Effects of ultrasound energy on thrombi in vitro
Identifieur interne : 000A00 ( Main/Exploration ); précédent : 000999; suivant : 000A01Effects of ultrasound energy on thrombi in vitro
Auteurs : F. Philippe [France] ; G. Drobinski [France] ; C. Bucherer [France] ; A. Ankri [France] ; C. Lacombe [France] ; D. Kremer [France] ; D. Brisset [France] ; G. Montalescot [France]Source :
- Catheterization and Cardiovascular Diagnosis [ 0098-6569 ] ; 1993-02.
English descriptors
- Teeft :
- Arterial thrombi, Atherosclerotic plaques, Calibration grid, Cellular debris, Clot, Clot dissolution, Coll cardiol, Continuous mode, Disruption, Disruption time, Dissolution, Elisa method, Fibrin, Guide wire, Large particulates, Microscopic examination, Optimal frequency, Plastic tubing, Power output, Previous studies, Resonance scanning function, Streptokinase, Thrombus, Titanium probe, Ultrasonic angioplasty device, Ultrasonic clot disruption, Ultrasonic energy, Ultrasound, Ultrasound energy, Ultrasound generator, Whole blood, Whole blood clot, Whole blood clots.
Abstract
Ultrasonic energy may be used for dissolution of venous or arterial thrombi. However, its effects may depend on the mode of ultrasonic vibration and on the length of the probe. We investigated the in vitro effects of an ultrasonic angioplasty device coupled with a 130 cm‐long flexible titanium probe, with an incorporated automatic optimal frequency of resonance scanning function and continuous mode of emission. Sixteen clots were treated of which eight were whole blood and eight cell‐free. In each of these groups, four were treated in association with streptokinase and four by ultrasound alone. The ages of the clots in these subgroups of four were 1, 3, 7, and 15 days. All thrombi were dissolved in 6 min or less (3′15″ ± 1′35″) at a mean optimal frequency of resonance of 19,444 Hz. Ninety‐six percent of the debris were less than 10 μ. Fewer than 1% of the particulates were larger than 100 μ. These large particulates were observed in disrupted whole blood clots and were almost non‐existent in disrupted cell‐free clots. They were very fragile. Clot dissolution was not speeded by adding streptokinase to ultrasound. Ultrasound did not induce D‐Dimer production, and its effect was most likely to be due to cavitation. Ultrasound energy could represent an advance for thrombotic vascular occlusion therapy, provided that more flexible probes can be devised. © 1993 Wiley‐Liss, Inc.
Url:
DOI: 10.1002/ccd.1810280217
Affiliations:
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<term>Calibration grid</term>
<term>Cellular debris</term>
<term>Clot</term>
<term>Clot dissolution</term>
<term>Coll cardiol</term>
<term>Continuous mode</term>
<term>Disruption</term>
<term>Disruption time</term>
<term>Dissolution</term>
<term>Elisa method</term>
<term>Fibrin</term>
<term>Guide wire</term>
<term>Large particulates</term>
<term>Microscopic examination</term>
<term>Optimal frequency</term>
<term>Plastic tubing</term>
<term>Power output</term>
<term>Previous studies</term>
<term>Resonance scanning function</term>
<term>Streptokinase</term>
<term>Thrombus</term>
<term>Titanium probe</term>
<term>Ultrasonic angioplasty device</term>
<term>Ultrasonic clot disruption</term>
<term>Ultrasonic energy</term>
<term>Ultrasound</term>
<term>Ultrasound energy</term>
<term>Ultrasound generator</term>
<term>Whole blood</term>
<term>Whole blood clot</term>
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<front><div type="abstract" xml:lang="en">Ultrasonic energy may be used for dissolution of venous or arterial thrombi. However, its effects may depend on the mode of ultrasonic vibration and on the length of the probe. We investigated the in vitro effects of an ultrasonic angioplasty device coupled with a 130 cm‐long flexible titanium probe, with an incorporated automatic optimal frequency of resonance scanning function and continuous mode of emission. Sixteen clots were treated of which eight were whole blood and eight cell‐free. In each of these groups, four were treated in association with streptokinase and four by ultrasound alone. The ages of the clots in these subgroups of four were 1, 3, 7, and 15 days. All thrombi were dissolved in 6 min or less (3′15″ ± 1′35″) at a mean optimal frequency of resonance of 19,444 Hz. Ninety‐six percent of the debris were less than 10 μ. Fewer than 1% of the particulates were larger than 100 μ. These large particulates were observed in disrupted whole blood clots and were almost non‐existent in disrupted cell‐free clots. They were very fragile. Clot dissolution was not speeded by adding streptokinase to ultrasound. Ultrasound did not induce D‐Dimer production, and its effect was most likely to be due to cavitation. Ultrasound energy could represent an advance for thrombotic vascular occlusion therapy, provided that more flexible probes can be devised. © 1993 Wiley‐Liss, Inc.</div>
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