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DR. ROCK:
      What is the rationale for using cryosupernatant? Well, the large molecular weight multimers of von Willebrand factor which are in plasma have been associated, as I mentioned earlier, certainly with the chronic relapsing forms of TTP and more recently Furlan and Tsai have indicated that they have a role in the commoner acute presenting form.
      We know for sure that aggregation of platelets in TTP plasma is enhanced by the use of cryosupernatant rather than plasma. And von Willebrand factor has been demonstrated to actually be present in the clot.




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