In vivo detection of hemorrhage rate in dog models of hemophilia and VWD and at human femoral arteriotomy by ARFI ultrasound

Mallory R. Scola, Leslie M. Baggesen, Russel H. Behler, Timothy C. Nichols, Hongtu Zhu, Melissa C. Caughey, Elizabeth P. Merricks, Robin A. Raymer, Paris Margaritis, Katherine A. High, Caterina M. Gallippi

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

There is currently no validated method for assessing hemostasis in vivo. Such a method would facilitate the development of therapeutic clotting factor replacement products for patients with bleeding disorders as well as improve patient care and reduce complications following invasive procedures. We have investigated the use of Acoustic Radiation Force Impulse (ARFI) imaging as a method for assessing bleeding rate in vivo in dog models of inherited bleeding disorders and in human volunteers following arteriotomy for diagnostic percutaneous cardiac catheterization. Our data showed significantly higher bleeding rates in the VWD dogs consistent with the inherited bleeding phenotype. We also saw slower arteriotomy bleeding rates after 5 minutes when a hemostatic dressing is used to augment manual compression. These results suggest that ARFI imaging is relevant to noninvasively monitoring bleeding rates.

Original languageEnglish (US)
Title of host publication2011 IEEE International Ultrasonics Symposium, IUS 2011
Pages660-663
Number of pages4
DOIs
StatePublished - 2011
Event2011 IEEE International Ultrasonics Symposium, IUS 2011 - Orlando, FL, United States
Duration: Oct 18 2011Oct 21 2011

Publication series

NameIEEE International Ultrasonics Symposium, IUS
ISSN (Print)1948-5719
ISSN (Electronic)1948-5727

Other

Other2011 IEEE International Ultrasonics Symposium, IUS 2011
Country/TerritoryUnited States
CityOrlando, FL
Period10/18/1110/21/11

Keywords

  • Acoustic Radiation Force Impulse (ARFI) ultrasound
  • bleeding rate
  • dog model
  • femoral arteriotomy
  • hemophilia
  • subcutaneous bleeding
  • von Willebrand disease

ASJC Scopus subject areas

  • Acoustics and Ultrasonics

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