I Serša et al 2007 Phys. Med. Biol. 52 2969 doi:10.1088/0031-9155/52/11/003
I Serša1, J Vidmar1, B Grobelnik1, U Mikac1, G Tratar2 and A Blinc2
Show affiliationsAxially directed blood plasma flow can significantly accelerate thrombolysis of non-occlusive blood clots. Viscous forces caused by shearing of blood play an essential role in this process, in addition to biochemical fibrinolytic reactions. An analytical mathematical model based on the hypothesis that clot dissolution dynamics is proportional to the power of the flowing blood plasma dissipated along the clot is presented. The model assumes cylindrical non-occlusive blood clots with the flow channel in the centre, in which the flow is assumed to be laminar and flow rate constant at all times during dissolution. Effects of sudden constriction on the flow and its impact on the dissolution rate are also considered. The model was verified experimentally by dynamic magnetic resonance (MR) microscopy of artificial blood clots dissolving in an in vitro circulation system, containing plasma with a magnetic resonance imaging contrast agent and recombinant tissue-type plasminogen activator (rt-PA). Sequences of dynamically acquired 3D low resolution MR images of entire clots and 2D high resolution MR images of clots in the axial cross-section were used to evaluate the dissolution model by fitting it to the experimental data. The experimental data fitted well to the model and confirmed our hypothesis.
Issue 11 (7 June 2007)
Received 7 February 2007, in final form 19 April 2007
Published 2 May 2007
I Serša et al 2007 Phys. Med. Biol. 52 2969
P Salières et al 1996 J. Phys. B: At. Mol. Opt. Phys. 29 4771
Amaya Moro-Martín et al. 2001 ApJ 555 146
Sang-June Park et al 2007 Phys. Med. Biol. 52 4653
T Opatrny 1994 J. Phys. A: Math. Gen. 27 7201
Daniel E. Vanden Berk et al. 2001 The Astronomical Journal 122 549
Bernd Freytag and Maurizio Salaris 1999 ApJ 513 L49
Dragoş-Victor Anghel 2007 J. Phys. A: Math. Theor. 40 F1013
Tae-Soo Pyo et al. 2003 ApJ 590 340
G. A. Doschek and J. T. Mariska 2001 ApJ 560 420