PT  - JOURNAL ARTICLE
AU  - G. Cattaneo
AU  - M. Schumacher
AU  - C. Maurer
AU  - J. Wolfertz
AU  - T. Jost
AU  - M. Büchert
AU  - A. Keuler
AU  - L. Boos
AU  - M.J. Shah
AU  - K. Foerster
AU  - W.-D. Niesen
AU  - G. Ihorst
AU  - H. Urbach
AU  - S. Meckel
TI  - Endovascular Cooling Catheter for Selective Brain Hypothermia: An Animal Feasibility Study of Cooling Performance
AID  - 10.3174/ajnr.A4625
DP  - 2016 May 01
TA  - American Journal of Neuroradiology
PG  - 885--891
VI  - 37
IP  - 5
4099  - http://www.ajnr.org/content/37/5/885.short
4100  - http://www.ajnr.org/content/37/5/885.full
SO  - Am. J. Neuroradiol.2016 May 01; 37
AB  - BACKGROUND AND PURPOSE: Therapeutic hypothermia represents a promising neuroprotective treatment in acute ischemic stroke. Selective cerebral hypothermia applied early, prior to and during endovascular mechanical recanalization therapy, may be beneficial in the critical phase of reperfusion. We aimed to assess the feasibility of a new intracarotid cooling catheter in an animal model.MATERIALS AND METHODS: Nine adult sheep were included. Temperature probes were introduced into the frontal and temporal brain cortices bilaterally. The cooling catheter system was introduced into a common carotid artery. Selective blood cooling was applied for 180 minutes. Systemic and local brain temperatures were measured during cooling and rewarming. Common carotid artery diameters and flow were measured angiographically and by Doppler sonography.RESULTS: The common carotid artery diameter was between 6.7 and 7.3 mm. Common carotid artery blood flow velocities increased moderately during cooling and after catheter removal. Maximum cerebral cooling in the ipsilateral temporal cortex was −4.7°C (95% CI, −5.1 to −4.0°C). Ipsilateral brain temperatures dropped significantly faster and became lower compared with the contralateral cortex with maximum temperature difference of −1.3°C (95% CI, −1.5 to −1.0°C; P < .0001) and compared with systemic temperature (−1.4°C; 95% CI, −1.7 to −1.0°C; P < .0001).CONCLUSIONS: Sheep proved a feasible animal model for the intracarotid cooling catheter. Fast induction of selective mild hypothermia was achieved within the cooled cerebral hemisphere, with stable temperature gradients in the contralateral brain and systemic blood. Further studies are required to demonstrate any therapeutic benefit of selective cerebral cooling in a stroke model.BWbody weightCCAcommon carotid arteryΔTtemperature dropMTmechanical thrombectomyTHtherapeutic hypothermia