Literature DB >> 34446331

Safety Evaluation of a Forward-Viewing Intravascular Transducer for Sonothrombolysis: An in Vitro and ex Vivo Study.

Leela Goel1, Huaiyu Wu2, Bohua Zhang2, Jinwook Kim3, Paul A Dayton3, Zhen Xu4, Xiaoning Jiang5.   

Abstract

Recent in vitro work has revealed that a forward-viewing intravascular (FVI) transducer has sonothrombolysis applications. However, the safety of this device has yet to be evaluated. In this study, we evaluated the safety of this device in terms of tissue heating, vessel damage and particle debris size during sonothrombolysis using microbubbles or nanodroplets with tissue plasminogen activator, in both retracted and unretracted blood clots. The in vitro and ex vivo sonothrombolysis tests using FVI transducers revealed a temperature rise of less than 1°C, no vessel damage as assessed by histology and no downstream clot particles >500 µm. These in vitro and ex vivo results indicate that the FVI transducer poses minimal risk for sonothrombolysis applications and should be further evaluated in animal models.
Copyright © 2021 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.

Entities:  

Keywords:  Intravascular sonothrombolysis; Microbubbles; Nanodroplets; Retracted clots; Safety; Tissue plasminogen activator; Ultrasound-assisted thrombolysis

Mesh:

Substances:

Year:  2021        PMID: 34446331      PMCID: PMC8487993          DOI: 10.1016/j.ultrasmedbio.2021.07.018

Source DB:  PubMed          Journal:  Ultrasound Med Biol        ISSN: 0301-5629            Impact factor:   2.998


  33 in total

1.  Reduction in distal emboli with proximal flow control during mechanical thrombectomy: a quantitative in vitro study.

Authors:  Ju-Yu Chueh; Anna Luisa Kühn; Ajit S Puri; Scott D Wilson; Ajay K Wakhloo; Matthew J Gounis
Journal:  Stroke       Date:  2013-03-14       Impact factor: 7.914

2.  Sonothrombolysis with magnetic microbubbles under a rotational magnetic field.

Authors:  Bohua Zhang; Howuk Kim; Huaiyu Wu; Yu Gao; Xiaoning Jiang
Journal:  Ultrasonics       Date:  2019-06-10       Impact factor: 2.890

3.  Ultrasound enhancement of rabbit femoral artery thrombolysis.

Authors:  P N Riggs; C W Francis; S R Bartos; D P Penney
Journal:  Cardiovasc Surg       Date:  1997-04

4.  Transcranial low-frequency ultrasound-mediated thrombolysis in brain ischemia: increased risk of hemorrhage with combined ultrasound and tissue plasminogen activator: results of a phase II clinical trial.

Authors:  Michael Daffertshofer; Achim Gass; Peter Ringleb; Matthias Sitzer; Ulrich Sliwka; Thomas Els; Oliver Sedlaczek; Walter J Koroshetz; Michael G Hennerici
Journal:  Stroke       Date:  2005-06-09       Impact factor: 7.914

5.  In vitro effectiveness of mechanical thrombectomy devices for large vessel diameter and low-pressure fluid dynamic applications.

Authors:  Stefan Müller-Hülsbeck; Jan Grimm; Jürgen Leidt; Martin Heller
Journal:  J Vasc Interv Radiol       Date:  2002-08       Impact factor: 3.464

Review 6.  Fetal thermal effects of diagnostic ultrasound.

Authors:  Jacques S Abramowicz; Stanley B Barnett; Francis A Duck; Peter D Edmonds; Kullervo H Hynynen; Marvin C Ziskin
Journal:  J Ultrasound Med       Date:  2008-04       Impact factor: 2.153

7.  Ultrasound-enhanced thrombolysis for acute ischemic stroke: phase I. Findings of the CLOTBUST trial.

Authors:  Andrei V Alexandrov; Andrew M Demchuk; W Scott Burgin; David J Robinson; James C Grotta
Journal:  J Neuroimaging       Date:  2004-04       Impact factor: 2.486

8.  A Comparison of Sonothrombolysis in Aged Clots between Low-Boiling-Point Phase-Change Nanodroplets and Microbubbles of the Same Composition.

Authors:  Jinwook Kim; Ryan M DeRuiter; Leela Goel; Zhen Xu; Xiaoning Jiang; Paul A Dayton
Journal:  Ultrasound Med Biol       Date:  2020-08-14       Impact factor: 2.998

9.  Noninvasive thrombolysis using microtripsy: a parameter study.

Authors:  Xi Zhang; Lifang Jin; Eli Vlaisavljevich; Gabe E Owens; Hitinder S Gurm; Charles A Cain; Zhen Xu
Journal:  IEEE Trans Ultrason Ferroelectr Freq Control       Date:  2015-12       Impact factor: 2.725

Review 10.  Advances in Sonothrombolysis Techniques Using Piezoelectric Transducers.

Authors:  Leela Goel; Xiaoning Jiang
Journal:  Sensors (Basel)       Date:  2020-02-27       Impact factor: 3.576

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  3 in total

1.  (More than) doubling down: Effective fibrinolysis at a reduced rt-PA dose for catheter-directed thrombolysis combined with histotripsy.

Authors:  Samuel A Hendley; Aarushi Bhargava; Christy K Holland; Geoffrey D Wool; Osman Ahmed; Jonathan D Paul; Kenneth B Bader
Journal:  PLoS One       Date:  2022-01-04       Impact factor: 3.240

2.  Interventional Microbubble Enhanced Sonothrombolysis on Left Ventricular Assist Devices.

Authors:  Xiaobing Zheng; Yunfan Pan; Yuan Zhang; Kuilin Meng; Jianye Zhou; Xin Wang; Yongchun Cui; Jiang Li; Yongjian Li; Haosheng Chen
Journal:  Adv Sci (Weinh)       Date:  2022-05-26       Impact factor: 17.521

3.  Dual-Frequency Intravascular Sonothrombolysis: An In Vitro Study.

Authors:  Huaiyu Wu; Leela D Goel; Howuk Kim; Bohua Zhang; Jinwook Kim; Paul A Dayton; Zhen Xu; Xiaoning Jiang
Journal:  IEEE Trans Ultrason Ferroelectr Freq Control       Date:  2021-11-23       Impact factor: 2.725

  3 in total

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