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Interventional Microbubble Enhanced Sonothrombolysis on Left Ventricular Assist Devices

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Journal Adv Sci (Weinh)
Date 2022 May 26
PMID 35615977
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Abstract

The left ventricular assist device (LVAD) is often used in the treatment of heart failure. However, 4% to 9% implanted LVAD will have thrombosis problem in one year, which is fatal to the patient's life. In this work, an interventional sonothrombolysis (IST) method is developed to realize the thrombolysis on LVAD. A pair of ultrasound transducer rings is installed on the shell of LVAD, and drug-loaded microbubbles are injected into the LVAD through the interventional method. The microbubbles are adhere on the thrombus with the coated thrombus-targeted drugs, and the thrombolytic drugs carried by the bubbles are brought into the thrombus by the cavitation of bubbles under the ultrasound. In a proof-of-concept experiment in a live sheep model, the thrombus on LVAD is dissolved in 30 min, without damages on LVADs and organs. This IST exhibits to be more efficient and safer compared with other thrombolysis methods on LVAD.

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Interventional Microbubble Enhanced Sonothrombolysis on Left Ventricular Assist Devices.

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PMID: 35615977 PMC: 9313509. DOI: 10.1002/advs.202201291.

References
1.
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):2047-2054. DOI: 10.1016/j.athoracsur.2020.03.061. View

2.
Huang Y, Gu B, Salles-Crawley I, Taylor K, Yu L, Ren J . Fibrinogen-mimicking, multiarm nanovesicles for human thrombus-specific delivery of tissue plasminogen activator and targeted thrombolytic therapy. Sci Adv. 2021; 7(23). PMC: 8172176. DOI: 10.1126/sciadv.abf9033. View

3.
Goel L, Wu H, Zhang B, Kim J, Dayton P, Xu Z . Nanodroplet-mediated catheter-directed sonothrombolysis of retracted blood clots. Microsyst Nanoeng. 2021; 7:3. PMC: 7787976. DOI: 10.1038/s41378-020-00228-9. View

4.
Szablowski J, Lee-Gosselin A, Lue B, Malounda D, Shapiro M . Acoustically targeted chemogenetics for the non-invasive control of neural circuits. Nat Biomed Eng. 2019; 2(7):475-484. DOI: 10.1038/s41551-018-0258-2. View

5.
Krajcer Z, Gilbert J, Dougherty K, Mortazavi A, Strickman N . Successful treatment of aortic endograft thrombosis with rheolytic thrombectomy. J Endovasc Ther. 2003; 9(6):756-64. DOI: 10.1177/152660280200900607. View