Transvascular delivery of a composition to an extravascular...

A - Human Necessities – 01 – N

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Details

A01N 43/04 (2006.01) A61K 38/00 (2006.01) A61K 38/04 (2006.01) A61K 38/18 (2006.01) A61K 38/19 (2006.01) A61K 38/20 (2006.01) A61K 45/06 (2006.01) A61K 48/00 (2006.01) A61M 1/36 (2006.01) C07H 21/04 (2006.01) C07K 14/475 (2006.01) A61M 1/16 (2006.01)

Patent

CA 2314905

Compositions, methods, kits and apparatus are provided for delivering a macromolecular assembly such as a plasmid, virus vector, or other gene vector, to an extravascular tissue such as muscle tissue. The composition comprises the macromolecular assembly and a vascular permeability-enhancing agent. In another embodiment, the composition further comprises a vasodilating agent. The method of the invention comprises proving a vascular permeability- enhancing agent to a blood vessel and providing a macromolecular assembly to the vessel. An oxygenator useful for providing oxygen to a fluid extracorporeally prior to providing the fluid to a blood vessel of a mammal is included in the invention. Kits, apparatus, and methods for using the catheters described herein for isolating cardiac ciruclation, diverting caval blood flow from the right atrium, and other purposes, are also described.

On décrit des compositions, des procédés, des trousses, et un appareil pour acheminer un ensemble macromoléculaire (plasmide, vecteur de virus ou autre vecteur de gène, par exemple) vers un tissu extravasculaire, tel qu'un tissu musculaire. La composition comprend l'ensemble macromoléculaire et un stimulateur de perméation vasculaire. Dans un autre aspect, la composition comprend en plus un agent vasodilatateur. Le procédé de l'invention consiste à véhiculer un stimulateur de perméation vasculaire ainsi qu'un ensemble macromoléculaire vers un vaisseau sanguin. Le procédé de l'invention comprend aussi un oxygénateur pouvant apporter efficacement, par circulation extracorporelle, de l'oxygène à un fluide préalablement à l'apport du liquide à un vaisseau sanguin d'un mammifère. On décrit en outre des trousses, un appareil, et des procédés mettant en oeuvre les cathéters de l'invention pour isoler la circulation cardiaque, détourner l'écoulement sanguin dans la veine cave à partir de l'oreillette droite, ou pour d'autres fins.

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