Sonothrombolysis with magnetic microbubbles under a rotational magnetic field
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Published on: May 22, 2020
Bohua Zhang1, Howuk Kim1, Huaiyu Wu1
1Department of Mechanical and Aerospace Engineering, North Carolina State University, Raleigh 27695, NC, USA.
Abstract:
Thrombosis is an extremely critical clinical condition where a clot forms inside a blood vessel which blocks the blood flow through the cardiovascular system. Previous sonothrombolysis methods using ultrasound and microbubbles (MBs) often have a relatively low lysis rate due to the low microbubbles concentration at clot region caused by blood flow in the vessel. To solve this problem, the magnetic microbubbles (MMBs) that can be retained by an outer magnetic field against blood flow are used in this study. Here we report the development of a new method using the rotational magnetic field to trap and vibrate magnetic microbubbles at target clot region and then using an intravascular forward-looking ultrasound transducer to activate them acoustically. In this study, we investigated the influence of different blood flow conditions, vessel occlusion conditions (partial and fully occluded), clot ages (fresh, retracted), ultrasound parameters (input voltage, duty cycle) and rotational magnetic field parameters (amplitude, frequency) on the thrombolysis rate. The results showed that the additional use of magnetic microbubbles significantly enhances in vitro lysis of blood clot.
Insights
Magnetic microbubbles (MMBs) offer enhanced clot lysis compared to traditional methods. A novel rotational magnetic field technique effectively traps and vibrates MMBs at clot sites, significantly improving thrombolysis rates in vitro.
Area of Science:
- Biomedical Engineering
- Cardiovascular Research
- Medical Ultrasound
Background:
- Thrombosis, a critical condition, involves blood clots obstructing blood flow.
- Conventional sonothrombolysis using ultrasound and microbubbles (MBs) shows limited efficacy due to blood flow dispersing MBs.
- A need exists for improved methods to concentrate microbubbles at clot sites for effective lysis.
Purpose of the Study:
- To develop and evaluate a novel sonothrombolysis technique using magnetic microbubbles (MMBs) for enhanced clot lysis.
- To investigate the efficacy of a rotational magnetic field in trapping and activating MMBs at target clot locations.
- To assess the impact of various parameters on thrombolysis rates using this new method.
Main Methods:
- Development of magnetic microbubbles (MMBs) designed for retention against blood flow using an external magnetic field.
- Implementation of a rotational magnetic field to trap and vibrate MMBs at the clot site.
- Utilization of an intravascular forward-looking ultrasound transducer for acoustic activation of MMBs.
- Systematic investigation of factors including blood flow, occlusion status, clot age, ultrasound parameters, and magnetic field parameters.
Main Results:
- The application of magnetic microbubbles significantly improved in vitro blood clot lysis rates.
- The rotational magnetic field successfully trapped and vibrated MMBs at the targeted clot region.
- The method demonstrated effectiveness across various tested conditions, including different blood flow rates and clot ages.
Conclusions:
- The developed method using magnetic microbubbles and a rotational magnetic field represents a significant advancement in sonothrombolysis.
- This technique overcomes the limitations of conventional methods by ensuring MMBs concentration at the clot site.
- The findings suggest a promising new therapeutic strategy for treating thrombotic conditions.
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