Summary
A new device for the direct assessment of spontaneous platelet aggregation in human
venous blood is described: the Filtragometer. The principle of the method is based
on measurement of the pressure difference across a filter with pores of 20 μπι diameter
through which blood from a forearm vein is drawn. Platelet aggregates, obstructing
the filter, cause a change in the pressure difference which is proportional to the
degree of platelet aggregation. The measurement takes only a short time and a small
amount (5-10 ml) of blood.
Platelet aggregation as measured with the Filtragometer depends on the type of anticoagulant
used. The Filtragometer response decreases on inhibition of platelet stickiness in vitro by prostaglandin E1 and in vivo by aspirin ingestion. Moreover it appeared to be higher in a group with a high thrombosis
tendency than in a group less susceptible to fatal arterial thrombosis.
The Filtragometer seems especially useful in monitoring the results of diet and/or
drug therapy.