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Fibrin Without Ultrasonic Energy Fibrin With Ultrasonic Energy Fibrin With Ultrasonic Energy And Thrombolytic
Figure 1
Without Ultrasonic Energy
When a clot forms, plasminogen receptor sites are embedded deep into the fibrin. For the clot to be dissolved, lytic agents must be able to access those receptor sites. But the tightly wound fibrin strands prevent the drug from penetrating, limiting access to receptor sites on the interior of the clot.
Figure 2
With Ultrasonic Energy
The EKOS endovascular device is placed directly into the thrombus, where micro-transducers transmit high frequency, low power sound waves. The ultrasonic energy causes the fibrin strands to thin, exposing plasminogen receptor sites. That makes the thrombus more permeable and allows the lytic to penetrate deeper.
Figure 3
With Ultrasonic Energy And Thrombolytic
The EKOS drug delivery catheters deliver the lytic drug, while the non-cavitational ultrasound energy gently perfuses the drug deep into the clot, limiting the amount that escapes downstream. In vitro studies confirm that thrombus exposed to ultrasound absorbed 48% more t-PA in one hour, and 84% more in two hours, than thrombus not exposed.
1

1Francis, CW, et al. “Ultrasound Accelerates Transport of Recombinant Tissue Plasminogen Activator into Clots.” Ultrasound in Medicine and Biology 21:3 (1995): 419-424.

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