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动脉移植物的动态顺应性

Dynamic compliance of arterial grafts.

作者信息

Baird R N, Kidson I G, L'Italien G J, Abbott W M

出版信息

Am J Physiol. 1977 Nov;233(5):H568-72. doi: 10.1152/ajpheart.1977.233.5.H568.

Abstract

A cantilever transducer has been developed which allows measurements of diastolic diameter and diameter change in response to pulse pressure in dissected blood vessels during sterile procedures. Preliminary results indicate that it will detect subtle changes in wall elastic properties of arterial grafts at subtle changes in wall elastic properties of arterial grafts at and following implantation, which changes may influence graft function. Compliance, the percentage change in volume per unit pressure, was greater in normal canine femoral artery than in autogenous vein grafts (AVG). Two new graft materials were tested. Mesh-covered modified human umbilical cord vein (DBM) was similar in compliance to AVG but more compliant than double-velour Dacron. Diastolic diameter changes were also recorded. After 2 wk, all three graft materials had increased in diameter: AVG by 8%, DBM by 6%, and Dacron by 5%. After 3 mo, AVG diameter increased by 24%.

摘要

已研发出一种悬臂式换能器,可在无菌操作过程中测量解剖血管的舒张直径以及对脉压作出反应时的直径变化。初步结果表明,它将在动脉移植物植入时及植入后,检测到其壁弹性特性的细微变化,而这些变化可能会影响移植物功能。顺应性,即单位压力下体积的百分比变化,在正常犬股动脉中比在自体静脉移植物(AVG)中更大。测试了两种新型移植物材料。网状覆盖的改良人脐带静脉(DBM)的顺应性与AVG相似,但比双层丝绒涤纶更具顺应性。还记录了舒张直径变化。2周后,所有三种移植物材料的直径均有所增加:AVG增加了8%,DBM增加了6%,涤纶增加了5%。3个月后,AVG直径增加了24%。

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