Evidence map›Paper›PMID 42188068›Full record

ArticleJournal of cardiovascular development and disease2026

Establishment of an MR-Conditional Porcine Model for Real-Time Assessment of Cerebral Blood Flow During Extracorporeal Circulation.

Michael Hofmann, Martin O Schmiady, Dominik T Schulte, Tobias Aigner, Rima Bektas, Manuela Wieser, Martina Lentini, Francesca Del Chicca, Christoph Loeschmann, Michael Hübler and 3 more

Abstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Michael HofmannVascular Surgery, Hirslanden, 9016 St. Gallen, Switzerland.
Martin O SchmiadyClinic for Cardiac Surgery, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland.ORCID 0000-0003-0210-7904
Dominik T SchulteInstitute for Dynamic Systems and Control, Department of Mechanical and Process Engineering, ETH Zurich, 8092 Zurich, Switzerland.ORCID 0000-0002-0188-6726
Tobias AignerClinic for Cardiac Surgery, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland.ORCID 0009-0005-6958-7107
Rima BektasDepartment of Anesthesiology, Vetsuisse Faculty, University of Zurich, 8057 Zurich, Switzerland.
Manuela WieserDepartment of Anesthesiology, Vetsuisse Faculty, University of Zurich, 8057 Zurich, Switzerland.
Martina LentiniDepartment of Anesthesiology, Vetsuisse Faculty, University of Zurich, 8057 Zurich, Switzerland.
Francesca Del ChiccaDiagnostic Imaging Research Unit (DIRU), Vetsuisse Faculty, University of Zurich, 8057 Zurich, Switzerland.ORCID 0000-0002-8996-1961
Christoph LoeschmannClinic for Cardiac Surgery, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland.
Michael HüblerSurgery for Congenital Heart Disease, University Heart and Vascular Center Hamburg, 20251 Hamburg, Germany.
Ruth O'Gorman TuuraCenter for MR Research, Children's Hospital, University of Zurich, 8008 Zurich, Switzerland.
Marianne Schmid DanersInstitute for Dynamic Systems and Control, Department of Mechanical and Process Engineering, ETH Zurich, 8092 Zurich, Switzerland.ORCID 0000-0002-6411-8871
Henning RichterDiagnostic Imaging Research Unit (DIRU), Vetsuisse Faculty, University of Zurich, 8057 Zurich, Switzerland.ORCID 0000-0003-3696-6993

Funding

Innosuisse (Swiss Agency for Innovation Promotion) 56642.1 IP-LS
6 · The paper itself

Abstract

background and purposeNeurological injury remains a major complication of pediatric cardiac surgery and is closely related to alterations in cerebral blood flow during extracorporeal circulation (ECC). However, the real-time assessment of cerebral perfusion under these conditions has been limited by the lack of magnetic resonance (MR)-compatible perfusion systems. The aim of this pilot feasibility study was to establish a porcine model enabling simultaneous cardiopulmonary bypass (CPB) and real-time MR-based assessment of cerebral blood flow during simulated pediatric cardiac surgery.

methodsWe conducted a pilot study on 11 Duroc pigs (14.6 ± 1.4 kg BW), designed in iterative cycles. The experimental setup included an MR-conditional heart-lung machine and a surgical protocol closely mimicking pediatric cardiac surgery. After the initiation of CPB and hemodynamic stabilization, animals were cooled to target temperatures (20 °C or 28 °C) depending on the perfusion strategy. Structural and functional MRI, including phase-contrast imaging, arterial spin labeling, diffusion-weighted imaging, and MR spectroscopy, were performed during cooling and rewarming. Procedural feasibility, technical challenges, and optimization strategies were systematically documented.

resultsThe study successfully established a reproducible porcine model enabling MR imaging during extracorporeal circulation. Key technical challenges, including vascular access, cannulation of the ascending aorta, and blood volume management, were identified and addressed through the iterative refinement of the surgical and perfusion protocols. The use of the Seldinger technique significantly improved cannulation safety and reduced blood loss. Stable CPB conditions and target hypothermic temperatures were achieved in successfully cannulated animals. MRI acquisition during CPB was feasible, providing simultaneous structural and functional assessment of cerebral perfusion. Representative imaging data demonstrate the capability of the model to capture cerebral hemodynamics in real time.

conclusionsThis pilot study establishes a novel MR-compatible porcine model for the real-time assessment of cerebral blood flow during extracorporeal circulation. The platform provides a robust foundation for future quantitative investigations of cerebral perfusion, mechanisms of brain injury, and neuroprotective strategies in pediatric cardiac surgery.

Indexed as

3Rcardiovascular researchdisease modelslarge animal modelspig modelstranslational research

Identifiers

PMID42188068
PMCPMC13207037

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.