1. Achieving sustained extrauterine life: Challenges of an artificial placenta in fetal pigs as a model of the preterm human fetus
- Author
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Alex J. Charest‐Pekeski, Ayman Sheta, Luiza Taniguchi, Mark J. McVey, Alejandro Floh, Liqun Sun, Tanroop Aujla, Steven K. S. Cho, Jiaqi Ren, Lynn Crawford‐Lean, Celeste Foreman, Jessie Mei Lim, Brahmdeep S. Saini, Marvin Estrada, Anson Lam, Jaques Belik, Dariusz Mroczek, Megan Quinn, Stacey L. Holman, Jack R. T. Darby, Mike Seed, Janna L. Morrison, and Christoph Haller
- Subjects
artificial placenta ,cannulation ,heart failure ,preterm pig model ,Physiology ,QP1-981 - Abstract
Abstract Artificial placenta (AP) technology aims to maintain fetal circulation, while promoting the physiologic development of organs. Recent reports of experiments performed in sheep indicate the intrauterine environment can be recreated through the cannulation of umbilical vessels, replacement of the placenta with a low‐resistance membrane oxygenator, and incubation of the fetus in fluid. However, it remains to be seen whether animal fetuses similar in size to the extremely preterm human infant that have been proposed as a potential target for this technology can be supported in this way. Preterm Yucatan miniature piglets are similar in size to extremely preterm human infants and share similar umbilical cord anatomy, raising the possibility to serve as a good model to investigate the AP. To characterize fetal cardiovascular physiology, the carotid artery (n = 24) was cannulated in utero and umbilical vein (UV) and umbilical artery were sampled. Fetal UV flow was measured by MRI (n = 16). Piglets were delivered at 98 ± 4 days gestation (term = 115 days), cannulated, and supported on the AP (n = 12) for 684 ± 228 min (range 195–3077 min). UV flow was subphysiologic (p = .002), while heart rate was elevated on the AP compared with in utero controls (p = .0007). We observed an inverse relationship between heart rate and UV flow (r2 = .4527; p
- Published
- 2021
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