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Tytuł artykułu

Evaluation on safety and efficacy of ultrasound assisted thrombolysis in a sheep artificial heart pump

Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Thrombosis is a major and serious complication in patients with artificial heart pump assist device (HPAD). There is an urgent need for an efficient and safe method to solve the clinical challenge. We have developed a new type of ultrasound integrated heart pump assist device (uHPAD) with a pair of ultrasonic transducer rings installed around the pump. Based on the in-vitro experiments, the sonothrombolysis protocol was determined. Then, in-vivo experiments were performed on sheep to evaluate the efficacy and safety of the novel uHPAD. It is found that the ultrasound assisted thrombolysis with the drug-loaded microbubbles can accelerate the dissolution of the thrombus in the pump, while have no significant negative effect on blood cell components, coagulation-hemolysis system, and the structure and function of main organs. The ultrasound assisted thrombolysis is demonstrated to be a promising method to solve the clinical problem of thrombosis in the HPAD.
Twórcy
autor
  • Beijing Key Laboratory of Pre-clinical Research and Evaluation for Cardiovascular Implant Materials, Animal Experimental Center, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Beijing 102300, China
  • Department of Mechanical Engineering, Tsinghua University, Beijing 100084, China
autor
  • Beijing Key Laboratory of Pre-clinical Research and Evaluation for Cardiovascular Implant Materials, Animal Experimental Center, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Beijing 102300, China
autor
  • Beijing Key Laboratory of Pre-clinical Research and Evaluation for Cardiovascular Implant Materials, Animal Experimental Center, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Beijing 102300, China
autor
  • Beijing Key Laboratory of Pre-clinical Research and Evaluation for Cardiovascular Implant Materials, Animal Experimental Center, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Beijing 102300, China
autor
  • Beijing Key Laboratory of Pre-clinical Research and Evaluation for Cardiovascular Implant Materials, Animal Experimental Center, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Beijing 102300, China
autor
  • Beijing Key Laboratory of Pre-clinical Research and Evaluation for Cardiovascular Implant Materials, Animal Experimental Center, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Beijing 102300, China
autor
  • Beijing Key Laboratory of Pre-clinical Research and Evaluation for Cardiovascular Implant Materials, Animal Experimental Center, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Beijing 102300, China
autor
  • Beijing Key Laboratory of Pre-clinical Research and Evaluation for Cardiovascular Implant Materials, Animal Experimental Center, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Beijing 102300, China
autor
  • Beijing Key Laboratory of Pre-clinical Research and Evaluation for Cardiovascular Implant Materials, Animal Experimental Center, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Beijing 102300, China
autor
  • Beijing Key Laboratory of Pre-clinical Research and Evaluation for Cardiovascular Implant Materials, Animal Experimental Center, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Beijing 102300, China
autor
  • Beijing Key Laboratory of Pre-clinical Research and Evaluation for Cardiovascular Implant Materials, Animal Experimental Center, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Beijing 102300, China
autor
  • Department of Mechanical Engineering, Tsinghua University, Beijing 100084, China
autor
  • Beijing Key Laboratory of Pre-clinical Research and Evaluation for Cardiovascular Implant Materials, Animal Experimental Center, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Beijing 102300, China
Bibliografia
  • [1] Gedela M, Gohar A, Jonsson O. A brief review of left ventricular assist devices and their management. S D Med 2019;72(1):19-26.
  • [2] Kubrusly LF. Ventricular assist devices: an evolving field. Braz J Cardiovasc Surg 2019;34(1):III-V.
  • [3] Desai SR, Hwang NC. Advances in left ventricular assist devices and mechanical circulatory support. J Cardiothorac Vasc Anesth 2018;32(3):1193-213.
  • [4] Kar S. Percutaneous mechanical circulatory support devices for high-risk percutaneous coronary intervention. Curr Cardiol Rep 2018;20(1):2.
  • [5] Cevasco MR, Li B, Han J, Chiuzan C, Mauro CM, Kurlansky P, et al. Adverse event profile associated with prolonged use of CentriMag ventricular assist device for refractory cardiogenic shock. ASAIO J 2019;65(8):806-11.
  • [6] John R, Long JW, Massey HT, Griffith BP, Sun BC, Tector AJ, et al. Outcomes of a multicenter trial of the Levitronix CentriMag ventricular assist system for short-term circulatory support. J Thorac Cardiovasc Surg 2011;141(4):932-9.
  • [7] Takayama H, Soni L, Kalesan B, Truby LK, Ota T, Cedola S, et al. Bridge-to-decision therapy with a continuous-flow external ventricular assist device in refractory cardiogenic shock of various causes. Circ Heart Fail 2014;7(5):799-806.
  • [8] Morrison KA, Jorde UP, Garan AR, Takayama H, Naka Y, Uriel N. Acquired von Willebrand disease during CentriMag support is associated with high prevalence of bleeding during support and after transition to heart replacement therapy. ASAIO J 2014;60(2):241-2.
  • [9] Hoshi H, Asama J, Hijikata W, Hara C, Shinshi T, Yasuda T, et al. Hemolytic performance of a MagLev disposable rotary blood pump (MedTech Dispo): effects of MagLev gap clearance and surface roughness. Artif Organs 2006;30(12):949-54.
  • [10] Asama J, Shinshi T, Hoshi H, Takatani S, Shimokohbe A. A compact highly efficient and low hemolytic centrifugal blood pump with a magnetically levitated impeller. Artif Organs 2006;30(3):160-7.
  • [11] Aaronson KD, Slaughter MS, Miller LW, McGee EC, Cotts WG, Acker MA, et al. HeartWare ventricular assist device (HVAD) bridge to transplant ADVANCE trial investigators. Use of an intrapericardial, continuous-flow, centrifugal pump in patients awaiting heart transplantation. Circulation 2012;125(25):3191-200.
  • [12] Nair N, Schmitt AA, Rau EM, Anders S, Sandler D, Icenogle TB. Thrombolytics in VAD management - A single-center experience. Int J Cardiol Heart Vasc 2016;11: 49-54.
  • [13] Starling RC, Moazami N, Silvestry SC, Ewald G, Rogers JG, Milano CA, et al. Unexpected abrupt increase in left ventricular assist device thrombosis. N Engl J Med 2014;370(1):33-40.
  • [14] Mehra MR, Stewart GC, Uber PA. The vexing problem of thrombosis in long-term mechanical circulatory support. J Heart Lung Transplant 2014;33(1):1-11.
  • [15] Park SJ, Milano CA, Tatooles AJ, Rogers JG, Adamson RM, Steidley DE, et al. Outcomes in advanced heart failure patients with left ventricular assist devices for destination therapy. Circ Heart Fail 2012;5(2):241-8.
  • [16] Kirklin JK, Naftel DC, Kormos RL, Pagani FD, Myers SL, Stevenson LW, et al. Interagency registry for mechanically assisted circulatory support (INTERMACS) analysis of pump thrombosis in the HeartMate II left ventricular assist device. J Heart Lung Transplant 2014;33(1):12-22.
  • [17] Dimitrov K, Maier J, Sandner S, Riebandt J, Wiedemann D, Moayedifar R, et al. Thrombolysis as first-line therapy for Medtronic/HeartWare HVAD left ventricular assist device thrombosis. Eur J Cardiothorac Surg 2020;58(6):1182-91.
  • [18] Seese L, Hickey G, Keebler M, Thoma F, Kilic A. Limited efficacy of thrombolytics for pump thrombosis in durable left ventricular assist devices. Ann Thorac Surg 2020;110(6):2047-54.
  • [19] Schrage B, Grahn H, Wagner FM, Bernhardt A, Rybczynski M, Blankenberg S, et al. Effective treatment with a new protocol using tissue-type plasminogen activator thrombolysis for pump thrombosis with the HVAD device. Eur Heart J Acute Cardiovasc Care 2018;7(8):766-70.
  • [20] Chou BP, Lamba HK, Cheema FH, Civitello AB, Delgado RM, Simpson L, et al. Outcomes of repeat left ventricular assist device exchange. ASAIO J 2020;66(1): 64-8.
  • [21] Scandroglio AM, Kaufmann F, Pieri M, Kretzschmar A, Müller M, Pergantis P, et al. Diagnosis and treatment algorithm for blood flow obstructions in patients with left ventricular assist device. J Am Coll Cardiol 2016;67(23):2758-68.
  • [22] Marmagkiolis K, Lendel V, Cilingiroglu M. EKOS™ ultrasound - accelerated catheter - directed thrombolysis for acutely occluded femoro-popliteal graft. Cardiovasc Revasc Med 2014;15(1):43-5.
  • [23] Subramanian V, Pasi R, Weekman EM, Adams GL. A tactical approach to arterial access for critical limb ischemia. Vasc Dis Manage 2019;16(1).
  • [24] Gao S, Zhu Q, Guo M, Gao Y, Dong X, Chen Z, et al. Ultrasound and intra-clot microbubbles enhanced catheter-directed thrombolysis in vitro and in vivo. Ultrasound Med Biol 2017;43(8):1671-8.
  • [25] Trivedi JR, Sobieski MA, Schwartz S, Williams ML, Slaughter MS. Novel thrombosis risk index as predictor of left ventricular assist device thrombosis. ASAIO J 2013;59 (4):380-3.
  • [26] Nassif ME, LaRue SJ, Raymer DS, Novak E, Vader JM, Ewald GA, et al. Relationship between anticoagulation intensity and thrombotic or bleeding outcomes among outpatients with continuous-flow left ventricular assist devices. Circ Heart Fail 2016;9(5):e002680.
  • [27] Li J, Zhang Y, Zou C, Chen Y, Li Y, Chen H. Binding properties of flowing fibrin-targeted microbubbles evaluated with a thrombus-embedded microchannel. Lab Chip 2022;22(12):2292-8.
  • [28] Huang Y, Gu B, Salles-Crawley II, Taylor KA, Yu L, Ren J, et al. Fibrinogen-mimicking, multiarm nanovesicles for human thrombus-specific delivery of tissue plasminogen activator and targeted thrombolytic therapy. Sci Adv 2021;7(23): eabf9033.
  • [29] Ashokkumar M, Cavalieri F, Chemat F, Okitsu K, Zisu B. Handbook of Ultrasonics and Sonochemistry. Springer; 2016.
  • [30] Upadhyay A, Dalvi SV. Microbubble Formulations: Synthesis, Stability, Modeling and Biomedical Applications. Ultrasound Med Biol 2019;45(2):301-43.
  • [31] Hao C, Ding W, Xu X, Sun Q, Li X, Wang W, et al. Effect of recombinant human prourokinase on thrombolysis in a rabbit model of thromboembolic stroke. Biomed Rep 2018;8(1):77-84.
  • [32] Miura M, Fu X, Zhang QW, Remick DG, Fairchild RL. Neutralization of Gro alpha and macrophage inflammatory protein-2 attenuates renal ischemia/reperfusion injury. Am J Pathol 2001;159(6):2137-45.
  • [33] Jacevic V, Djordjevic A, Srdjenovic B, Milic-Tores V, Segrt Z, Dragojevic-Simic V, et al. Fullerenol nanoparticles prevents doxorubicin-induced acute hepatotoxicity in rats. Exp Mol Pathol 2017;102(2):360-9.
  • [34] Akinci OI, Celik M, Mutlu GM, Martino JM, Tugrul S, Ozcan PE, et al. Effects of body temperature on ventilator-induced lung injury. J Crit Care 2005;20(1):66-73.
  • [35] Joukar S, Najafipour H, Khaksari M, Sepehri G, Shahrokhi N, Dabiri S, et al. The effect of saffron consumption on biochemical and histopathological heart indices of rats with myocardial infarction. Cardiovasc Toxicol 2010;10(1):66-71.
  • [36] Boni L, Sasaki T, Ferrier WT, Yeung JT, Reichenbach SH, Riemer RK, et al. Challenges in longer-term mechanical support of fontan circulation in sheep. ASAIO J 2012;58(1):60-4.
  • [37] Jabbar AA, Yau R, Frazier OH, Delgado 3rd R. Direct thrombolytic therapy for thrombosis of a centrifugal flow left ventricular assist device. ASAIO J 2013;59(5): 530-2.
  • [38] Jennings DL, Weeks PA. Thrombosis in continuous-flow left ventricular assist devices: pathophysiology, prevention, and pharmacologic management. Pharmacotherapy 2015;35(1):79-98.
  • [39] Stewart GC, Stevenson LW. Keeping left ventricular assist device acceleration on track. Circulation 2011;123(14):1559-68.
  • [40] Collis J, Manasseh R, Liovic P, Tho P, Ooi A, Petkovic-Duran K, et al. Cavitation microstreaming and stress fields created by microbubbles. Ultrasonics 2010;50(2): 273-9.
  • [41] Baumann Kreuziger LM, Kim B, Wieselthaler GM. Antithrombotic therapy for left ventricular assist devices in adults: a systematic review. J Thromb Haemost 2015; 13(6):946-55.
  • [42] Lewandowska L, Małyszko J, Joanna M-R. Urinary and serum biomarkers for prediction of acute kidney injury in patients undergoing liver transplantation. Ann Transplant 2019;24:291-7.
  • [43] Sookoian S, Pirola CJ. Liver enzymes, metabolomics and genome-wide association studies: from systems biology to the personalized medicine. World J Gastroenterol 2015;21(3):711-25.
  • [44] Bandiera S, Pulcinelli RR, Huf F, et al. Hepatic and renal damage by alcohol and cigarette smoking in rats. Toxicol Res 2020;37(2):209-19.
  • [45] Sharma K, Zajc I, Žiberna L. Dietary vitamin D equilibrium in serum ameliorates direct bilirubin associated diabetes mellitus. Chem Biol Interact 2021;337:109399.
  • [46] Kondrat’eva DS, Afanas’ev SA, Archakov EA, Tsapko LP, Batalov RE. Myocardial expression of SERCA2a and structural and functional indices in patients with atrial fibrillation. Bull Exp Biol Med 2019;167(6):787-90.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-afc2eec5-7970-4710-9903-b1f73fc9ac8c
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