Platelet adhesion to foreign surfaces under controlled conditions of whole blood flow: human vs rabbit, dog, calf, sheep, pig, macaque, and baboon.

Our results reveal significant differences between mammalian species with respect to platelet adhesion to foreign surfaces exposed to heparinized, flowing blood. In particular, we have demonstrated the following: 1) At a surface shear rate characteristic of shear rates in mammalian arteries, human platelet adhesion (and that of calf, baboon, macaque, hog or sheep) is negligible in comparison to dog or rabbit platelet adhesion after 10 mins of blood flow. 2) The species differences are biomaterial dependent: the human-dog difference is present with Cuprophan or Avcothane, but absent with compressed Gore-Tex or fluorinated ethylcellulose. (The platelets of humans and dogs adhere to comparable degrees on the latter 2 biomaterials.) 3) With Cuprophan and recirculated blood, the human-dog difference persists at 30 and 180 mins. 4) By means of videomicroscopy, the species differences are unlikely only to be an artifact of the possible formation and embolization of surface-adherent aggregates. Tests for the thromboresistance of candidate biomaterials and for platelet adhesion under controlled flow conditions must therefore begin to take into account differences between humans and other species.