AI Article Synopsis

  • - The T-TAS system, which analyzes how platelets contribute to blood clotting, struggles with low platelet counts, prompting the introduction of a haemodilution chip designed for such conditions.
  • - Blood samples were created using red blood cell products and platelet products, specifically tested for platelet counts of 50 × 10/μL, and various aggregation tests were conducted with different inducers like ADP.
  • - The study found that the new HD chip reliably assessed haemostatic functions at low platelet counts, showing significant correlations with certain aggregation measures and suggests potential for future in vivo testing.

Article Abstract

Background And Objectives: The total thrombus-formation analysis system (T-TAS) can quantitatively analyse the contribution of platelets to haemostasis using reconstituted blood samples. However, it is unsuitable in cases with low platelet counts. We introduced a haemodilution (HD) chip with a shallow chamber depth, adapted to low platelet counts and high shear conditions (1500 s).

Materials And Methods: Blood samples were prepared by mixing red blood cell products, standard human plasma and platelet products; the final platelet count was 50 × 10/μL. Aggregation tests were performed by using the aggregation inducers collagen, adenosine diphosphate (ADP) and ristocetin. Samples with 2-, 4- and 9-day-old platelet products (N = 10) were evaluated.

Results: The HD chip enabled the stable analysis of the haemostatic function of all samples at a platelet count of 50 × 10/μL. Haemostatic function was correlated with ADP aggregation (time to 10 kPa [T]: r = -0.53; area under the curve for 30 min: r = 0.40) and storage period (T: r = 0.44).

Conclusion: The HD chip-mounted T-TAS can stably analyse haemostatic function under low platelet counts and high shear conditions; this approach is expected to serve as a bridge to in vivo haemostatic tests with experimental animals.

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Source
http://dx.doi.org/10.1111/vox.13683DOI Listing

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