In vivo carotid artery closure by laser activation of hyaluronan-embedded gold nanorods

J Biomed Opt. 2010 Jul-Aug;15(4):041508. doi: 10.1117/1.3449574.

Abstract

We prove the first application of near-infrared-absorbing gold nanorods (GNRs) for in vivo laser closure of a rabbit carotid artery. GNRs are first functionalized with a biopolymeric shell and then embedded in hyaluronan, which gives a stabilized and handy laser-activable formulation. Four rabbits undergo closure of a 3-mm longitudinal incision performed on the carotid artery by means of a 810-nm diode laser in conjunction with the topical application of the GNRs composite. An effective surgery is obtained by using a 40-W/cm(2) laser power density. The histological and electron microscopy evaluation after a 30-day follow-up demonstrates complete healing of the treated arteries with full re-endothelization at the site of GNRs application. The absence of microgranuloma formation and/or dystrophic calcification is evidence that no host reaction to nanoparticles interspersed through the vascular tissue occurred. The observation of a reshaping and associated blue shift of the NIR absorption band of GNRs after laser treatment supports the occurrence of a self-terminating process, and thus of additional safety of the minimally invasive laser procedure. This study underlines the feasibility of using GNRs for in vivo laser soldering applications, which represents a step forward toward the introduction of nanotechnology-based therapies in minimally invasive clinical practices.

MeSH terms

  • Animals
  • Carotid Arteries / surgery*
  • Equipment Design
  • Equipment Failure Analysis
  • Gold / chemistry*
  • Gold / radiation effects
  • Hyaluronic Acid / radiation effects
  • Hyaluronic Acid / therapeutic use*
  • Laser Therapy / instrumentation*
  • Microsurgery / instrumentation*
  • Nanotubes / chemistry
  • Nanotubes / radiation effects*
  • Rabbits
  • Vascular Surgical Procedures / instrumentation*

Substances

  • Gold
  • Hyaluronic Acid