Method: 22 sheep underwent patch grafting of the left common carotid artery ( Figure 1). The sheep were divided into four distinct groups; a control group and three treatment groups based on a weight-related Daily intramuscular dose of PI-88 (these being low dose, intermediate dose and high dose groups respectively). The sheep were treated for a continuous 28-day period after which they were euthanased and the carotid arteries with graft in situ were removed for histological analysis ( figures 2A and 2B). Markers of intimal hyperplasia included: IH index, IH area / lumen area and IH perimeter. Results were analysed using statistical regression mixed effects models with a significance set at 5% throughout. Results: The overall IH index, IH area / lumen area and the IH perimeter were not significantly reduced between the treated groups and the controls (Table 1). However, after the distance along the graft was taken into account, statistical significance was achieved with respect to IH index (p=0.0006) and IH area / lumen area (p=0.0001) (Figures 3A and 3B respectively). There was no difference in the IH index or IH area / lumen area between the three treated groups (Table 2). The only clinically significant side effect seen from the PI-88 was a statistically significant prolongation in the APTT over the study period (p=0.0001). This was reflected in a higher incidence of bleeding in the high-dose group.
Read full abstract