Evidence map›Paper›PMID 27887727›Full record

ArticleJournal of biomechanics2017

Shear-mediated platelet activation in the free flow: Perspectives on the emerging spectrum of cell mechanobiological mechanisms mediating cardiovascular implant thrombosis.

Marvin J Slepian, Jawaad Sheriff, Marcus Hutchinson, Phat Tran, Naing Bajaj, Joe G N Garcia, S Scott Saavedra, Danny Bluestein

Registry-linked trialAbstract read
In one paragraph

Article in Journal of biomechanics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03255928 (Analysis of the Platelet Activity State in Patients Implanted With Ventricular Assist Device), which is not on this map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03255928 recruitingnot on this map

Analysis of the Platelet Activity State in Patients Implanted With Ventricular Assist Device (VAD)

Typeobservational_patient_registrySponsorScientific Institute San RaffaeleRan2017 to 2026Enrolled60ConditionsThrombosis, Blood Coagulation Disorder, Platelet Thrombus, Platelet Dysfunction Due to AspirinArmsPAS assay, TGT
3 · Its place in the literature

Who cites it

39 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Platelet Disorders and Medication Strategies.Thrombosis and haemostasis · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Mathematical and Computational Modeling of Device-Induced Thrombosis.Current opinion in biomedical engineering · 2021
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. A multiscale model for multiple platelet aggregation in shear flow.Biomechanics and modeling in mechanobiology · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marvin J SlepianDepartments of Medicine and Biomedical Engineering, University of Arizona, Tucson, AZ 85721, United States; Department of Biomedical Engineering, Stony Brook University, NY 11794, United States. Electronic address: chairman.syns@gmail.com.
Jawaad SheriffDepartment of Biomedical Engineering, Stony Brook University, NY 11794, United States.
Marcus HutchinsonDepartments of Medicine and Biomedical Engineering, University of Arizona, Tucson, AZ 85721, United States.
Phat TranDepartments of Medicine and Biomedical Engineering, University of Arizona, Tucson, AZ 85721, United States.
Naing BajajDepartments of Medicine and Biomedical Engineering, University of Arizona, Tucson, AZ 85721, United States.
Joe G N GarciaDepartments of Medicine and Biomedical Engineering, University of Arizona, Tucson, AZ 85721, United States.
S Scott SaavedraDepartments of Chemistry and Biochemistry, University of Arizona, Tucson, AZ 85721, United States.
Danny BluesteinDepartment of Biomedical Engineering, Stony Brook University, NY 11794, United States.

Funding

Optimizing Cardiovascular Device Thromboresistance for Eliminating AnticoagulantsU01EB012487 · NIBIB · STATE UNIVERSITY NEW YORK STONY BROOK · PI BLUESTEIN, DANNY · 2010 to 2014
$6.9M
Multiscale Modeling of Blood Flow and Platelet Mediated ThrombosisU01HL131052 · NHLBI · STATE UNIVERSITY NEW YORK STONY BROOK · PI BLUESTEIN, DANNY · 2016 to 2020
$3.6M
Optimizing Cardiovascular Devices Thrombogenicity for Eliminating AnticoagulationR01EB008004 · NIBIB · STATE UNIVERSITY NEW YORK STONY BROOK · PI BLUESTEIN, DANNY · 2007 to 2009
$1.7M
Multiscale modeling of blood flow and clotting in cardiovascular devicesR21HL096930 · NHLBI · STATE UNIVERSITY NEW YORK STONY BROOK · PI BLUESTEIN, DANNY · 2011 to 2012
$421k
NHLBI NIH HHS R21 HL096930NHLBI NIH HHS U01 HL131052NIBIB NIH HHS R01 EB008004NIBIB NIH HHS U01 EB012487
6 · The paper itself

Abstract

Shear-mediated platelet activation (SMPA) is central in thrombosis of implantable cardiovascular therapeutic devices. Despite the morbidity and mortality associated with thrombosis of these devices, our understanding of mechanisms operative in SMPA, particularly in free flowing blood, remains limited. Herein we present and discuss a range of emerging mechanisms for consideration for "free flow" activation under supraphysiologic shear. Further definition and manipulation of these mechanisms will afford opportunities for novel pharmacologic and mechanical strategies to limit SMPA and enhance overall implant device safety.

Indexed as

Platelet ActivationBlood PlateletsHumansProstheses and ImplantsStress, MechanicalThrombosisFluid shear stressMechanical circulatory supportMechanotransductionPlatelet activationThrombosis

Identifiers

PMID27887727
PMCPMC5309211

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.