Safety and efficacy of endovascular cooling and rewarming for induction and reversal of hypothermia in human-sized pigs.

Abstract:

BACKGROUND AND PURPOSE:Numerous studies indicate that mild hypothermia provides substantial neuroprotection. However, current systems transfer insufficient heat to rapidly vary core temperature. We thus evaluated the safety and efficacy of endovascular cooling and rewarming for the induction and reversal of hypothermia. METHODS:In 10 anesthetized pigs (weight, 66+/-2 kg), a heat-exchange balloon catheter was inserted into the inferior vena cava and used to cool to a core temperature of 32 degrees C and then rewarm to normothermia. Control animals had 38 degrees C saline infused. Venous blood was sampled before, during, and after cooling. Three animals in each group were killed 1 week later, and the lungs and inferior vena cava were removed for gross and microscopic examination. In 5 additional animals, cardiac output was measured during cooling to 32 degrees C. RESULTS:Body temperature in the hypothermic animals decreased at a rate of 4.5+/-0.4 degrees C/h. Animals were subsequently rewarmed to 36.0+/-0.04 degrees C at 2.5+/-0.2 degrees C/h. There was no difference in heart rate between hypothermic and control animals, whereas systolic pressure decreased during cooling. Cardiac output was well maintained during cooling. There were no thermal effects on blood elements or blood vessels. CONCLUSIONS:The endovascular heat-exchange system effectively cooled and rewarmed pigs with large thermal mass without producing any adverse effects on blood elements, blood vessel integrity, or cardiovascular function.

journal_name

Stroke

journal_title

Stroke

authors

Dae MW,Gao DW,Ursell PC,Stillson CA,Sessler DI

doi

10.1161/01.STR.0000057461.56040.FE

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

734-8

issue

3

eissn

0039-2499

issn

1524-4628

pii

01.STR.0000057461.56040.FE

journal_volume

34

pub_type

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