Table 1. Models of acute right ventricular failure.
Method | Strengths | Limitations | Mouse | Rat | Rabbit | Dog | Sheep | Pig |
---|---|---|---|---|---|---|---|---|
Pulmonary embolism | ||||||||
Pharmacological coagulation vasoconstriction | Feasible | Often fatal | (5-9) | (10) | ||||
Minimal instrumentation | Difficult to control thrombus load | |||||||
Large clot burden | Unlike human physiology | |||||||
Exogenous clot Artificial | Feasible | Unlike human physiology | (11-13) | (14,15) | (16) | (17,18) | (19,20) | |
Controllable thrombus burden | Only distal thrombus | |||||||
Stable and lasting thrombus | Not able to remove thrombus | |||||||
Exogenous clot Autologous | Comparable to human physiology | Thrombus created ex vivo—Homogenous and fresh | (21-24) | (25-30) | (18,31) | (32-37) | ||
Thrombus resolution possible | Difficult to administer en block—Risk of fragmentation. | |||||||
Controllable thrombus load. | ||||||||
Deep venous thrombosis | Thrombus created in vivo—Heterogeneous and chronic | Challenging setup | (38) | (39) | ||||
Comparable to human physiology | Time needed for thrombus formation | |||||||
Central thrombus | Difficult to control thrombus load. | |||||||
Pulmonary artery occlusion | ||||||||
Pulmonary artery banding | Precise afterload increase | Need for open chest | (40) | (41) | (42) | (43-45) | (46,47) | |
Stable afterload | Not suited for pulmonary interventions | |||||||
Adjustable | Unlike human physiology | |||||||
Wide range of RV strain | ||||||||
Pulmonary artery balloon | Precise afterload increase | Not suited for pulmonary interventions | (48) | |||||
Stable afterload | Unlike human physiology | |||||||
Adjustable | ||||||||
Wide range of RV strain |
An overview of models of RV failure stratified to method of afterload increase and animal species.