficial role in mitigating the heightened platelet activity associated with the spike protein, offering insights into its potential use as a treatment option during COVID-19.
Read More
8
Vitamin D may influence blood clotting
Relationship between vitamin D deficiency and thrombus load in patients with ST-elevation myocardial infarction.
We explored the connection between vitamin D levels and coronary thrombus load in patients who experienced ST-elevation myocardial infarction (STEMI). The study included 77 patients where we measured serum vitamin D levels, thrombus degree, and other relevant factors.
Our findings revealed that a concerning 79.22% of participants showed vitamin D deficiency, with those having milder thrombus loads possessing significantly higher vitamin D levels compared to those with severe thrombus loads. Moreover, as we assessed the severity of coronary artery condition, we noted that patients with higher thrombus burden also had markedly greater scores of atherosclerosis.
Importantly, we found clear negative correlations between vitamin D levels and measures of thrombus burden. Lower vitamin D levels aligned with higher TIMI frame counts—meaning more extensive vascular obstruction—suggesting that vitamin D might play a role in blood clot formation.
Overall, we determined that low 25(OH)D3 levels could be an independent predictor of high coronary artery thrombus load in STEMI patients. These findings highlight the potential significance of monitoring and perhaps addressing vitamin D levels in this vulnerable group.
On my doctor’s advice, I tried this supplement and was amazed. My nails and hair transformed, and I experienced enhanced immunity and mood. Calcium is essential for healthy teeth, bones, and blood clotting. Vitamin D3 sufficiently absorbs calcium and is vital for overall health. I hope my detailed review assists you in making a choice.
Read More
6
Reduced blood clotting
4 people found this helpful
The pills are large but swallow easily. I’ve found that my nails have grown stronger, and I believe my bones may have benefited too. Additionally, my menstrual cycle has become less painful, likely due to calcium's role in blood clotting. I trust this review is helpful.
Read More
9
Maintained blood clotting
1 people found this helpful
My husband has been on this calcium for nearly two years after his thyroid surgery. It is essential for him due to his affected parathyroid glands. With this supplement, his calcium levels remain nearly normal, unlike with other pharmacy options. The price for such quality is excellent, especially in bulk.
Read More
7.5
Balanced blood clotting
1 people found this helpful
I began taking this after my doctor identified a deficiency in vitamin D and calcium through blood tests. After several months of use, a retest showed that my calcium levels had normalised.
Read More
6
Vital blood clotting
1 people found this helpful
I take these smooth, large tablets twice yearly for a month. It's a beneficial supplement, especially buying the 400-tablet pack. Besides strengthening bones and teeth, calcium is critical for heart health and muscle function. It helps regulate heartbeat and is important for maintaining proper blood clotting.
Read More
Frequently Asked Questions
A blood clot is a mass of blood that changes from a liquid to a gel, effectively forming a plug that can stop bleeding. This natural process, known as coagulation, is critical for preventing excessive blood loss when you sustain an injury. Blood clots can occur in various areas of the body, typically at the site of a wound, but they can also form within blood vessels without an obvious injury, which may lead to serious health complications.
While blood clots are essential for healing, they can pose significant health risks if they form inappropriately. For example, a deep vein thrombosis (DVT) occurs when a clot forms in a deep vein, usually in the legs, and can travel to the lungs, causing a life-threatening condition called a pulmonary embolism. Risk factors for blood clots include prolonged immobility, certain medical conditions, and the use of specific medications, among others. It’s important to recognize the symptoms of abnormal clotting, such as swelling, pain, and redness in the affected area, and seek medical attention if they occur.
Calcium Plus Vitamin D is a dietary supplement that combines calcium, an essential mineral vital for maintaining strong bones and teeth, with Vitamin D, a nutrient that enhances calcium absorption in the body. This combination is particularly beneficial for individuals looking to support their bone health, especially those at risk for osteoporosis or conditions that lead to decreased bone density. Calcium plays a key role in various bodily functions, including muscle contraction and nerve signaling, while Vitamin D aids in the regulation of calcium levels within the blood and helps promote overall immune function.
Many formulations of Calcium Plus Vitamin D are available in various forms, including tablets, capsules, and chewables, catering to different preferences and dietary needs. When considering adding a calcium and vitamin D supplement to your daily routine, it's essential to consult with a healthcare professional to ensure it's appropriate for your specific health requirements and to determine the right dosage. A balanced diet combined with regular sunlight exposure can also help maintain adequate calcium and vitamin D levels without the need for supplementation. However, for individuals who have limited sun exposure or have dietary restrictions, such supplements can provide a convenient and effective way to support bone health.
Based on user reviews, the timeline to see results from taking this calcium supplement for blood clot issues can vary significantly. Some users report noticeable improvements in their overall health within a few months. For example, one user stated that after several months of use following a vitamin D and calcium deficiency diagnosis, their retest showed normalized calcium levels Read Review. Another user experienced reduced menstrual pain, likely linked to calcium's role in blood clotting, which suggests that benefits may be felt over a shorter period Read Review.
Current scientific research presents mixed findings regarding the role of vitamin D in relation to blood clotting issues. A notable study indicated that vitamin D3 might help mitigate increased platelet aggregation associated with the SARS-CoV-2 spike protein, presenting a potential benefit for individuals experiencing heightened clotting risk during COVID-19 [1]. Conversely, another comprehensive pilot study involving patients with thromboembolism found no significant impact of high-dose vitamin D3 on key markers of blood clotting, although the treatment appeared to help patients manage anticoagulant therapy (warfarin) more effectively, highlighting a need for further exploration [3].
Moreover, additional investigations have indicated that while vitamin D may correlate with certain mechanisms of thrombus formation, such as those observed in klotho-deficient mice, the overall impact on blood clot risk remains unclear. In research with postmenopausal women, regular supplementation with calcium and vitamin D3 did not lower the overall incidence of blood clots, but an intriguing reduction in idiopathic events was noted [4]. Overall, while there are indications of a relationship between vitamin D status and clotting mechanisms, current findings do not robustly support vitamin D supplementation as a conclusive strategy for managing blood clot risks.
Based on user reviews, many individuals report various positive improvements after incorporating this calcium supplement into their routines. For instance, one user noted significant transformations in their nails and hair, alongside enhanced immunity and mood, highlighting the broad benefits of calcium beyond its traditional roles Read Review. Others have experienced specific health benefits, such as stronger nails and reduced menstrual pain, which could be linked to calcium's impact on blood clotting functions Read Review.
Additionally, one long-term user shared their husband's success in maintaining normalized calcium levels crucial for his health after thyroid surgery, indicating that this supplement can help manage specific medical conditions effectively Read Review. Lastly, several users have reported general enhancements in bone strength, heart health, and muscle function, attesting to calcium's multifaceted role in supporting overall wellness Read Review. Individual results can vary, but the consensus suggests that this calcium supplement may offer significant symptomatic relief and health benefits for many users.
Users report positive experiences when combining this calcium supplement with other vitamins for managing blood clot-related issues. One user specifically highlighted the importance of pairing calcium with Vitamin D3, emphasizing that it aids in the absorption of calcium and plays a vital role in overall health and blood clotting functions Read Review. Other reviewers noted significant benefits, such as enhanced nail strength and reduced menstrual pain, potentially linked to calcium's involvement in blood clotting Read Review.
Additionally, another user mentioned that the supplement maintained their husband’s calcium levels effectively after thyroid surgery, suggesting that it can be a reliable choice in various medical contexts, particularly when used in tandem with other supplements or treatments Read Review. Overall, while user experiences may vary, it seems that combining this calcium supplement with vitamin D and possibly other supplements can yield favorable outcomes in managing health related to blood clotting.
Based on user reviews, it appears that individuals have found Calcium Plus Vitamin D to be beneficial for various aspects of health, including blood clotting. One user specifically mentioned experiencing less painful menstrual cycles, attributing this improvement to calcium's role in blood clotting Read Review. Another user highlighted calcium's essential function in blood clotting and overall health, noting its importance alongside Vitamin D Read Review.
While specific dosage recommendations for treating blood clot issues weren't detailed in the reviews, it’s evident that users feel comfortable with their intake. One user noted a regular regimen of taking the supplement twice yearly for a month, suggesting a cyclical approach to maintain adequate levels Read Review. For those considering this supplement for blood clot treatment, it might be best to consult with a healthcare provider for personalized dosage guidance.
7.5
Balanced blood clotting
1 people found this helpful
I began taking this after my doctor identified a deficiency in vitamin D and calcium through blood tests. After several months of use, a retest showed that my calcium levels had normalised.
6
Reduced blood clotting
4 people found this helpful
The pills are large but swallow easily. I’ve found that my nails have grown stronger, and I believe my bones may have benefited too. Additionally, my menstrual cycle has become less painful, likely due to calcium's role in blood clotting. I trust this review is helpful.
9
Strengthened blood clotting
3 people found this helpful
On my doctor’s advice, I tried this supplement and was amazed. My nails and hair transformed, and I experienced enhanced immunity and mood. Calcium is essential for healthy teeth, bones, and blood clotting. Vitamin D3 sufficiently absorbs calcium and is vital for overall health. I hope my detailed review assists you in making a choice.
9
Maintained blood clotting
1 people found this helpful
My husband has been on this calcium for nearly two years after his thyroid surgery. It is essential for him due to his affected parathyroid glands. With this supplement, his calcium levels remain nearly normal, unlike with other pharmacy options. The price for such quality is excellent, especially in bulk.
6
Vital blood clotting
1 people found this helpful
I take these smooth, large tablets twice yearly for a month. It's a beneficial supplement, especially buying the 400-tablet pack. Besides strengthening bones and teeth, calcium is critical for heart health and muscle function. It helps regulate heartbeat and is important for maintaining proper blood clotting.
8
Vitamin D3 reduces platelet aggregation
1,25-Dihydroxyvitamin D3 attenuates platelet aggregation potentiated by SARS-CoV-2 spike protein via inhibiting integrin αIIbβ3 outside-in signaling.
We focused on how 1,25-Dihydroxyvitamin D3, or vitamin D3, affects platelet aggregation, particularly in response to the SARS-CoV-2 spike protein. Individuals with COVID-19 often experience heightened blood clotting, which can lead to serious complications. Our study aimed to uncover the mechanisms behind vitamin D3’s potential benefits in reducing this risk.
Through our experiments, we discovered that vitamin D3 helped reduce platelet aggregation triggered by the spike protein. We noticed that it inhibited certain signaling pathways inside platelets, thereby curbing their ability to clump together. Even when the spike protein was introduced, vitamin D3 managed to lessen the platelet response significantly.
Interestingly, our findings suggest that vitamin D3 works by modulating a specific integrin signaling pathway, known as integrin αIIbβ3 outside-in signaling. We observed that this process involved key proteins that play a role in platelet function. Combining vitamin D3 with a Src family kinase inhibitor showed no added benefits, indicating that vitamin D3's effects might be closely tied to these signaling pathways.
Overall, our study indicates that vitamin D3 has a beneficial role in mitigating the heightened platelet activity associated with the spike protein, offering insights into its potential use as a treatment option during COVID-19.
2
Vitamin D treatment shows no benefit
The Effect of Treatment of Vitamin D Deficiency on the Level of P-Selectin and hs-CRP in Patients With Thromboembolism: A Pilot Randomized Clinical Trial.
In our exploration of how vitamin D might affect blood clotting, we conducted a pilot randomized clinical trial involving 40 patients diagnosed with either deep vein thrombosis or pulmonary embolism. These individuals were vitamin D deficient, which is already known to contribute to the development of blood clots.
We divided the patients into two groups: one received a high dose of vitamin D—50,000 IU weekly for eight weeks followed by less frequent doses—while the control group did not receive any vitamin D. After one and three months, we measured levels of two key biomarkers related to blood clotting: P-selectin and hs-CRP.
We discovered that there was no significant decrease in either biomarker in both groups over the study period. This suggests that treating vitamin D deficiency doesn’t meaningfully impact these specific markers of thrombosis in patients with clotting issues.
However, we did find something interesting. Those who received vitamin D treatment appeared to manage their anticoagulant therapy with warfarin more effectively, using lower doses of the medication. While our initial hypothesis about vitamin D’s direct effect on blood clot markers didn’t hold, this potential interaction with warfarin is intriguing and warrants further investigation in larger studies to better understand the relationship between vitamin D and blood clotting.
4
Calcium and vitamin D3 impact on VTE
The effect of calcium plus vitamin D supplementation on the risk of venous thromboembolism. From the Women's Health Initiative Randomized Controlled Trial.
We aimed to understand how vitamin D3, when combined with calcium, might affect the risk of developing blood clots, also known as venous thromboembolism (VTE). In a notable study involving over 36,000 postmenopausal women aged between 50 to 79, participants were randomly assigned to receive either daily supplements of 1,000 mg of calcium and 400 IU of vitamin D3 or a placebo. This rigorous double-blind, placebo-controlled design lasted an average of seven years, ensuring that neither the participants nor the researchers knew who was receiving the active treatment.
Our analysis looked closely at the rates of VTE between those taking the supplements and those on the placebo. We found that there was no significant difference in the overall incidence of VTE between the two groups—320 events in the supplement group versus 348 in the placebo group. This translates to a hazard ratio of 0.92, suggesting that the combined supplementation did not lower the risk of blood clots for these generally healthy women.
Interestingly, while the overall risk didn’t change, we observed a noticeable reduction in the risk of idiopathic VTE (where there’s no clear cause) among women who took calcium and vitamin D3, with 40 events compared to 65 in the placebo group. This finding may call for deeper investigation, as it hints at a potential benefit that could be worth exploring further.
To sum up, regular supplementation with calcium and vitamin D3 does not seem to reduce the overall risk of blood clots in postmenopausal women. However, our observation of a lower risk for idiopathic blood clots in the treatment group offers a glimmer of hope for future studies on this topic.
References
Wang R, Tian Z, Wang C, Zhang B, Zhu M, et al. 1,25-Dihydroxyvitamin D3 attenuates platelet aggregation potentiated by SARS-CoV-2 spike protein via inhibiting integrin αIIbβ3 outside-in signaling. Cell Biochem Funct. 2024;42:e4039. 10.1002/cbf.4039
Uguz B, Oztas S, Zengin I, Topal D, Tiryakioglu SK, et al. Relationship between vitamin D deficiency and thrombus load in patients with ST-elevation myocardial infarction. Eur Rev Med Pharmacol Sci. 2022;26:7015. 10.26355/eurrev_202210_29885
Hejazi ME, Modarresi-Ghazani F, Hamishehkar H, Mesgari-Abbasi M, Dousti S, et al. The Effect of Treatment of Vitamin D Deficiency on the Level of P-Selectin and hs-CRP in Patients With Thromboembolism: A Pilot Randomized Clinical Trial. J Clin Pharmacol. 2017;57:40. 10.1002/jcph.774
Blondon M, Rodabough RJ, Budrys N, Johnson KC, Berger JS, et al. The effect of calcium plus vitamin D supplementation on the risk of venous thromboembolism. From the Women's Health Initiative Randomized Controlled Trial. Thromb Haemost. 2015;113:999. 10.1160/TH14-05-0478
Gholami K, Talasaz AH, Entezari-Maleki T, Salarifar M, Hadjibabaie M, et al. The Effect of High-Dose Vitamin D3 on Soluble P-Selectin and hs-CRP Level in Patients With Venous Thromboembolism: A Randomized Clinical Trial. Clin Appl Thromb Hemost. 2016;22:483. 10.1177/1076029614568715
Borst O, Münzer P, Schmid E, Schmidt EM, Russo A, et al. 1,25(OH)2 vitamin D3-dependent inhibition of platelet Ca2+ signaling and thrombus formation in klotho-deficient mice. FASEB J. 2014;28:2108. 10.1096/fj.13-239277
Moscarelli L, Zanazzi M, Bertoni E, Caroti L, Rosso G, et al. Renin angiotensin system blockade and activated vitamin D as a means of preventing deep vein thrombosis in renal transplant recipients. Clin Nephrol. 2011;75:440.
Jorde R, Sneve M, Torjesen P, Figenschau Y, Hansen JB. Parameters of the thrombogram are associated with serum 25-hydroxyvitamin D levels at baseline, but not affected during supplementation with vitamin D. Thromb Res. 2010;125:e210. 10.1016/j.thromres.2009.12.011
Wu-Wong JR. Are vitamin D receptor activators useful for the treatment of thrombosis?. Curr Opin Investig Drugs. 2009;10:919.
Jin Z, Chen L, Liu X, Xia R, Li W, et al. Zeolite firmly anchored regenerated cellulose aerogel for efficient and biosafe hemostasis. Int J Biol Macromol. 2025;304:140743. 10.1016/j.ijbiomac.2025.140743
Tran VA, Griffin EM, Elliott JD, Scholl RL, Hill RB, et al. Thrombotic Complications Associated With Right Atrial Lines in Neonates and Infants Undergoing Cardiac Surgery. Is Calcium Chloride a Culprit?. J Cardiothorac Vasc Anesth. 2025. 10.1053/j.jvca.2025.01.008