Key result
In a canine model, intra-aneurysmal pressure measured by an implanted strain-gauge transducer correlated excellently with intravascular manometer measurements (r = 0.97).
This canine model provides an accurate and reproducible means for measuring intra-aneurysmal pressure acutely and chronically, which may be useful for assessing endovascular devices.
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Validates strain-gauge transducers for chronic pressure monitoring in canine aneurysm models; leaves open translation to human endovascular device assessment.
PURPOSE: To develop an animal model for the acute and chronic monitoring of pressure within abdominal aortic aneurysms (AAAs) to be treated with endovascular grafts. METHODS: A strain-gauge pressure transducer was placed within an AAA created from a prosthetic vascular graft. Prosthetic aneurysms were implanted into 17 canine infrarenal aortas. The intra-aneurysmal pressure was monitored and correlated with noninvasive forelimb sphygmomanometry for 2 weeks. After this time, an intravascular manometer catheter was passed into the aneurysm. Simultaneous pressure measurements were obtained using the implanted strain-gauge pressure transducer, the manometer catheter, and the forelimb sphygmomanometer. Angiography was performed to assess intraluminal morphology, aneurysm anastomoses, and adjoining aortic vessels. In addition, two control animals underwent intra-aneurysmal pressure monitoring after standard surgical aneurysm repair. RESULTS: There was excellent correlation (r = 0.97) between the pressure measurements obtained with the implanted strain-gauge pressure transducer and the intravascular manometer. Close correlation was also observed between the implanted strain-gauge transducer and the forelimb sphygmomanometer (r = 0.88) during postprocedural monitoring. Intra-aneurysmal pressure was lowered dramatically by surgical exclusion (aneurysm: 15/5 +/- 7/4 mmHg; systemic: 124/66 +/- 34/17 mmHg; p < 0.001). The prosthetic aneurysms were successfully imaged with angiography. CONCLUSIONS: This animal model provides an accurate and reproducible means for measuring intra-aneurysmal pressure on an acute and chronic basis. It may be possible to use this model in the assessment of endovascular devices to determine their efficacy in reducing intra-aneurysmal pressure. Evaluation of complications associated with their use, such as patent aneurysm side branches, perigraft channels, and perianastomotic reflux, may also be possible.
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Faries et al. (1997) studied Abdominal aortic aneurysms (n=19). Implanted strain-gauge pressure transducer vs. Intravascular manometer catheter and forelimb sphygmomanometer was evaluated on Correlation between pressure measurements obtained with the implanted strain-gauge pressure transducer and the intravascular manometer (r = 0.97). In a canine model, intra-aneurysmal pressure measured by an implanted strain-gauge transducer correlated excellently with intravascular manometer measurements (r = 0.97).
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