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Michael A Navitsky1, Joshua O Taylor, Alexander B Smith

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Platelet adhesion to polyurethane urea surfaces in blood-contacting devices decreases with increasing shear rate under pulsatile flow. Understanding this relationship helps predict thrombus formation in cardiovascular devices.

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Area of Science:

  • Biomaterials Science
  • Cardiovascular Engineering
  • Hemodynamics

Background:

  • Platelet adhesion to polyurethane urea surfaces is a critical initial step in thrombus formation within blood-contacting cardiovascular devices.
  • Strong platelet adhesion is observed on polyurethane surfaces at shear rates below approximately 500 s(-1).

Purpose of the Study:

  • To investigate the characteristics of platelet adhesion to polyurethane urea surfaces under time-varying shear stress.
  • To determine the impact of steady and pulsatile flow conditions on platelet adhesion dynamics.

Main Methods:

  • Utilized a rotating disk system to simulate blood flow conditions.
  • Exposed polyurethane urea surfaces to platelet-rich bovine plasma under controlled steady and pulsatile shear rates for 2 hours.
  • Quantified platelet adhesion using confocal microscopy of immunofluorescently labeled platelets.

Main Results:

  • Platelet adhesion exhibited an exponential decay with increasing shear rate under pulsatile flow conditions.
  • Adhesion levels were dependent on peak platelet flux and shear rate, irrespective of the specific rotational waveform.
  • Results indicate a significant influence of shear rate dynamics on platelet-material interactions.

Conclusions:

  • Platelet adhesion to polyurethane urea is shear-rate dependent and influenced by flow pulsatility.
  • The findings provide valuable data for predicting areas prone to thrombus formation in devices like ventricular assist devices.
  • This research contributes to the development of safer and more effective blood-contacting cardiovascular implants.