| Literature DB >> 27887727 |
Marvin J Slepian1, Jawaad Sheriff2, Marcus Hutchinson3, Phat Tran3, Naing Bajaj3, Joe G N Garcia3, S Scott Saavedra4, Danny Bluestein2.
Abstract
Shear-mediated platelet activation (SMPA) is central in thrombosis of implantable cardiovascular therapeutic devices. Despite the morbidity and mortality associated with thrombosis of these devices, our understanding of mechanisms operative in SMPA, particularly in free flowing blood, remains limited. Herein we present and discuss a range of emerging mechanisms for consideration for "free flow" activation under supraphysiologic shear. Further definition and manipulation of these mechanisms will afford opportunities for novel pharmacologic and mechanical strategies to limit SMPA and enhance overall implant device safety.Entities:
Keywords: Fluid shear stress; Mechanical circulatory support; Mechanotransduction; Platelet activation; Thrombosis
Mesh:
Year: 2016 PMID: 27887727 PMCID: PMC5309211 DOI: 10.1016/j.jbiomech.2016.11.016
Source DB: PubMed Journal: J Biomech ISSN: 0021-9290 Impact factor: 2.712