The blood compatibility challenge. Part 1: Blood-contacting medical devices: The scope of the problem.

Abstract:

:Blood-contacting medical devices are an integral part of modern medicine. Such devices may be used for only a few hours or may be implanted for life. Despite advances in biomaterial science, clotting on medical devices remains a common problem. Systemic administration of antiplatelet drugs or anticoagulants is often needed to reduce the risk of clotting. Although effective, such therapy increases the risk of bleeding, which can be fatal. This chapter (a) describes some of the commonly used blood-contacting devices and their potential complications, (b) provides an overview of the mechanisms that drive device-associated clotting, and (c) reviews the strategies employed to attenuate clotting on blood-contacting medical devices. STATEMENT OF SIGNIFICANCE: This paper is part 1 of a series of 4 reviews discussing the problem of biomaterial associated thrombogenicity. The objective was to highlight features of broad agreement and provide commentary on those aspects of the problem that were subject to dispute. We hope that future investigators will update these reviews as new scholarship resolves the uncertainties of today.

journal_name

Acta Biomater

journal_title

Acta biomaterialia

authors

Jaffer IH,Weitz JI

doi

10.1016/j.actbio.2019.06.021

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

2-10

eissn

1742-7061

issn

1878-7568

pii

S1742-7061(19)30432-5

journal_volume

94

pub_type

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