In vivo dynamic real-time monitoring and quantification of platelet-thrombus formation: use of a local isotope detector.
In vivo dynamic real-time monitoring and quantification of platelet-thrombus formation: use of a local isotope detector.
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血小板血栓形成的体内动态实时监测和定量:使用局部同位素检测器。
DOI:
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发表时间:
2000
期刊:
影响因子:
--
通讯作者:
J. Badimón
中科院分区:
文献类型:
--
作者:
A. Zaman;J. Osende;J. Chesebro;V. Fuster;A. Padurean;R. Gallo;S. Worthley;G. Helft;O. Rodríguez;J. Fallon;J. Badimón
Current methods for monitoring thrombosis and thrombus growth are invasive and provide only single-time-point data. Animal models rely mainly on flow changes as a surrogate of thrombus formation. Our aim was to validate a unique potentially noninvasive system to detect and quantify dynamic thrombus formation in vivo by using a porcine model of carotid artery injury. Thrombus growth was monitored by deposition of autologous (111)In-labeled platelet activity over the injured artery by use of miniaturized gamma detectors and Doppler blood flow. Counts were recorded at 2-minute intervals for 2 hours. The technique was validated by comparing standard antithrombotic agents against controls. Platelet recruitment was detected before significant change in flow. Thrombus formation, calculated as the area under the curve (platelets x minutes x 10(6)), was greatest for control animals (11.7+/-1.28), followed by animals treated with aspirin (6.13+/-0.91, P<0.05), heparin (2.45+/-0.34, P<0.05), and hirudin (0.2+/-0.01, P<0.01 compared with heparin). The rate of platelet deposition was assessed as the slope of the curve in the first 30 minutes (platelets x 10(6) per minute) for the following treatment groups of animals: control, 3.53+/-0.34; aspirin, 1.67+/-0. 34 (P<0.01); heparin, 1.55+/-0.3 (P<0.01); and hirudin, 0.25+/-0.03 (P<0.001). There was no statistical difference between heparin and aspirin treatments. Change in flow was assessed as reduction from baseline: control, >99+/-0.34%; aspirin, 39+/-9.1%; heparin, 36+/-12. 5%; and hirudin, 17+/-5.4%. There was no statistical difference between the aspirin- and heparin-treated groups. Morphometric analysis revealed >99+/-0.63% occlusion of the luminal area with thrombus for the control group, 43+/-14.3% for the aspirin-treated group, 30+/-5.6% for the heparin-treated group, and <10+/-1.8% for the hirudin-treated group. Assessment of platelet-thrombus formation with this technique was more sensitive than change in flow in determining antithrombotic efficacy, and thrombus formation was detected earlier. This study validates a new quantitative, sensitive, potentially noninvasive, portable, in vivo monitoring of dynamic thrombus growth, which appears applicable to phase II studies in humans.
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DOI:
10.1161/01.atv.10.2.306
发表时间:
1990
期刊:
Arteriosclerosis (Dallas, Tex.)
影响因子:
--
作者:
Lassila,R;Badimon,JJ;Vallabhajosula,S;Badimon,L
通讯作者:
Badimon,L
影响因子:
8.3
作者:
Anderson CD;Biffi A;Greenberg SM;Rosand J
通讯作者:
Rosand J
影响因子:
4.3
作者:
Schneider,PA;Kotzé,HF;Heyns,AD;Hanson,SR
通讯作者:
Hanson,SR
DOI:
10.1161/01.atv.19.4.883
发表时间:
1999
期刊:
Arteriosclerosis, thrombosis, and vascular biology
影响因子:
--
作者:
Wysokinski,WE;McBane2nd,RD;Owen,WG
通讯作者:
Owen,WG