Effect of Intermittent Pneumatic Compression on Preventing Deep Vein Thrombosis Using Microfluidic Vein Chip

Abstract

Deep vein thrombosis (DVT) is a common disease often occurring in the lower limb veins of bedridden patients. Intermittent pneumatic compression (IPC) has been considered an effective approach to solve this problem. In our previous research, 264 patients were randomly treated either with IPC for one or eight hours per day. The incidence of severe venous thrombosis was significantly lowered in the IPC group than in the control group. However, it is still a chanllenge to real-time monitoring the blood flow and thrombus formation process during IPC operation periods. Here we made a microfluidic vein chip with valves embedded in a flexible channel that can mimic the compression of vessels by IPC contractrion. Driven by inlet blood velocity obtained clinally, numerical simulation were conducted to identify the shear stress and laminar pressure distribution in the vein. The obtained results showed that the thrombus formation can be reduced with Higher compressive pressure and smaller time interval. 24s interval time and 40mmHg maximum contractive pressure was considered to be the most appropriate parameters for DVT prevention. This vein chip offers a new approach in vitro to observe the working mechanism of IPC device, offering important data for its further clinical standard regulation.