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March 6, 2026Blood Advances0 citationsOpen Access

In Vivo Visualization of Sickle Cell Microvascular Occlusion and Hemorheological Indices

Sickle cell visualization in vivo in humans: microvascular occlusion formation and hemorheological indices

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Authors

MMMarisa M. MorakisLHLuojie HuangGMGregory N. McKay

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Overview

Demonstrates blood flow dynamics in sickle cell disease, highlighting potential therapeutic evaluations.

Key Points

  • This research aims to visualize blood cell dynamics and occlusion mechanisms in sickle cell disease using a novel imaging technique.
  • Used oblique back-illumination microscopy to observe blood flow in sublingual capillaries.
  • Captured videos of 91.0 ± 42.3 capillaries in ten sickle cell disease subjects and ten controls before and after transfusions.
  • Classified blood flow as fast, slow, or no flow, and counted adhered red blood cells.
  • SCD subjects had fewer fast-flowing vessels (48.7%) compared to controls (77.7%).
  • Increased number of no flow vessels in SCD subjects (16.1% vs. 2.4% in controls).
  • After transfusion, SCD microvasculature showed improved flow dynamics with more fast-flowing vessels (65.8%) and fewer no flow vessels (6.0%).

Cite This Study

Morakis et al. (2026) studied this question.

synapsesocial.com/papers/69aa70a9531e4c4a9ff5ab04https://doi.org/10.1182/bloodadvances.2025018716
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