SIGNIFICANCE OF INTRAVASCULAR TEMPERATURE MANAGEMENT
Temperature management is being used widely & frequently as a tool for the prevention of neurological damage after cardiac arrest. The cardiac arrest survivors can show some devastating neurologic impairments after recovery. The overall value of the Global Intravascular Temperature Management was nearly USD 268.13 billion. It is predicted to reach a substantial value of USD 405.81 billion by 2030, along with a CAGR of 4.14 %.
According to a research survey, it was figured out that there are nearly 383,000 out-of-hospital cardiac arrests in the USA each year. Moreover, American Heart Association (AHA) guidelines in recommended therapeutic hypothermia (TH) as a Class I type of recommendation for the witnessed out-of-hospital ventricular fibrillation arrest & as a Class IIb recommendation for that non-ventricular fibrillation cardiac arrest.
The Intravascular temperature management systems proved to be the best available option & are being employed successfully for achieving a target core body temperature within the suggested narrow range in TH. Intravascular cooling methods are superior as compared to that of the extracorporeal cooling methods.
On the other hand, the traditional surface cooling methods are slow & inaccurate in temperature management. In comparison, the endovascular cooling methods have the advantage of enabling much better temperature regulation as compared to the extracorporeal or surface cooling methods. In one study, intravascular cooling successfully achieved a target temperature in 100% of all the patients.
Conventional Cooling Method
The conventional methods of cooling involve ice bags, cooling blankets, & gel pads. These techniques are very much easier to implement & are widely available for immediate usage. While the employment of these traditional methods can be quicker and easier, the major concern of inaccurate temperature control still remains a barrier. Recent studies have shown that the surface cooling methods failed to achieve the targeted temperature in a significant number of patients. The additional concerns associated with the conventional cooling methods are overshooting to lower body temperatures, the inability to sustain the core body temperature at the recommended level, & rapid uncontrolled rewarming.
The various types of Intravascular Cooling Catheters implemented in Therapeutic Hypothermia
a.)The Thermogard XP Temperature Management System and the Thermogard Family of Endovascular Cooling Catheters
The Thermogard catheters possess a control console & a range of around 9 French catheters for accommodating patient sizes for the process of central venous insertion. These catheters are carefully coated with heparin for the prevention of thrombosis. The catheters are integrated with a closed-loop balloon for heat exchange. In addition, 3 lumens are present for infusion or phlebotomy purposes. All the catheters are radiopaque & are very much safe for MRI.
b.) Endovascular System & the InnerCool RTx Cooling Catheter
The InnerCool RTx uses either a 14 or 10.7 French catheter that is carefully inserted into the central vein for cooling purposes. The catheter is carefully coated with heparin to prevent thrombosis. The catheter is inserted through a modified Seldinger technique. The cold saline is then circulated throughout the catheter & exchanges heat with the bloodstream. The catheters are available with & without a temperature probe. In catheters that lack an integrated temperature probe, the console accepts the temperature by means of a separate temperature probe. The InnerCool RTx catheter is radiopaque, & the placement can be easily confirmed radiographically. In patients who require head-only MRI, this catheter can safely remain in place as it is.
Hence, the advent of these above-mentioned technologies is expected to cater to immense opportunities for Intravascular Temperature Management in the upcoming years.
Source: https://www.strategicmarketresearch.com/market-report/intravascular-temperature-management-market