Hemostasis-on-a-chip: Impedance spectroscopy meets microfluidics for hemostasis evaluation

In the case of vascular injury, a complex process (of clotting) starts, involving mainly platelets and coagulation factors. This process in healthy humans is known as hemostasis, but when it is deregulated (thrombosis), it can be the cause of important cardiovascular diseases. Nowadays, the aging of...

Descripción completa

Detalles Bibliográficos
Autores: Karimi, Shadi|||0000-0002-6701-4285, Farré Lladós, Josep|||0000-0001-5909-0176, Mir Fuertes, Enrique, Escolar Albaladejo, Ginés, Casals Terré, Jasmina|||0000-0002-1368-3950
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2117/168507
Acceso en línea:https://hdl.handle.net/2117/168507
https://dx.doi.org/10.3390/mi10080534
Access Level:acceso abierto
Palabra clave:Microfluidics
Hemostasis
Impedance plethysmography
Organ-on-a-chip
Vein-on-a-chip
Impedance
Microfluídica
Hemostàsia
Pletismografia d'impedància
Àrees temàtiques de la UPC::Enginyeria mecànica
Àrees temàtiques de la UPC::Ciències de la salut::Medicina
Descripción
Sumario:In the case of vascular injury, a complex process (of clotting) starts, involving mainly platelets and coagulation factors. This process in healthy humans is known as hemostasis, but when it is deregulated (thrombosis), it can be the cause of important cardiovascular diseases. Nowadays, the aging of the population and unhealthy lifestyles increase the impact of thrombosis, and therefore there is a need for tools to provide a better understanding of the hemostasis mechanisms, as well as more cost-e ective diagnosis and control devices. This study proposes a novel microflow chamber, with interchangeable biomimetic surfaces to evaluate global hemostasis, using reduced amounts of blood sample and reagents, and also a minimized time required to do the test. To validate the performance of this novel device, a study on the new oral anticoagulant Apixaban (APIX) has been performed and compared to previous conventional techniques. The test shows an excellent agreement, while the amount of the required sample has been reduced (only 100 L is used), and the amount of reagent as well. An imprinted electrode embedded in the chamber in order to measure the impedance during the coagulation process. This approach distinguishes the impedance behavior of plasma poor in platelets (PPP) and plasma rich in platelets (PRP) for the first time