A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

Intracranial Biodegradable Silica-Based Nimodipine Drug Release Implant for Treating Vasospasm in Subarachnoid Hemorrhage in an Experimental Healthy Pig and Dog Model




TekijätKoskimaki J, Tarkia M, Ahtola-Satila T, Saloranta L, Simola O, Forsback AP, Laakso A, Frantzen J

KustantajaHINDAWI PUBLISHING CORPORATION

Julkaisuvuosi2015

JournalBioMed Research International

Tietokannassa oleva lehden nimiBiomed Research International

Lehden akronyymiBIOMED RES INT

Artikkelin numeroARTN 715752

Vuosikerta2015

Sivujen määrä10

ISSN2314-6133

DOIhttps://doi.org/10.1155/2015/715752


Tiivistelmä

Nimodipine is a widely used medication for treating delayed cerebral ischemia ( DCI) after subarachnoid hemorrhage. When administrated orally or intravenously, systemic hypotension is an undesirable side effect. Intracranial subarachnoid delivery of nimodipine during aneurysm clipping may be more efficient way of preventing vasospasm and DCI due to higher concentration of nimodipine in cerebrospinal fluid (CSF). The risk of systemic hypotension may also be decreased with intracranial delivery. We used animal models to evaluate the feasibility of surgically implanting a silica-based nimodipine releasing implant into the subarachnoid space through a frontotemporal craniotomy. Concentrations of released nimodipine were measured from plasma samples and CSF samples. Implant degradation was followed using CT imaging. After completing the recovery period, full histological examination was performed on the brain and meninges. The in vitro characteristics of the implant were determined. Our results show that the biodegradable silica-based implant can be used for an intracranial drug delivery system and nomajor histopathological foreign body reactions were observed. CT imaging is a feasible method for determining the degradation of silica implants in vivo. The sustained release profiles of nimodipine in CSF were achieved. Compared to a traditional treatment, higher nimodipine CSF/plasma ratios can be obtained with the implant.




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