Abstract
An acoustic study of the processes of coagulation and fibrinolysis in intense blood flows under the influence of several drugs was carried out. The processes of blood coagulation and fibrinolysis have been observed in vitro in real time using optical and acoustical tools. When fibrin microclots formed in the flow, an automatic injector provided an input of a fibrinolytic drug. The experiments have shown that the method allows the monitoring of fibrinolysis in blood plasma as well as in whole blood and could be applied for the effective control of the injection of fibrinolytics. Acoustic registration was shown to be sufficient to estimate the efficiency of the fibrinolysis. The developed software-hardware complex allows one to test fibrinolytic drugs and could be used to develop protocols for their administration. The prospects for creating new classes of portable devices for hemostasis correction have been opened up.
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REFERENCES
K. K. Shung, Diagnostic Ultrasound: Imaging and Blood Flow Measurements (CRC Press, 2005).
Physical Principles of Medical Ultrasonics, 2nd ed., Ed. by C. R. Hill, J. C. Bamberg, and G. R. ter Haar (New York, Wiley, 2004; Fizmatlit, Moscow, 2008).
A. Sarvazyan, Ultrasonics 50 (2), 230 (2010).
M. Tan, C. Bornais, and M. Rodger, J. Thromb. Haemost. 10 (9), 1775 (2012).
M. Cikes, L. Tong, G. R. Sutherland, and J. D’hooge, JACC: Cardiovasc. Imaging 7 (8), 812 (2014).
H. L. Gornik and A. M. Sharma, Circulation 129 (8), 917 (2014).
M. Blaivas, M. J. Lambert, R. A. Harwood, et al., Acad. Emerg. Med. 7 (2), 120 (2000).
M. Maufus, A. Elias, M. T. Barrellier, and G. Pernod, Thromb. Res. 161, 78 (2018).
K. Shung, R. A. Sigelmann, and G. Schmer, IEEE Trans. Biomed. Eng. 22 (4), 334 (1975)
P. Grybauskas, K. Kundrotas, V. Sukackas, and E. Yaronis, Ultrasonics 16 (1), 33 (1978).
A. Voleisis, R. Kazys, L. Mazeika, et al., Ultrasonics 40 (1–8), 101 (2002).
P. Grybauskas, P. Kazys, L. Mazeika, et al., Biophysics (Moscow) 50 (3), 484 (2005)
K. K. Shung, D. Y. Fei, Y. W. Yuan, and W. C. Reeves, J. Clin. Ultrasound 12 (3), 147 (1984)
F. Ossant, R. Libgot, P. Coupe, et al., Proc. IEEE Ultrason. Symp. 2, 846 (2004).
R. Libgot, F. Ossant, Y. Gruel, et al., Proc. IEEE Ultrason. Symp. 4, 2259 (2005).
C. C. Huang, S. H. Wang, and P. H. Tsui, Jpn. J. Appl. Phys. 44 (12), 8727 (2005).
C. C. Huang and S. H. Wang, Proc. IEEE Ultrason. Symp. 2064 (2006).
C. C. Huang and S. H. Wang, IEEE Trans. Biomed. Eng. 54, 2223 (2007).
S. G. Uzlova, K. G. Guriya, A. A. Shevelev, et al., Serdechno-Sosud. Zabolevaniya 9 (6), 55 (2008).
S. G. Uzlova, K. G. Guria, and G. Th. Guria, Phil. Trans. R. Soc. A 366 (1880), 3649 (2008).
N. V. Rybalko, A. N. Kuznetsov, and O. I. Vinogradov, Vestn. Nats. Med.-Khirurg. Tsentra im. N. I. Pirogova 10 (1), 6 (2015).
N. V. Rybalko, A. N. Kuznetsov, A. B. Lizunov, and N. E. Nagulin, RF Patent No. U2587310C1 (2015).
Z. S. Barkagan, Hemorrhagic Diseases and Syndromes (Meditsina, Moscow, 1988) [in Russian].
O. Matsuo and H. Mihara, Thromb. Res. 10 (5), 753 (1977).
K. G. Guria, A. R. Gagarina, and G. Th. Guria, J. Theor. Biol. 304, 27 (2012).
H. Peeters, G. Stenhoudt, and G. Decroix, J. Clin. Pathol. 17, 320 (1964).
S. H. Si, T. A. Zhou, D. Z. Liu, et al., Anal. Lett. 27 (11), 2027 (1994).
M. Ghazali and G. L. Hayward, Analyst 133, 910 (2008).
M. Ghazali and G. L. Hayward, Anal. Bioanal. Chem. 392, 897 (2008).
F. W. Mauldin, F. Viola, X. Lin-Schmidt, et al., Proc. IEEE Ultrason. Symp. (2009), pp. 173–176.
F. Viola, F. W. Mauldin, X. Lin-Schmidt, et al., Clin. Chim. Acta 411 (1–2), 106 (2010).
J. Fang and P. H. Tsui, Sci. Rep. 5, ID 11669 (2015).
D. A. Ivlev, Sh. N. Dzhumaeva, K. G. Guriya, et al., Tromboz Gemostaz Reologiya, No. 1 (69), 60 (2017).
C. Doppler, Über das farbige Licht der Doppelsterne und einiger anderer Gestirne des Himmels (Calve, 1842).
S. W. Smith, Digital Signal Processing: A Practical Guide for Engineers and Scientists (Newnes, 2003).
A. A. Greshilov, V. A. Stakun, and A. A. Stakun, Mathematical Methods for Constructing Prognostic Models (Radio i Zvyaz’, Moscow, 1997) [in Russian].
G. M. Steil, K. Rebrin, Jr., P. V. Goode, et al., U.S. Patent No. US6 558 351 (2003).
J. Walsh and R. Roberts, Pumping Insulin: Everything You Need for Success on a Smart Insulin Pump (Torrey Pines Press, 2006).
H. P. Adams, T. G. Brott, A. J. Furlan, et al., Circulation 94 (5), 1167 (1996).
V. I. Skvortsova and N. A. Shamalov, Consilium Medicum 12 (9), 29 (2010).
ACKNOWLEDGMENTS
This work was supported by the Russian Foundation for Basic Research, projects no. 14-04-01193 and 16-34-01180.
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Translated by I. Shipounova
1Abbreviations: AM, amplitude module; FEI, fibrinolysis efficiency index.
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Ivlev, D.A., Shirinli, S.N., Uzlova, S.G. et al. Ultrasonic Monitoring of Blood Coagulation and Fibrinolysis under Intensive Blood Flow. BIOPHYSICS 63, 637–643 (2018). https://doi.org/10.1134/S0006350918040085
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DOI: https://doi.org/10.1134/S0006350918040085