The Division of Cardiology, Rabin Medical Center, 39 Jabotinsky Street, Petach-Tikva, Israel.
The Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
J Cardiovasc Transl Res. 2019 Aug;12(4):290-298. doi: 10.1007/s12265-018-9856-3. Epub 2019 Jan 2.
The V-LAP™ measures left atrial pressure (LAP) and enables bi-directional communications with an external unit, designed to monitor heart failure patients. We hereby describe the pre-clinical experience. Following an ex vivo phase, the system was implanted at the interatrial septum of 10 ovine subjects. LAP readouts were compared with pulmonary capillary wedge pressure (PCWP) at index procedure and 1, 2 and 3-6 months after the implantation, at rest and after volume loading. Histopathology assessment (n = 8) was performed up to 50 weeks post procedure. Procedural success was 100%. Measurements showed a mean difference of 0.19 ± 2.51 mmHg. During this period, correlation of V-LAP™ with PCWP was excellent (R = 0.95, for 119 total measurements). There were no major adverse events related to the V-LAP™ system. In an animal model, the implantation of the novel wireless left atrial pressure sensor V-LAP™ was feasible, safe, and showed good accuracy and precision.
V-LAP™ 可测量左心房压力(LAP),并与外部单元进行双向通信,旨在监测心力衰竭患者。我们在此描述其临床前经验。在进行离体阶段后,将该系统植入 10 只绵羊的房间隔中。在植入索引程序以及植入后 1、2 和 3-6 个月,在休息和容量负荷时,将 LAP 读数与肺毛细血管楔压(PCWP)进行比较。在术后 50 周进行了组织病理学评估(n=8)。手术成功率为 100%。测量结果显示平均差值为 0.19±2.51mmHg。在此期间,V-LAP™与 PCWP 的相关性非常好(R=0.95,总测量值为 119 个)。与 V-LAP™系统相关的无重大不良事件。在动物模型中,新型无线左心房压力传感器 V-LAP™ 的植入是可行的、安全的,并且具有良好的准确性和精密度。