Key result
Intracoronary supersaturated oxygen therapy showed no evidence of toxicity and demonstrated a non-significant trend toward reduced average infarct volume (0.6 cm3 vs 1.5 cm3) at 30 days compared to sham in a swine model.
Why the study?
The study assessed the chronic myocardial, coronary, and systemic effects of intracoronary supersaturated oxygen therapy.
Does intracoronary supersaturated oxygen therapy improve myocardial salvage and maintain safety in swine with normal and ischemic-reperfused myocardium?
RCT (n=40)
Single-blind (analysts blinded to treatments)
Randomized using an online random number generator
No
Does intracoronary supersaturated oxygen therapy improve myocardial salvage and maintain safety in swine with normal and ischemic-reperfused myocardium?
Intracoronary supersaturated oxygen therapy appears safe with no adverse effects on coronary healing or systemic toxicity in a swine model, showing a trend toward reduced infarct size.
Answers are grounded in this paper and cite their sources.
SSO2 appears safe in swine; leaves open translation to human myocardial salvage.
The study assessed chronic myocardial, coronary and systemic effects of intracoronary supersaturated oxygen (SSO 2 ) therapy. Left anterior descending coronary arteries of 40 swine were stented and randomized to 90-min selective intracoronary infusion of SSO 2 (pO 2 760–1000 mmHg) or normoxemic saline. In 20 out of 40 animals, SSO 2 delivery followed a 60-min balloon occlusion to induce myocardial infarction (MI). In both normal and MI models, intracoronary treatment with hyperoxemic SSO 2 therapy showed no evidence of coronary thrombosis. There were no biologically relevant differences between treatments at either time point in regard to coronary intervention site healing and neointimal growth. No signs of any myocardial or systemic toxicity were observed after 7 or 30 days. A trend was observed toward reduced incidence of microscopic MI scars and reduced infarct size in histopathology, as well as toward better recovery of echocardiographically evaluated global and regional contractility at 30 days. No treatment related infarcts or thromboemboli were observed in the downstream organs.
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Kałuża et al. (2022) conducted an RCT in Myocardial infarction (induced) and normal myocardium in a swine model (n=40). Intracoronary supersaturated oxygen (SSO2) therapy vs. Normoxemic saline (sham infusion) was evaluated on Average infarct volume at 30 days (cm3) (p=not significant). Intracoronary supersaturated oxygen therapy showed no evidence of toxicity and demonstrated a non-significant trend toward reduced average infarct volume (0.6 cm3 vs 1.5 cm3) at 30 days compared to sham in a swine model.
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