Changes in clot lysis levels of reteplase and streptokinase following continuous wave ultrasound exposure, at ultrasound intensities following attenuation from the skull bone
2008

Effects of Ultrasound on Blood Clot Breakdown

Sample size: 7 publication Evidence: moderate

Author Information

Author(s): Härdig Bjarne Madsen, Carlson Jonas, Roijer Anders

Primary Institution: Lund University, Lund University Hospital

Hypothesis

The study aims to explore changes in the effect of thrombolytic drugs during low-intensity, high-frequency continuous-wave ultrasound exposure.

Conclusion

Increasing intensities of CW-US exposure resulted in increased clot lysis of r-PA-treated blood clots, but decreased clot lysis of SK-treated clots.

Supporting Evidence

  • Continuous-wave ultrasound significantly decreased the effects of streptokinase at higher intensities.
  • Continuous-wave ultrasound significantly increased the effects of reteplase on clot lysis at various intensities.
  • The study involved a total of 216 clots for analysis.

Takeaway

This study looked at how ultrasound can help break down blood clots. It found that while it helps one type of medicine work better, it makes another type work worse.

Methodology

Blood clots were made from fresh venous blood of healthy volunteers and exposed to continuous-wave ultrasound at various intensities while measuring clot lysis.

Limitations

The use of pure 0.9% NaCl solution may not be optimal for exploring fibrinolytic effects.

Participant Demographics

7 healthy volunteers (3 men and 4 women, mean age 47.5 years)

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2261-8-19

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