Thromb Haemost 1975; 34(03): 840-854
DOI: 10.1055/s-0038-1651372
Original Article
Schattauer GmbH

Study of Aggregate Formation in Region of Separated Blood Flow

William A Morton
1   Avco Everett Research Laboratory, Inc., 2385 Revere Beach Parkway, Everett, Massachusetts 02149, USA
,
E. Marc Parmentier
1   Avco Everett Research Laboratory, Inc., 2385 Revere Beach Parkway, Everett, Massachusetts 02149, USA
,
Harry E Petschek
1   Avco Everett Research Laboratory, Inc., 2385 Revere Beach Parkway, Everett, Massachusetts 02149, USA
› Author Affiliations
Further Information

Publication History

Received 04 October 1974

Accepted 29 June 1975

Publication Date:
02 July 2018 (online)

Summary

The formation of platelet aggregates which embolize to the peripheral circulation has previously been noted as a significant deleterious effect resulting from both intra-and extracorporeal artificial circulatory devices. Utilizing the stagnation point flow experiment, which permits visualization during flow of aggregate formation on first contact of blood with an artificial surface, the formation of freely floating aggregates has been observed in separated flow regions. Embolization from the separated flow has also been noted. Comparison of observed growth rates with a hydrodynamic model suggests that sufficient activation has occurred within the separated region so that platelets stick on virtually every collision. Some criteria are also suggested which correlate with the flow conditions affecting aggregate formation. At high flow rates, where freely floating aggregates do not form, significant surface thrombi are found.

 
  • References

  • 1 Ashmore P. G, Swank R. L, Gallery R, Ambrose P, and Prichard K. H. 1972; Effect of Dacron wool filtration on the microembolic phenomenon in extracorporeal circulation. Journal of Thoracic and Cardiovascular Surgery 63: 240.
  • 2 Bischel M. D, Orrell F. L, Scoles B. G, Möhler J. G, and Barbour B. H. 1973; Effects of microemboli blood filtration during hemodialysis. Transactions of the American Society for Artificial Internal Organs 19: 492.
  • 3 Burggraff O. R. 1966; Analytical and numerical studies of the structure of steady separated flows. Journal of Fluid Mechanics 24 part 1 113.
  • 4 Happel J, and Brenner H. 1965. The motion of a rigid particle of arbitrary shape in an unbounded fluid. Chap. 5 in: Low Reynolds Number Hydrodynamics. Prentice-Hall; Englewood Cliffs, N.J.: 159.
  • 5 Hill J. D, Aguilar M. J, Baranco A, Delanerolle P, and Gerbode F. 1969; Neuropathological manifestations of cardiac surgery. Annals of Thoracic Surgery 7: 409.
  • 6 Kusserow B. K. 1972; The use of pathologic techniques in the evaluation of emboli from prosthetic devices. Bulletin of the New York Academy of Medicine 48: 468.
  • 7 Madras P. N, Morton W. A, and Petschek E. E. 1971; The dynamics of thrombus formation. Federation Proceedings 30: 1665.
  • 8 Marcus A. J, and Zucker M. B. 1965. Platelet aggregation, clot retraction and adhesion. Chap. 5 in: The Physiology of Blood Platelets. Grune and Stratton; New York and London: 42.
  • 9 Moffatt E. K. 1964; Viscous and resistive eddies near a sharp corner. Journal of Fluid Mechanics 18: 1.
  • 10 Morton W. A, and Petschek E. E. 1972. Hemodynamics of thrombus formation on foreign surfaces. In: Proceedings of Symposium on Blood Damage in Extracorporeal Circulation II: Idealized Experiments, American Institute of Chemical Engineers 72nd National Meeting. St. Louis, Mo.: 21-24 May 1972.
  • 11 Morton W. A, Parmentier E. M, and Petschek E. E. 1974 A study of aggregate formation in a region of separated blood flow. Research Report 401. Avco Everett Research Laboratory, Inc., Everett, MA 02149.
  • 12 Mustard J. F. 1972. Platelets, drugs and thrombosis - definition of the problem. In: Proceedings of Symposium on Platelets, Drugs and Thrombosis. Hamilton, Ontario: 16-18 October 1972 1.
  • 13 O’Brien J. R. 1969. The properties of the platelet membrane. In: Johnson S. A, and Guest M. M. (eds.) Dynamics of Thrombus Formation and Dissolution. Lippincott; Philadelphia: 121.
  • 14 Patterson Jr. R. H, and Twichell J. B. 1971; Disposable filter for microemboli use in cardiopulmonary bypass and massive transfusion. Journal of the American Medical Association 215: 76.
  • 15 Petschek H. E, Adamis D, and Kantrowitz A. R. 1968; Stagnation flow thrombus formation. Transactions of the American Society for Artificial Internal Organs 14: 256.
  • 16 Schneider M. D. 1972. Preparative technique for platelet preservation for SEM. In: Proceedings 5th Annual Scanning Electron Microscope Symposium. Chicago: 1972
  • 17 Simuni L. M. 1964; Numerical solution of certain problems in the flow of viscous fluids. Inzhenernyi Zhurnal 4: 446.