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