In this study, we build and test a prototype of an interstitial cooling device in a tissue-equivalent gel phantom mimicking the human neck. The effectiveness of the device is measured by the capability of delivering a coolant temperature of lower than 5°C at the entrance of the device and the measured temperature decay along a glass tube filled with water circulating at a speed similar to that in the carotid artery. The experimental study has identified a cooling prototype design, which is capable of inducing sufficient temperature reduction along the common carotid artery. It also tests how easy to handle the device to ensure a close physical contact between the device and the glass tube. A 5°C coolant temperature can be delivered at the device entrance when using above 0°C coolant in the reservoir. The surface temperature of the device is found almost uniform. Despite its limitations, the experimental results agree generally with previous theoretical predictions. The 8 cm long and 3 cm wide device with a coolant temperature lower than 10°C is capable of inducing a temperature reduction of at least 2.5°C along the glass tube filled with water circulating at 240 ml/min. For higher water flow rates, one needs to increase the length of the device and/or lower the coolant temperature to achieve similar temperature decays along the glass tube.

1.
Nussmeier
,
N. A.
, 2002, “
A Review of Risk Factors for Adverse Neurologic Outcome After Cardiac Surgery
,”
J. Extracorporeal Technol.
0022-1058,
34
(
1
), pp.
4
10
.
2.
Jamieson
,
S. W.
,
Kapelanski
,
D. P.
,
Sakakibara
,
N.
,
Manecke
,
G. R.
,
Thistlethwaite
,
P. A.
,
Kerr
,
K. M.
,
Channick
,
R. N.
,
Fedullo
.
P. F.
, and
Auger
,
W. R.
, 2003, “
Pulmonary Endarterectomy: Experience and Lessons Learned in 1,500 Cases
,”
Ann. Thorac. Surg.
0003-4975,
76
(
5
), pp.
1457
1464
.
3.
Wagner
,
K. R.
, and
Zuccarello
,
M.
, 2005, “
Local Brain Hypothermia for Neuroprotection in Stroke Treatment and Aneurysm Repair
,”
Neurol. Res.
0160-6412,
27
, pp.
238
245
.
4.
Marion
,
D. W.
,
Penrod
,
L. E.
,
Kelsey
,
S. F.
,
Obrist
,
W. D.
,
Kochanek
,
P. M.
,
Palmer
,
A. M.
,
Wisniewski
,
S. R.
, and
DeKosky
,
S. T.
, 1997, “
Treatment of Traumatic Brain Injury With Moderate Hypothermia
,”
N. Engl. J. Med.
0028-4793,
336
, pp.
540
546
.
5.
Clark
,
R. S. B.
,
Kochanek
,
P. M.
,
Marion
,
D. W.
,
Schiding
,
J. K.
,
White
,
M.
,
Palmer
,
A. M.
, and
DeKosky
,
S. T.
, 1996, “
Mild Posttraumatic Hypothermia Reduces Mortality After Severe Controlled Cortical Impact in Rats
,”
J. Cereb. Blood Flow Metab.
0271-678X,
16
(
2
), pp.
253
261
.
6.
Wass
,
C. T.
,
Lanier
,
W. L.
,
Hofer
,
R. E.
,
Scheithauer
,
B. W.
, and
Andrews
,
A. G.
, 1995, “
Temperature Changes Of ≥1°C Alter Functional Neurologic Outcome and Histopathology in a Canine Model of Complete Cerebral Ischemia
,”
Anesthesiology
0003-3022,
83
, pp.
325
335
.
7.
Krieger
,
D. W.
,
De Georgia
,
M. A.
,
Abou-Chebl
,
A.
,
Andrefsky
,
J. C.
,
Sila
,
C. A.
,
Katzan
,
I. L.
,
Mayberg
,
M. R.
, and
Furlan
,
A. J.
, 2001, “
Cooling for Acute Ischemic Brain Damage (COOL AID): An Open Pilot Study of Induced Hypothermia in Acute Ischemic Stroke
,”
Stroke
0039-2499,
32
, pp.
1841
1854
.
8.
Schwab
,
S.
,
Schwarz
,
S.
,
Spranger
,
M.
,
Keller
,
E.
,
Bertram
,
M.
, and
Hacke
,
W.
, 1998, “
Moderate Hypothermia in the Treatment of Patients With Severe Middle Cerebral Artery Infarction
,”
Stroke
0039-2499,
29
, pp.
2461
2466
.
9.
Diao
,
C.
,
Zhu
,
L.
, and
Wang
,
H.
, 2003, “
Cooling and Rewarming for Brain Ischemia or Injury: Theoretical Analysis
,”
Ann. Biomed. Eng.
0090-6964,
31
, pp.
346
353
.
10.
Zhu
,
L.
, and
Diao
,
C.
, 2001, “
Theoretical Simulation of Temperature Distribution in the Brain During Mild Hypothermia Treatment for Brain Injury
,”
Med. Biol. Eng. Comput.
0140-0118,
39
, pp.
681
687
.
11.
Battin
,
M. R.
,
Penrice
,
J.
,
Gunn
,
T. R.
, and
Gunn
,
A. J.
, 2003, “
Treatment of Term Infants With Head Cooling and Mild Systemic Hypothermia (35.0°C and 34.5°C) After Perinatal Asphyxia
,”
Pediatrics
0031-4005,
111
, pp.
244
251
.
12.
Diao
,
C.
, and
Zhu
,
L.
, 2006, “
Temperature Distribution and Blood Flow Response in Rat Brain During Selective Brain Cooling
,”
Med. Phys.
0094-2405,
33
, pp.
2565
2573
.
13.
Gal
,
R.
,
Cundrle
,
I.
,
Zimova
,
I.
, and
Smrcka
,
M.
, 2002, “
Mild Hypothermia Therapy for Patients With Severe Brain Injury
,”
Clin. Neurol. Neurosurg.
0303-8467,
104
, pp.
318
321
.
14.
Gelman
,
B.
,
Schleien
,
C. L.
,
Lohe
,
A.
, and
Kuluz
,
J. W.
, 1996, “
Selective Brain Cooling in Infant Piglets After Cardiac Arrest and Resuscitation
,”
Crit. Care Med.
0090-3493,
24
, pp.
1009
1017
.
15.
Iwata
,
O.
,
Thornton
,
J. S.
,
Sellwood
,
M. W.
,
Iwata
,
S.
,
Sakata
,
Y.
,
Noone
,
M. A.
,
O’Brien
,
F. E.
,
Bainbridge
,
A.
,
DeVita
,
E.
,
Raivich
,
G.
,
Peebles
,
D.
,
Scaravilli
,
F.
,
Cade
,
E. B.
,
Ordidge
,
R.
,
Wyatt
,
J. S.
, and
Robertson
,
N. J.
, 2005, “
Depth of Delayed Cooling Alters Neuroprotection Pattern after Hypoxia-Ischemia
,”
Ann. Neurol.
0364-5134,
58
, pp.
75
87
.
16.
Laptook
,
A. R.
,
Shalak
,
L.
, and
Corbett
,
R. J. T.
, 2001, “
Differences in Brain Temperature and Cerebral Blood Flow During Selective Head Versus Whole-Body Cooling
,”
Pediatrics
0031-4005,
108
(
5
), pp.
1103
1110
.
17.
Wang
,
H.
,
Olivero
,
W.
,
Lanzino
,
G.
,
Elkins
,
W.
,
Rose
,
J.
,
Honings
,
D.
,
Rodde
,
M.
,
Burnham
,
J.
, and
Wang
,
D.
, 2004, “
Rapid and Selective Cerebral Hypothermia Achieved Using a Cooling Helmet
,”
J. Neurosurg.
0022-3085,
100
, pp.
272
277
.
18.
Wang
,
Y.
, and
Zhu
,
L.
, 2007, “
Targeted Brain Hypothermia Induced by an Interstitial Cooling Device in Human Neck: Theoretical Analyses
,”
Eur. J. Appl. Physiol.
0301-5548,
101
, pp.
31
40
.
19.
Wang
,
Y.
,
Zhu
,
L.
, and
Rosengart
,
A.
, 2008, “
Targeted Brain Hypothermia Induced by an Interstitial Cooling Device in the Rat Neck: Experimental Study and Model Validation
,”
Int. J. Heat Mass Transfer
0017-9310,
51
, pp.
5662
5670
.
20.
Wei
,
G.
,
Hartings
,
J. A.
,
Tortella
,
F. C.
, and
Lu
,
X. M.
, 2008, “
Extraluminal Cooling of Bilateral Common Carotid Arteries as a Method to Achieve Selective Brain Cooling for Neuroprotection
,”
J. Neurotrauma
0897-7151,
25
, pp.
549
559
.
21.
Bendel
,
P.
,
Buonocore
,
E.
,
Bockisch
,
A.
, and
Besozzi
,
M. C.
, 1989, “
Blood Flow in the Carotid Arteries: Quantification by Using Phase-Sensitive MR Imaging
,”
AJR, Am. J. Roentgenol.
0361-803X,
152
, pp.
1307
1310
.
22.
Oktar
,
S. O.
,
Yücel
,
C.
,
Karaosmanoglu
,
D.
,
Akkan
,
K.
,
Ozdemir
,
H.
,
Tokgoz
,
N.
, and
Tali
,
T.
, 2006, “
Blood-Flow Volume Quantification in Internal Carotid and Vertebral Arteries: Comparison of 3 Different Ultrasound Techniques With Phase-Contrast MR Imaging
,”
AJNR Am. J. Neuroradiol.
0195-6108,
27
, pp.
363
369
.
23.
Zhu
,
L.
, 2000, “
Theoretical Evaluation of Contributions of Both Radial Heat Conduction and Countercurrent Heat Exchange in Selective Brain Cooling in Humans
,”
Ann. Biomed. Eng.
0090-6964,
28
, pp.
269
277
.
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