Evidence map›Paper›PMID 28694489›Full record

ArticleScientific reports2017

High Frequency Components of Hemodynamic Shear Stress Profiles are a Major Determinant of Shear-Mediated Platelet Activation in Therapeutic Blood Recirculating Devices.

Filippo Consolo, Jawaad Sheriff, Silvia Gorla, Nicolò Magri, Danny Bluestein, Federico Pappalardo, Marvin J Slepian, Gianfranco B Fiore, Alberto Redaelli

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
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

19 citing papers in PubMed, 55 citations in OpenAlex.

  1. Protruding Objects in the Membrane Lung Outlet May Increase Thrombogenicity: Fluid Dynamical Insights.ASAIO journal (American Society for Artificial Internal Organs : 1992) · 2026
    Article
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  4. A Clinical-Scale Microfluidic Respiratory Assist Device with 3D Branching Vascular Networks.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2023
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  11. [Application of hemodynamic optimization in the design of artificial heart].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2020
    Article
  12. Article
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  15. Prothrombotic activity of cytokine-activated endothelial cells and shear-activated platelets in the setting of ventricular assist device support.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2019
    Article
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  19. Review
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

9 authors at 4 institutions in 2 countries.

Filippo ConsoloDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy. consolo.filippo@unisr.it.
Jawaad SheriffDepartment of Biomedical Engineering, Stony Brook University, New York, USA.
Silvia GorlaDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy.
Nicolò MagriDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy.
Danny BluesteinDepartment of Biomedical Engineering, Stony Brook University, New York, USA.
Federico PappalardoAnesthesia and Cardiothoracic Intensive Care, IRCCS San Raffaele Scientific Institute, Vita Salute University, Milan, Italy.
Marvin J SlepianDepartment of Biomedical Engineering, Stony Brook University, New York, USA.
Gianfranco B FioreDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy.ORCID 0000-0002-8988-8311
Alberto RedaelliDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy.ORCID 0000-0002-9020-2188
Politecnico di Milano · ITStony Brook University · USVita-Salute San Raffaele University · ITUniversity of Arizona · US

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
NHLBI NIH HHS U01 HL131052NIBIB NIH HHS U01 EB012487
6 · The paper itself

Abstract

We systematically analyzed the relative contributions of frequency component elements of hemodynamic shear stress waveforms encountered in cardiovascular blood recirculating devices as to overall platelet activation over time. We demonstrated that high frequency oscillations are the major determinants for priming, triggering and yielding activated "prothrombotic behavior" for stimulated platelets, even if the imparted shear stress has low magnitude and brief exposure time. Conversely, the low frequency components of the stress signal, with limited oscillations over time, did not induce significant activation, despite being of high magnitude and/or exposure time. In vitro data were compared with numerical predictions computed according to a recently proposed numerical model of shear-mediated platelet activation. The numerical model effectively resolved the correlation between platelet activation and the various frequency components examined. However, numerical predictions exhibited a different activation trend compared to experimental results for different time points of a stress activation sequence. With this study we provide a more fundamental understanding for the mechanobiological responsiveness of circulating platelets to the hemodynamic environment of cardiovascular devices, and the importance of these environments in mediating life-threatening thromboembolic complications associated with shear-mediated platelet activation. Experimental data will guide further optimization of the thromboresistance of cardiovascular implantable therapeutic devices.

Indexed as

Platelet ActivationShear StrengthStress, MechanicalHeart-Assist DevicesHemodynamicsHumansModels, Cardiovascular

Identifiers

PMID28694489
PMCPMC5503983
OpenAlexW2726254719

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.