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Published on: June 11, 2015
Fibrinogen binding and platelet retention: relationship with the thrombogenicity of catheters
1Laboratory of Neuroradiology and Therapeutic Angiography, Faculté de Médecine Lariboisière-St Louis, Paris, France.
Insights
Catheter thrombogenicity, a risk for blood clots, was assessed by measuring fibrinogen binding and platelet retention. Higher fibrinogen binding and platelet retention indicate greater catheter thrombogenicity, aiding in preclinical testing.
Area of Science:
- Biomaterials Science
- Medical Device Engineering
- Hematology
Background:
- Catheter use poses thrombogenicity risks, potentially leading to dangerous clot embolization.
- Evaluating catheter thrombogenicity is crucial for preventing patient harm.
Purpose of the Study:
- To compare the in vivo thrombogenicity of four angiography catheters.
- To assess in vitro fibrinogen binding and platelet retention as predictors of thrombogenicity.
Main Methods:
- In vivo thrombogenicity evaluated by blood flow rate reduction in angiographic conditions.
- In vitro fibrinogen and von Willebrand factor binding assessed via direct-ELISA.
- In vitro platelet retention studied using 111Indium-labelled platelets.
Main Results:
- Fibrinogen binding and platelet retention correlate well with catheter thrombogenicity.
- Fibrinogen binding is a superior predictor compared to platelet retention.
- Albumin precoating proved ineffective in preventing fibrinogen deposition.
Conclusions:
- Fibrinogen deposition and platelet retention are valuable metrics for preclinical catheter evaluation.
- Understanding catheter thrombogenicity is key to improving medical device safety.
Abstract:
One of the major problems in the use of catheters is their thrombogenicity, since the embolization of clots near the central nervous system or the coronary arteries can cause permanent damage. In this work we have compared the in vivo thrombogenicity of four different angiography catheters and their in vitro activation of fibrinogen binding and platelet retention. The thrombogenicity of catheters has been evaluated in angiographic conditions by kinetic evaluation of the reduction of blood flow rate through the catheters. The binding of adhesive proteins (fibrinogen and von Willebrand factor [vWF] was studied in vitro using a direct-ELISA technique after circulation of anticoagulated whole blood through sections of catheters. The retention of platelets was studied in vitro using 111Indium-labelled platelets. Fibrinogen binding and platelet retention both seem to be good predictors of catheter thrombogenicity, fibrinogen being the better of the two. The most thrombogenic material has the highest fibrinogen and platelet retention rate. This study also confirms the inefficiency of albumin precoating for the prevention of fibrinogen deposition. The determination of fibrinogen deposition by direct-ELISA technique and platelet retention rate is very useful for preclinical testing of catheters.
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