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Updated: Dec 14, 2025

Quantifying the Mechanical Properties of the Endothelial Glycocalyx with Atomic Force Microscopy
Published on: February 21, 2013
Role of endothelial glycocalyx in sliding friction at the catheter-blood vessel interface
Chengxiong Lin1,2, Hans J Kaper1, Wei Li2
1Department of Biomedical Engineering, University of Groningen and University Medical Center Groningen, Groningen, The Netherlands.
Insights
Catheter stiffness and endothelial glycocalyx layer (EGL) degradation significantly increase friction during cardiovascular procedures. Understanding these factors is crucial for improving catheterization safety and preventing vessel damage.
Area of Science:
- Biomedical Engineering
- Cardiovascular Research
- Tribology
Background:
- The endothelial glycocalyx layer (EGL) is vital for vascular function, influencing permeability and hemodynamics.
- The role of EGL in catheter-blood vessel friction remains unexplored.
- Catheterization is a common procedure for diagnosing and treating cardiovascular diseases.
Purpose of the Study:
- To investigate the impact of catheter properties and EGL integrity on friction during simulated catheterization.
- To identify key factors influencing the coefficient of friction (COF) and energy dissipation at the aorta-catheter interface.
Main Methods:
- Utilized a porcine aorta model to simulate blood vessel conditions.
- Employed a catheter loop in a reciprocating sliding motion against the aorta.
- Manipulated catheter stiffness, normal load, sliding speed, and induced EGL degradation using trypsin treatment.
Main Results:
- Decreased catheter stiffness and EGL degradation significantly increased COF and frictional energy dissipation.
- Increased sliding speed led to higher COF and energy dissipation.
- Normal load initially decreased COF and energy dissipation before increasing it.
Conclusions:
- Catheter stiffness and EGL integrity are critical determinants of friction during catheterization.
- Findings provide essential data for enhancing catheter safety and managing potential vessel damage, particularly in patients with compromised EGL.
Abstract:
Catheterization is a common medical operation to diagnose and treat cardiovascular diseases. The blood vessel lumen is coated with endothelial glycocalyx layer (EGL), which is important for the permeability and diffusion through the blood vessels wall, blood hemodynamics and mechanotransduction. However EGL's role in catheter-blood vessel friction is not explored. We use a porcine aorta to mimic the blood vessel and a catheter loop was made to rub in reciprocating sliding mode against it to understand the role of catheter loop curvature, stiffness, normal load, sliding speed and EGL on the friction properties. Trypsin treatment was used to cause a degradation of the EGL. Decrease in catheter loop stiffness and EGL degradation were the strongest factors which dramatically increased the coefficient of friction (COF) and frictional energy dissipation at the aorta-catheter interface. Increasing sliding speed caused an increase but increase in normal load first caused a decrease and then an increase in the COF and frictional energy. These results provide the basic data for safety of operation and damage control during catheterization in patients with degraded EGL.
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