Cardioprotective effect of silicone built restraint device (ASD), for
left ventricle remodeling in rat heart failure models
Abstract
Purpose: This study was to assess the feasibility and cardio-protective
effects of biocompatible silicon built restraint device (ASD) in rat’s
heart failure (HF) model. Background: Ventricle restraint therapy (VRT)
is a well-established and promising approach for management of
advanced-stage dilated HF. Previous VRT devices offer a subjective level
of restraint to the dilated heart muscles. However, the impact of the
restraint nature, mesh tubular design and biocompatibility of VRT
devices is not well investigated. Method: The performance and compliance
of ASD were determined in vitro by adopting a pneumatic drive and ball
burst test. SD rats were grouped into four (n=24); control, HF, ASD+HF
and CSD+HF groups, respectively. HF was induced by left anterior
descending artery ligation in all groups except the control group. ASD
and CSD devices were implanted in the heart of ASD+HF and CSD+HF groups
respectively. Results: The functional and expansion ability of ASD was
observed to be safer and suitable to attenuate ventricular remodeling.
ASD treated rats showed normal heart rhythm which was validated by a
smooth -ST and asymmetrical T-wave. Hemodynamic parameters, and systolic
and diastolic functions improved in the ASD+HF group and reduction in
ventricular wall stress indicated reverse remodeling. Furthermore BNP
values were reduced in ASD+HF group which confirmed ASD feasibility and
reverse remodeling at a molecular level. ASD+HF group also showed no
fibrosis thus proposing that ASD has its significant curative effects on
the heart muscles. Conclusion: ASD was found to be a promising restraint
therapy than the previously standard restraint therapies.