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October 1, 2003Journal of Endovascular Therapy

Platelet Adhesion to Simulated Stented Surfaces

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Key result

Larger stent strut spacing increases platelet deposition by ~54% versus smaller spacing.

  • P<0.05

Why the study?

Does stent strut spacing affect platelet adhesion in a simulated flow model?

Population

Human blood with platelets labeled with indium 111 in a flat-plate flow chamber

Comparison

2-dimensional stents with different strut spacings vs Stents with smaller strut spacing vs larger…

Design

Preclinical

Follow-up

30 minutes

Authors

SRSamuel RobainaBJBhavani JayachandranYHYong He

Discussion

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Overview

Strut spacing may influence platelet deposition in flow models; leaves open optimal stent geometries for clinical thrombosis reduction.

Structured PICO

Does stent strut spacing affect platelet adhesion in a simulated flow model?

P
Population
Human blood with platelets labeled with indium 111 in a flat-plate flow chamber
I
Intervention
2-dimensional stents with different strut spacings (2.5, 4.0, and 7.0 times the strut height)
C
Comparator
Stents with smaller strut spacing vs larger strut spacing, and stented region vs non-stented substrate
O
Outcome
Platelet adhesion measured by radioactivitysurrogate

Main Result

Absolute Event Rate: 2.11% vs 1.37%

p-value: p=<0.05

Smaller stent strut spacings minimize platelet adhesion per unit strut area, highlighting the importance of mechanical factors and flow patterns in stent design to reduce restenosis.

Cite This Study

Robaina et al. (2003) studied Stent restenosis. Stent strut spacing vs. Smaller strut spacing (2.5 times strut height) was evaluated on Normalized platelet deposition (p=<0.05). Stents with larger strut spacing had higher normalized platelet deposition (2.11 for the 4.0 model and 1.71 for the 7.0 model) than stents with smaller strut spacing (1.37 for the 2.5 model; p<0.05).

synapsesocial.com/papers/6aa6b0df3f91f0dc527917ebhttps://doi.org/10.1177/152660280301000522
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