Aqueous oxygen hyperbaric reperfusion in a porcine model of myocardial infarction

J. Richard Spears, Cassandra Henney, Petar Prcevski, Rui Xu, Li Li, Giles J. Brereton, Marcello DiCarli, Ali Spanta, Richard Crilly, Abdulbaset M. Sulaiman, Samir Hadeed, Steven Lavine, William R. Patterson, Jeffrey Creech, Richard Vander Heide

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24 Scopus citations

Abstract

Objectives. The purpose of the study was to test the hypothesis that intracoronary aqueous oxygen (AO) hyperbaric reperfusion reduces myocardial injury after prolonged coronary occlusion. Background. Attenuation of ischemia/reperfusion injury by the use of hyperbaric oxygen (HBO) administered during reperfusion has been demonstrated for a wide variety of tissues, including myocardium. We have recently developed a more practical, catheter-based, site-specific method for delivery of oxygen at hyperbaric levels with aqueous oxygen infusion. Methods. Following a 60-minute balloon occlusion of the left anterior descending coronary artery in swine, intracoronary AO hyperoxemic perfusion (50 mL blood/minute; 1.5 mL AO/minute; mean pO2 = 834 ± 104 mmHg) was performed for 90 minutes after a 15-minute period of normoxemic autoreperfusion (physiologic reperfusion). Control groups consisted of autoreperfusion alone; active normoxemic perfusion (50 mL/minute) for 90 minutes; and hyperoxemic perfusion with a hollow fiber oxygenator (HFO) for 90 minutes. Results. A significant improvement in left ventricular ejection fraction was noted by ventriculography at 105 minutes of reperfusion (ANOVA, p < 0.05), compared to the 15-minute autoreperfusion period, only in the AO and HFO groups. Mean percent infarct size (area of necrosis)/(area at risk), quantitative post-mortem hemorrhage score, and myocardial myeloperoxidase levels at 3 hours of reperfusion were significantly less in the AO group (ANOVA, p < 0.05), but not in the HFO group, compared to normoxemic groups. Conclusions. The results demonstrate that intracoronary hyperbaric reperfusion with AO, but not with a membrane oxygenator, attenuates myocardial ischemia/reperfusion injury.

Original languageEnglish (US)
Pages (from-to)160-166
Number of pages7
JournalJournal of Invasive Cardiology
Volume14
Issue number4
StatePublished - Apr 23 2002

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Keywords

  • Infarction
  • Ischemia
  • Oxygen
  • Reperfusion

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Spears, J. R., Henney, C., Prcevski, P., Xu, R., Li, L., Brereton, G. J., DiCarli, M., Spanta, A., Crilly, R., Sulaiman, A. M., Hadeed, S., Lavine, S., Patterson, W. R., Creech, J., & Vander Heide, R. (2002). Aqueous oxygen hyperbaric reperfusion in a porcine model of myocardial infarction. Journal of Invasive Cardiology, 14(4), 160-166.