Evidence map›Paper›PMID 34147831›Full record

ArticleThrombosis research2021

Electrical impedance vs. light transmission aggregometry: Testing platelet reactivity to antiplatelet drugs using the MICELI POC impedance aggregometer as compared to a commercial predecessor.

Tatiana Mencarini, Yana Roka-Moiia, Silvia Bozzi, Alberto Redaelli, Marvin J Slepian

Open access · greenAbstract read
In one paragraph

Article in Thrombosis research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

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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

5 authors at 2 institutions in 2 countries.

Tatiana MencariniDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy.
Yana Roka-MoiiaDepartment of Medicine, Sarver Heart Center, University of Arizona, Tucson, AZ, United States of America; Department of Biomedical Engineering, Sarver Heart Center, University of Arizona, Tucson, AZ, United States of America.
Silvia BozziDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy.
Alberto RedaelliDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy.
Marvin J SlepianDepartment of Medicine, Sarver Heart Center, University of Arizona, Tucson, AZ, United States of America; Department of Biomedical Engineering, Sarver Heart Center, University of Arizona, Tucson, AZ, United States of America. Electronic address: slepian@email.arizona.edu.
Politecnico di Milano · ITUniversity of Arizona · US

Funding

The MICELI Aggregometer: a Point-of-Care Platelet Function AnalyzerR41HL147807 · NHLBI · PLAKDX, LLC · PI LADUCA, FRANK, SLEPIAN, MARVIN J · 2020 to 2020
$225k
NHLBI NIH HHS R41 HL147807
6 · The paper itself

Abstract

backgroundPatients' responses to antiplatelet therapy significantly vary, with individuals showing high residual platelet reactivity associated with thrombosis. To personalize thrombosis management, platelet function testing has been suggested as a promising tool able to monitor the antithrombotic effect of antiplatelet agents in real-time. We have prototyped the MICELI, a miniature and easy-to-use electrical impedance aggregometer (EIA), measuring platelet aggregation in whole blood. Here, we tested the capability of the MICELI aggregometer to quantify platelet reactivity on antiplatelet agents, as compared with conventional light-transmission aggregometry (LTA).

methodsPlatelet aggregation in ACD-anticoagulated whole blood and platelet-rich plasma of healthy donors (n = 30) was evaluated. The effect of clopidogrel, ticagrelor, cangrelor, cilostazol, and tirofiban on ADP-induced aggregation was tested, while aspirin was evaluated with arachidonic acid and collagen. Platelet aggregation was recorded using the MICELI or BioData PAP-8E (Bio/Data Corp.) aggregometers.

resultsThe MICELI aggregometer detected an adequate and comparable dose-dependent decrease of platelet aggregation in response to increments of drugs' concentrations, as compared to LTA (the inter-device R

conclusionPlatelet aggregation in whole blood as recorded by EIA represents a better model system for evaluation of platelet reactivity as compared with platelet aggregation in platelet-rich plasma as recorded by LTA, since EIA takes into consideration the modulatory effect of other blood cells on platelet hemostatic function and pharmacodynamics of antiplatelet drugs in vivo. As such, the MICELI impedance aggregometer could be potentially employed for the point-of-care monitoring of platelet function in patients on-treatment for personalized tailoring of their antiplatelet regimen.

Indexed as

Platelet Aggregation InhibitorsPlatelet Function TestsBlood PlateletsElectric ImpedanceHumansPlatelet AggregationPlatelet Aggregation InhibitorsAntiplatelet therapyAspirin resistanceClopidogrel resistanceElectrical impedance aggregometryLight transmission aggregometryPoint-of-care diagnostic device

Identifiers

PMID34147831
PMCPMC11416791
OpenAlexW3166978517

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Registered trials

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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.