1001–24 Local Delivery of Urokinase to Porcine Coronary Arteries Using the Localmed Infusion Sleeve

Local Delivery of thrombolytic agents may reduce thrombus formation after balloon angioplasty. The Localmed Infusion Sleeve enables localized infusion of urokinase to be performed at the time of balloon angioplasty without the need for catheter exchange.MethodsBalloon angioplasty was performed on 13 coronary arteries of 5 pigs at 4 atmospheres with a balloon to artery ratio of approximately 1.1 to 1. After angioplasty the Infusion Sleeve was advanced over the dilatation balloon and the balloon was reinflated to 2 atmospheres to appose the sleeve to the vessel wall. 50,000 Units (8 cc) of 123l-urokinase was infused through the microperforations in the sleeve for 10 seconds by a computer controlled pump. The coronaries were then excised and counted in a gamma counter.ResultsConclusions(1) The Localmed Infusion Sleeve enables drug infusion to be uncoupled from balloon dilatation. (2) Successful delivery of Urokinase to the vessel wall may be achieved using this device without the need for catheter exchange. (3) Persistence of urokinase within the vessel wall occurs after local delivery