Authors :
Minocha Dr. Pramod Kumar; Kothwala Dr. Deveshkumar; Pandya Kamna; Mistry Saurabh Rana Nirav; Sharma Rahul
Volume/Issue :
Volume 9 - 2024, Issue 11 - November
Google Scholar :
https://tinyurl.com/5fb7n244
Scribd :
https://tinyurl.com/4ryz8dh4
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24NOV812
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
This study assessed the safety and
performance of a patent ductus arteriosus (PDA) occluder
using a porcine carotid artery model involving three male
pigs. Each pig underwent a thorough physical
examination and met the criteria for stable health and
body weight. On day 0, the occluder was implanted under
proper analgesia and anesthesia, with heparin used to
prevent clot formation. The deployment process was
meticulously evaluated through angiography and
Quantitative Vascular Analysis (QVA) before and after
implantation. Arteries were harvested at 90, 180, and 365
days for histopathological analysis. The occluder fulfilled
all acceptance criteria, demonstrating successful
deployment, trackability, and no cranial artery flow
above the device. Gross necropsy showed a bulged carotid
artery, suggesting a reaction to the device, while
histopathological evaluations showed good
endothelialization at all time points. The occluder was
well-visualized during imaging, deployed easily, and
could be withdrawn without issue. It effectively occluded
the artery at all follow-ups without migrating from the
target site. All animals survived the procedure and post-
procedural period with the device intact. These results
suggest that the PDA occluder is safe and effective in this
model, showing promise for future human clinical
applications, though further studies are needed to
confirm long-term safety and efficacy.
Keywords :
Patent Ductus Arteriosus (PDA) Occluder Device, Porcine Model, Safety Evaluation, Performance Assessment, Radiography And Angiographic Findings, Histopathological Findings.
References :
- Dr. Minocha et al (2024). In-Vitro Assessment of Atrial Septal Defect Occluder Deployment: A Crucial Step in Occluding Atrial Septal Defects and Restoring Cardiac Function. International Journal of Innovative Science and Research Technology (IJISRT), Volume 9, Issue 6: 460-465.
- Organization for Economic Co-operation and Development - Principles of GLP and Compliance Monitoring (as revised in 1997) ENV/MC/CHEM (98) 17.
- Guidance Document on the Recognition, Assessment and Use of Clinical signs as humane endpoints for Experimental Animals used in Safety Evaluation. ENV/JM/MONO (2000)7. OECD, December, 2000.
- Compendium of CPCSEA 2018; Guidelines for Laboratory Animal Facility 2015; 7: 61 – 96.
- Guide for the Care and Use of Laboratory Animals, Institute of Laboratory Animal Resources. Commission on Life Sciences. National Research Council. National Academy Press. Washington, D.C. 1996.
- Implants for surgery – Active implantable medical devices – Part 5: Circulatory support devices. (ISO 14708-5:2020).
- CFR - Code of Federal Regulations Title 21- Part58: Good Laboratory Practice for Nonclinical Laboratory Studies (21 CFR 58) 2019.
- Kornowskiet al (1998). In-Device Restenosis: Contributions of Inflammatory Responses and Arterial Injury to Neointimal Hyperplasia. J Am Coll Cardiol. 1: 224-230.
- Schwartz et al (1992). Restenosis and the Proportional Neointimal Response to Coronary Artery Injury: Results in a Porcine Model JACC 19-2: 267-74.
- Yazdani et al (2014). Vascular, Downstream, and Pharmacokinetic Responses to Treatment with a Low Dose Drug-Coated Balloon in a Swine Femoral Artery Model. Catheterization and Cardiovascular Interventions. 83 (1): 132-140.
This study assessed the safety and
performance of a patent ductus arteriosus (PDA) occluder
using a porcine carotid artery model involving three male
pigs. Each pig underwent a thorough physical
examination and met the criteria for stable health and
body weight. On day 0, the occluder was implanted under
proper analgesia and anesthesia, with heparin used to
prevent clot formation. The deployment process was
meticulously evaluated through angiography and
Quantitative Vascular Analysis (QVA) before and after
implantation. Arteries were harvested at 90, 180, and 365
days for histopathological analysis. The occluder fulfilled
all acceptance criteria, demonstrating successful
deployment, trackability, and no cranial artery flow
above the device. Gross necropsy showed a bulged carotid
artery, suggesting a reaction to the device, while
histopathological evaluations showed good
endothelialization at all time points. The occluder was
well-visualized during imaging, deployed easily, and
could be withdrawn without issue. It effectively occluded
the artery at all follow-ups without migrating from the
target site. All animals survived the procedure and post-
procedural period with the device intact. These results
suggest that the PDA occluder is safe and effective in this
model, showing promise for future human clinical
applications, though further studies are needed to
confirm long-term safety and efficacy.
Keywords :
Patent Ductus Arteriosus (PDA) Occluder Device, Porcine Model, Safety Evaluation, Performance Assessment, Radiography And Angiographic Findings, Histopathological Findings.