Fibrinogen binding and platelet retention: relationship with the thrombogenicity of catheters

A L Bailly1, A Laurent, H Lu

  • 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.

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